Periodontitis
Conditions
Interventions
This is a randomized clinical trial, randomization was performed using sealed envelopes, involving patients hospitalized in Intensive Care Units. The objectives of this study were (1) to evaluate whet
Group 2 received supragingival scaling with portable dental ultrasound, and oral hygiene performed by the DS, with the remainder performed according to the hospital routine
Group 3 received supragingival scaling with hand instruments, Gracey periodontal curettes, and routine hospital oral hygiene
and Group 4 received only routine hospital oral hygiene. Oral hygiene performed by the dentist, depending on the group, was performed daily, once a day, throughout the ICU stay. A disposable toothbrus
E06.640
Sponsors
Christiane Mazurek Moraes
Faculdade de Odontologia da Universidade do Estado do Rio de Janeiro
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients aged =18 who reported the presence of teeth; Patients hospitalized in the ICUs of the Pedro Ernesto University Hospital; and with the possibility of performing the periodontal examination and supragingival scaling in the first 48 hours in the intervention group
Exclusion criteria
Exclusion criteria: Edentulous patients; Pregnant or breastfeeding patients; Intubated patients (orotracheal tube); Patients with orthodontic; Patients allergic to chlorhexidine; Patients with lung images that could interfere with the diagnosis of pneumonia; Patients with suspected or diagnosed pneumonia; Patients with cardiac pacemakers; Patients undergoing interventions by Oral and Maxillofacial Surgery and/or Head and Neck Surgery which would make periodontal examination impossible and Patients with coagulation problems and others contraindicated by the medical team
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| "Expected outcome 1": It was expected that the intervention groups, after periodontal treatment and oral hygiene monitoring, would develop fewer episodes of nosocomial pneumonia, with a reduction of approximately 20%. The primary outcome was a reduction in the number of nosocomial pneumonias. The sample size calculation was performed using the G Power 3.1 program (Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany) using the paired t-test for independent samples. It was based on previous studies and considered nosocomial pneumonia as the primary outcome, with an effect size of 0.9259284, a power of 0.80, and an alpha value of 0.05. The minimum sample size required for each treatment group was 15 patients.;"Outcome found 1": Periodontal treatment was not able to reduce the number of episodes of nosocomial pneumonia. | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcomes are expected. | — |
Countries
Brazil
Contacts
Public ContactChristiane Moraes
Faculdade de Odontologia da Universidade do Estado do Rio de Janeiro
Outcome results
None listed