Assessment of Adherence to Preventive Treatment of Plaque-induced Oral Diseases Using Sugar-free Gums : a Controlled Clinical Trial

ABSTRACT Introduction: the aim of this study was to assess the adherence to a preventive treatment of plaque-induced oral diseases using two sugar-free gums, establishing their effect on cariogenic bacteria counts as a biological marker of treatment response. Methods: a double-blind, randomized, par...

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Autores:
Martínez Pabón, María Cecilia
Mesa Arango, Carolina
Martínez Delgado, Cecilia María
Pérez Cano, María Isabel
Isaza Guzmán, Diana María
Tobón Arroyave, Sergio Iván
Tipo de recurso:
Article of investigation
Fecha de publicación:
2019
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/26204
Acceso en línea:
http://hdl.handle.net/10495/26204
Palabra clave:
Dental Caries
Caries Dental
Cariostatic Agents
Cariostáticos
Chewing Gum
Goma de Mascar
Treatment Adherence and Compliance
Cumplimiento y Adherencia al Tratamiento
Public Health
Salud Pública
Rights
openAccess
License
http://creativecommons.org/licenses/by-nc-sa/2.5/co/
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oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/26204
network_acronym_str UDEA2
network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv Assessment of Adherence to Preventive Treatment of Plaque-induced Oral Diseases Using Sugar-free Gums : a Controlled Clinical Trial
dc.title.alternative.spa.fl_str_mv Evaluación de la adhesión al tratamiento preventivo de enfermedades bucales inducidas por placa bacteriana mediante el uso de gomas de mascar sin azúcar: ensayo clínico controlado
title Assessment of Adherence to Preventive Treatment of Plaque-induced Oral Diseases Using Sugar-free Gums : a Controlled Clinical Trial
spellingShingle Assessment of Adherence to Preventive Treatment of Plaque-induced Oral Diseases Using Sugar-free Gums : a Controlled Clinical Trial
Dental Caries
Caries Dental
Cariostatic Agents
Cariostáticos
Chewing Gum
Goma de Mascar
Treatment Adherence and Compliance
Cumplimiento y Adherencia al Tratamiento
Public Health
Salud Pública
title_short Assessment of Adherence to Preventive Treatment of Plaque-induced Oral Diseases Using Sugar-free Gums : a Controlled Clinical Trial
title_full Assessment of Adherence to Preventive Treatment of Plaque-induced Oral Diseases Using Sugar-free Gums : a Controlled Clinical Trial
title_fullStr Assessment of Adherence to Preventive Treatment of Plaque-induced Oral Diseases Using Sugar-free Gums : a Controlled Clinical Trial
title_full_unstemmed Assessment of Adherence to Preventive Treatment of Plaque-induced Oral Diseases Using Sugar-free Gums : a Controlled Clinical Trial
title_sort Assessment of Adherence to Preventive Treatment of Plaque-induced Oral Diseases Using Sugar-free Gums : a Controlled Clinical Trial
dc.creator.fl_str_mv Martínez Pabón, María Cecilia
Mesa Arango, Carolina
Martínez Delgado, Cecilia María
Pérez Cano, María Isabel
Isaza Guzmán, Diana María
Tobón Arroyave, Sergio Iván
dc.contributor.author.none.fl_str_mv Martínez Pabón, María Cecilia
Mesa Arango, Carolina
Martínez Delgado, Cecilia María
Pérez Cano, María Isabel
Isaza Guzmán, Diana María
Tobón Arroyave, Sergio Iván
dc.subject.decs.none.fl_str_mv Dental Caries
Caries Dental
Cariostatic Agents
Cariostáticos
Chewing Gum
Goma de Mascar
Treatment Adherence and Compliance
Cumplimiento y Adherencia al Tratamiento
Public Health
Salud Pública
topic Dental Caries
Caries Dental
Cariostatic Agents
Cariostáticos
Chewing Gum
Goma de Mascar
Treatment Adherence and Compliance
Cumplimiento y Adherencia al Tratamiento
Public Health
Salud Pública
description ABSTRACT Introduction: the aim of this study was to assess the adherence to a preventive treatment of plaque-induced oral diseases using two sugar-free gums, establishing their effect on cariogenic bacteria counts as a biological marker of treatment response. Methods: a double-blind, randomized, parallel-group, controlled intervention study was conducted in 96 young adult university students in an experimental period of 30 days. Participants were distributed into two groups and given a chewing gum with either pentitol or hexitol + CPP-ACP complex to be taken three times a day for 20 minutes after conventional oral hygiene. Saliva samples were collected at baseline to evaluate counts of Streptococcus mutans (SM) and Lactobacillus spp. A survey was conducted at the end of the experimental period to assess the levels of adherence to treatment, remeasuring bacterial counts. Results: SM counts showed statistically significant differences between the study groups at the end of the experimental period, with a decreasing tendency in both groups. Intragroup difference was observed in patients who took pentitol gum with a marked reduction in SM counts. Conclusion: the final estimate of adherence to treatment showed that the type of chewing gum patients were given had no influence and therefore such gums can be used, considering the therapeutic agents that most contribute to patient’s particular case and preferences.
publishDate 2019
dc.date.issued.none.fl_str_mv 2019
dc.date.accessioned.none.fl_str_mv 2022-02-26T12:31:37Z
dc.date.available.none.fl_str_mv 2022-02-26T12:31:37Z
dc.type.spa.fl_str_mv info:eu-repo/semantics/article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
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dc.type.local.spa.fl_str_mv Artículo de investigación
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dc.identifier.citation.spa.fl_str_mv Martínez Pabón MC, Mesa Arango C, Martínez Delgado CM, Pérez Cano MI, Isaza Guzmán DM, Tobón Arroyave SI. Assessment of adherence to preventive treatment of plaque-induced oral diseases using sugar-free gums: a controlled clinical trial. Rev Fac Odontol Univ Antioq. 2019; 31(1-2): 57-67. DOI: http://dx.doi.org/10.17533/udea.rfo.v31n1-2a5
dc.identifier.issn.none.fl_str_mv 2145-7670
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10495/26204
dc.identifier.doi.none.fl_str_mv 10.17533/udea.rfo.v31n1-2a5
dc.identifier.eissn.none.fl_str_mv 0121-246X
identifier_str_mv Martínez Pabón MC, Mesa Arango C, Martínez Delgado CM, Pérez Cano MI, Isaza Guzmán DM, Tobón Arroyave SI. Assessment of adherence to preventive treatment of plaque-induced oral diseases using sugar-free gums: a controlled clinical trial. Rev Fac Odontol Univ Antioq. 2019; 31(1-2): 57-67. DOI: http://dx.doi.org/10.17533/udea.rfo.v31n1-2a5
2145-7670
10.17533/udea.rfo.v31n1-2a5
0121-246X
url http://hdl.handle.net/10495/26204
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Rev Fac Odontol Univ Antioq
dc.rights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc-sa/2.5/co/
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dc.rights.creativecommons.spa.fl_str_mv https://creativecommons.org/licenses/by-nc-sa/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-sa/2.5/co/
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dc.format.extent.spa.fl_str_mv 10
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad de Antioquia, Facultad de Odontología
dc.publisher.group.spa.fl_str_mv Grupo de Investigación en Patología Oral Periodoncia y Cirugía Alvéolo-Dentaria (POPCAD)
dc.publisher.place.spa.fl_str_mv Medellín, Colombia
institution Universidad de Antioquia
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spelling Martínez Pabón, María CeciliaMesa Arango, CarolinaMartínez Delgado, Cecilia MaríaPérez Cano, María IsabelIsaza Guzmán, Diana MaríaTobón Arroyave, Sergio Iván2022-02-26T12:31:37Z2022-02-26T12:31:37Z2019Martínez Pabón MC, Mesa Arango C, Martínez Delgado CM, Pérez Cano MI, Isaza Guzmán DM, Tobón Arroyave SI. Assessment of adherence to preventive treatment of plaque-induced oral diseases using sugar-free gums: a controlled clinical trial. Rev Fac Odontol Univ Antioq. 2019; 31(1-2): 57-67. DOI: http://dx.doi.org/10.17533/udea.rfo.v31n1-2a52145-7670http://hdl.handle.net/10495/2620410.17533/udea.rfo.v31n1-2a50121-246XABSTRACT Introduction: the aim of this study was to assess the adherence to a preventive treatment of plaque-induced oral diseases using two sugar-free gums, establishing their effect on cariogenic bacteria counts as a biological marker of treatment response. Methods: a double-blind, randomized, parallel-group, controlled intervention study was conducted in 96 young adult university students in an experimental period of 30 days. Participants were distributed into two groups and given a chewing gum with either pentitol or hexitol + CPP-ACP complex to be taken three times a day for 20 minutes after conventional oral hygiene. Saliva samples were collected at baseline to evaluate counts of Streptococcus mutans (SM) and Lactobacillus spp. A survey was conducted at the end of the experimental period to assess the levels of adherence to treatment, remeasuring bacterial counts. Results: SM counts showed statistically significant differences between the study groups at the end of the experimental period, with a decreasing tendency in both groups. Intragroup difference was observed in patients who took pentitol gum with a marked reduction in SM counts. Conclusion: the final estimate of adherence to treatment showed that the type of chewing gum patients were given had no influence and therefore such gums can be used, considering the therapeutic agents that most contribute to patient’s particular case and preferences.RESUMEN Introducción: el objetivo consistió en evaluar la adherencia a un tratamiento preventivo de enfermedades bucales inducidas por placa bacteriana, utilizando dos gomas de mascar sin azúcar y establecer su efecto sobre recuentos de bacterias cariogénicas como indicador biológico de los efectos del tratamiento. Métodos: se realizó un estudio de intervención, doble ciego, de grupos paralelos, aleatorizado controlado, en 96 adultos jóvenes universitarios, en un período experimental de 30 días. Los participantes fueron distribuidos en dos grupos con asignación de una goma de mascar con pentitol o con hexitol + complejo CPP-ACP que debían ser consumidas 20 minutos/tres veces al día después de la higiene oral convencional. Al inicio del estudio fueron recolectadas muestras de saliva para evaluar recuentos de Estreptococos del grupo mutans (SM) y Lactobacillus spp. Al finalizar el período experimental, se realizó una encuesta para evaluar los niveles de adherencia al tratamiento y los recuentos bacterianos fueron medidos nuevamente. Resultados: Los recuentos de SM mostraron diferencias estadísticamente significativas entre los grupos de estudio al final del período experimental, con tendencia hacia la disminución en ambos grupos. Se observó diferencia intragrupo en los pacientes que consumieron la goma de mascar con pentitol, con marcada reducción de los recuentos de SM. Conclusión: la estimación final de la adherencia al tratamiento mostró que el tipo de goma de mascar asignada al paciente no tuvo influencia y, por lo tanto, estas pueden ser utilizadas teniendo en cuenta los agentes terapéuticos que más aporten al caso particular del paciente y las preferencias del mismo.COL001007410application/pdfengUniversidad de Antioquia, Facultad de OdontologíaGrupo de Investigación en Patología Oral Periodoncia y Cirugía Alvéolo-Dentaria (POPCAD)Medellín, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/Assessment of Adherence to Preventive Treatment of Plaque-induced Oral Diseases Using Sugar-free Gums : a Controlled Clinical TrialEvaluación de la adhesión al tratamiento preventivo de enfermedades bucales inducidas por placa bacteriana mediante el uso de gomas de mascar sin azúcar: ensayo clínico controladoDental CariesCaries DentalCariostatic AgentsCariostáticosChewing GumGoma de MascarTreatment Adherence and ComplianceCumplimiento y Adherencia al TratamientoPublic HealthSalud PúblicaRev Fac Odontol Univ AntioqRevista Facultad de Odontología Universidad de Antioquia5767311-2CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-81051http://bibliotecadigital.udea.edu.co/bitstream/10495/26204/6/license_rdfe2060682c9c70d4d30c83c51448f4eedMD56LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/26204/7/license.txt8a4605be74aa9ea9d79846c1fba20a33MD57ORIGINALMartínezMaría_2019_AssessmentAdherencePreventive.pdfMartínezMaría_2019_AssessmentAdherencePreventive.pdfArtículo de investigaciónapplication/pdf232997http://bibliotecadigital.udea.edu.co/bitstream/10495/26204/5/Mart%c3%adnezMar%c3%ada_2019_AssessmentAdherencePreventive.pdf392a26ebd1dc613c044787f57a35cd7dMD5510495/26204oai:bibliotecadigital.udea.edu.co:10495/262042022-02-26 07:31:38.416Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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