Efeito clínico do uso de probióticos como adjuvante no tratamento periodontal: revisão sistemática

Abstract

Introduction: Conventional treatment of periodontal disease includes mechanical rupture of biofilm through non-surgical periodontal therapy, including scaling and root planning (SRP), oral health education and oral hygiene instructions. The limitations represent a challenge in the restoration of periodontal health and for this reason, the search for alternative therapies has increased, among which, probiotics stand out. Objective: To evaluate the effect of using probiotics as adjuncts to SRP. Methodology: A search was performed in the electronic databases PubMed and Cochrane, using randomized controlled clinical studies in English, published until February 2021, as inclusion criteria. Results: The administration of probiotics as an adjunct to basic periodontal treatment reveals clinical benefits concentrated in the reduction of the inflammatory process, clinical attachment levels and reduction in the depth of periodontal pockets, in the plaque index and bleeding on probing. Thus, the decrease in periodontal pockets suggests a lower risk of progression of periodontal disease. Conclusion: The SRP + probiotic adjunct use suggests a beneficial effect in relation to clinical parameters, such as probing depth, clinical attachment levels and bleeding on probing, especially in relation to the reduction of residual periodontal pockets. However, there is a need for long-term clinical trials, with greater variety in the probiotic strains used, for a better understanding of the therapeutic role of probiotics in periodontal science.