Quintero RJ, Varela RYY, Gutiérrez FR, Salas OE

Language: Spanish
References: 15
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ABSTRACT

Introduction: Periodontal disease comprises a set of disorders associated with inflammation and the loss of dental support structures of multifactorial infectious origin. Scientific research exposes a range of probiotic bacterial strains in periodontal treatment, with properties in inhibiting the growth of periodontal pathogens, and significant improvements in clinical parameters, when combined with mechanical periodontal treatment.
Objective: Describe the effect of combined therapy between traditional mechanical periodontal treatment and a multi-strain probiotic gel, applied to a case of periodontitis.
Case presentation: A 53-year-old female patient from the community El Portachuelo, a rural area next to the city of Mérida. She presented gingival enlargement, redness and spontaneous pain in the palatine gum, with concomitant bleeding and purulent exudate for six months. A clinical periodontal examination, radiographic analysis and microbiological analysis made it possible to diagnose stage IV grade B periodontitis. Conventional non-surgical periodontal treatment was applied in combination with probiotic strains of Lactobacillus rhamnosus, L. acidophilus and L. plantarum, in presentation of an adhesive gel for supra and subgingival application and in oral suspension to obtain a systemic effect for 45 days. The results obtained were favorable with improvement of clinical parameters such as periodontal bleeding index and depth of periodontal sacs.
Conclusions: In accordance with several studies, it has been shown that probiotic therapy can be used as an adjuvant treatment in cases of periodontitis. A clear and rapid improvement is observed when using multi-strain therapies.

REFERENCES

1. Asok A, Bhandary R, Shetty M, Shenoy N. Probiotics and periodontal disease. Int J of Oral Health Sci. 2018;8(2):68-72. DOI: 10.4103/ijohs.ijohs_10_18

2. Morales A, Gandolfo A, Bravo J, Carvajal P, Silva N, et al2. . Microbiological and clinical effects of probiotics and antibiotics on nonsurgical treatment of chronic periodontitis: a randomized placebo-controlled trial with 9-month follow-up. J Appl Oral Sci. 2018; 26. DOI: 10.1590/1678-7757-2017-0075

3. Rojas T, Romero I, Dávila L, Lugo G, Yibrin C, Giménez X, et al3. . Periodontitis. Rev Odonto de Los Andes. 2019;14 (2): 86-99.

4. Carvajal P. Enfermedades periodontales como un problema de salud pública: el desafío del nivel primario de atención en salud. Rev. Clin. Periodoncia Implantol. Rehabil. Oral. 2016;9(2):177-83. DOI: 10.1016/j.piro.2016.07.001

5. Mangla C. Probiotics in Periodontics: A Review. JAMDSR. 2018; 6(7): 17-22.

6. Routh S, Pai M, Rajesh G, Shenoy R, Sarit S. Effect of Probiotics on Dental Caries and Periodontal Pathogens: An In Vitro Study. J Orofac Sci. 2019;11(1):49. DOI: 10.4103/jofs.jofs_41_19

7. Falcon B. Probióticos y la enfermedad periodontal: Revisión de la Literatura. Revista Médica Basadrina. 2017;11(2):53-9.

8. Mardhiyah A, Yusof F, Said, S. Inhibitory effect of lactobacillus from fermented foods and drinks on Porphyromonas gingivalis8. . Gadingst. 2018;1(01):25-36.

9. Zhao J, Jiang L, Zhu Y, Feng X. Effect of Lactobacillus acidophilus9. and Porphyromonas gingivalis9. on proliferation and apoptosis of gingival epithelial cells. Adv Med Sci. 2019;64(1):54-7. DOI: 10.1016/j.advms.2018.04.008

10. Herrera D, Figuero E, Shapira L, Jin L, Sanz M. La nueva clasificación de las enfermedades periodontales y periimplantarias. Revista científica de la Sociedad Española de Periodoncia. 2018;4(11):94-110.

11. Invernici M, Salvador S, Silva P, Soares M, Casarin R, Palioto D, et al11. . Effects of Bifidobacterium11. probiotic on the treatment of chronic periodontitis: A randomized clinical trial. J Clin Periodontol. 2018;45(10):1198-210. DOI: 10.1111/jcpe.12995

12. Widyarman A, Bachtiar E, Bachtiar B, Seneviratne C. Inhibitory effect of probiotic lactobacilli against Streptococcus mutans12. and Porphyromonas gingivalis12. biofilms. Sci Dent J. 2019;3:50-5. DOI: 10.4103/SDJ.SDJ_8_19

13. Ramos-Perfecto D, Berrocal-Medrano C, Cuentas-Robles A, Castro-Luna A. Probióticos como posible apoyo en el tratamiento de la periodontitis crónica. Rev Clin Periodoncia Implantol Rehabil Oral. 2018;11(2):112-5. DOI: 10.4067/S0719-01072018000200112

14. Messora M, Pereira L, Foureaux R, Oliveira L, Sordi C, et al14. . Favourable effects of Bacillus subtilis14. and Bacillus licheniformis14. on experimental periodontitis in rats. Arch Oral Biol 2016. 66: 108-19. DOI: 10.1016/j.archoralbio.2016.02.014

15. Laleman I, Yilmaz E, Ozcelik O, Haytac C, Pauwels M, Herrero E, et al15. . The effect of a streptococci containing probiotic in periodontal therapy: a randomized controlled trial. J Clin Periodontol 2015;42:1032-41. DOI: 10.1111/jcpe.12464