Diagnóstico y alternativas de tratamiento de las enfermedades periodontales agresivas o como manifestación de enfermedad sistémica en niños entre 3 y 12 años. Revisión sistemática de la literatura / Diagnosis and Treatment Alternatives for Aggressive P...
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Resumen
Objetivos: Reconocer los criterios diagnósticos y tratamientos más frecuentes de las enfermedades periodontales de aparición temprana, agresiva o como manifestación de enfermedad sistémica en niños entre 3 y 12 años de edad descritos en la literatura. Métodos: Se realizó una revisión sistemática que evaluó criterios diagnósticos y tratamiento para niños con enfermedades periodontales de aparición temprana, agresiva o como manifestación de enfermedad sistémica. Todos los artículos se escogieron utilizando bases de datos seleccionadas por área temática de la biblioteca de la Pontificia Universidad Javeriana. Resultados: Se obtuvieron 4012 referencias de las 8 bases de datos seleccionadas. Se encontraron 2052 para criterios diagnósticos, se escogieron 155, se excluyeron 130 y se incluyeron 25 artículos para el análisis. Para alternativas de tratamiento se encontraron 1960, se escogieron 170, se excluyeron 135 y se incluyeron 35 para el análisis. Ninguno de los artículos cumplió con los criterios de inclusión propuestos en la revisión sistemática, principalmente debido a que no cumplieron con el rango de edad establecido y, además, porque no alcanzaron el nivel de evidencia requerido por el tipo de estudio encontrado como reportes o series de caso. Conclusión: No existe literatura disponible que evalúe los criterios diagnósticos y alternativas de tratamiento de las enfermedades periodontales de aparición temprana, agresiva o como manifestación de enfermedad sistémica en niños entre 3 y 12 años.
Objective: Recognize the diagnostic criteria and more frequent treatment of early-onset periodontitis, aggressive periodontitis, or periodontitis as a manifestation of systemic disease in children between 3 to 12 years reported in the literature. Methods: A systematic review of literature that evaluated diagnostic criteria and treatment for children with earlyonset periodontal disease, aggressive periodontitis, or periodontitis as a manifestation of systemic disease was conducted. All articles were chosen from eight subject-related bibliographic databases available at the Pontificia Universidad Javeriana Library. Results: 4012 references were found of which 2052 were about diagnostic criteria. 155 were pre-selected and 25 were included for analysis. Regarding alternative treatments, 1960 were found, 170 pre-selected, and finally 35 included for analysis. None of the articles met the inclusion criteria proposed for the systematic review, mainly because they did not meet the targeted age range and the level of evidence required as research reports or case series. Conclusion: There is no available literature to evaluate the diagnostic criteria and treatment options for early-onset periodontitis, aggressive periodontitis, or periodontitis as a manifestation of systemic disease in children between the ages of 3 to 12 years.
Keywords
References
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2. Flemmig TF. Periodontitis. Ann Periodontol. 1999 Dec; 4(1): 32-8.
3. Armitage GC. Development of a classification system for periodontal disease and conditions. Ann Periodontol. 1999 Dec; 4(1): 1-6.
4. Lindhe J, Lang NP, Karring T. Periodontología clínica e implantología odontológica. 5a ed. Buenos Aires: Panamericana; 2009. pp. 428-58.
5. Lang NP, Bartold PM, Cullinam M, Jeffcoat M, Mombelli A, Murakami S, Page R, Papapanou P, Tonetti M, Van Dyke T. International Classification Workshop. Consensus report: Aggressive periodontitis. Ann Periodontol. 1999 Dec; 4(1): 53.
6. Sollecito TP, Sullivan KE, Pinto A, Stewart J, Korostoff J. Systemic conditions associated with periodontitis in childhood and adolescence. A review of diagnostic possibilities. Med Oral Patol Oral Cir Bucal. 2005 Mar-Apr; 10(2): 142-50.
7. Tonetti MS, Mombelli A. Early-Onset Periodontitis. Ann Periodontol 1999 Dec; 4(1): 39-53.
8. Jenkins WM, Papapanou PN. Epidemiology of periodontal disease in children and adolescents. Periodontol 2000. 2001; 26: 16-32.
9. Löe H, Brown LJ. Early onset periodontitis in the United States of America. J Periodontol. 1991 Oct; 62(10): 608-16.
10. Herazo Acuña B. Estudio de tendencias epidemiológicas de caries dental y periodontopatías en las grandes ciudades colombianas. Bogotá: Ministerio de Salud; 1995.
11. Harbour R, Miller J. A new system for grading recommendations in evidence based guidelines. BMJ. 2001 Aug; 323(7308): 334-6.
12. Astemborski JA, Boughman JA, Myrick PO, Goodman SB, Wooten RK, Agarwal S, Vincent JW, Suzuki JB. Clinical and laboratory characterization of early onset periodontitis. J Periodontol. 1989 Oct; 60(10): 557-63.
13. Cogen RB, Wright JT, Tate AL Destructive periodontal disease in healthy children. J Periodontol. 1992 Sep; 63(9): 761-5.
14. da Silva-Boghossian CM, do Souto RM, Luiz RR, Colombo AP. Association of red complex, A. actinomycetemcomitans and non-oral bacteria with periodontal diseases. Arch Oral Biol. 2011 Sep; 56(9): 899-906.
15. Heller D, Silva-Boghossian CM, do Souto RM, Colombo AP. Subgingival microbial profiles of generalized aggressive and chronic periodontal diseases. Arch Oral Biol. 2012 Jul; 57(7): 973-980.
16. Jardim Júnior EG, Bosco JM, Lopes AM, Landucci LF, Jardim EC, Carneiro SR. Occurrence of Actinobacillus actinomycetemcomitans in patients with chronic periodontitis, aggressive periodontitis, healthy subjects and children with gingivitis in two cities of the state of São Paulo, Brazil. J Appl Oral Sci. 2006 Jun; 14(3): 153-6.
17. Leksell E, Ernberg M, Magnusson B, Hedenberg-Magnusson B. Intraoral condition in children with juvenile idiopathic arthritis compared to controls. Int J Paediatr Dent. 2008 Nov; 18(6): 423-33.
18. López NJ, Mellado JC, Giglio MS, Leighton GX. Occurrence of certain bacterial species and morphotypes in juvenile periodontitis in Chile. J Periodontol. Jul 1995; 66(7): 559-67.
19. Mombelli A, Casagni F, Madianos PN. Can presence or absence of periodontal pathogens distinguish between subjects with chronic and aggressive periodontitis? A systematic review. J Clin Periodontol. 2002; 29(Suppl 3): 10-21; discussion 37-8.
20. Nibali L, D'Aiuto F, Ready D, Parkar M, Yahaya R, Donos N. No association between A actinomycetemcomitans or P gingivalis and chronic or aggressive periodontitis diagnosis. Quintessence Int. 2012 Mar; 43(3): 247-54.
21. Shaddox LM, Huang H, Lin T, Hou W, Harrison PL, Aukhil I, Walker CB, Klepac-Ceraj V, Paster BJ. Microbiological characterization in children with aggressive periodontitis. J Dent Res. 2012 Oct; 91(10): 927-33.
22. Söjdin B, Crossner CG, Unell L, Ostlund P. A retrospective radiographic study of alveolar bone loss in the primary dentition in patients with localized juvenile periodontitis. J Clin Periodontol. 1989 Feb; 16(2): 124-7.
23. Tugnait A, Hirschmann PN, Clerehugh V. Validation of a model to evaluate the role of radiographs in the diagnosis and treatment planning of periodontal diseases. J Dent. Aug 2006; 34(7): 509-15.
24. Valenza G, Burgemeister S, Girschick H, Schoen C, Veihelmann S, Moter A, Haban V, Vogel U, Schlagenhauf U. Analysis of the periodontal microbiota in childhood-type hypophosphatasia. Int J Med Microbiol. 2006 Nov; 296(7): 493-500.
25. Yusof ZA. Early-onset periodontitis: radiographic patterns of alveolar bone loss in 55 cases from a selected Malaysian population. J Periodontol. 1990 Dec; 61(12): 751-4.
26. Califano JV; Research, Science and Therapy Committee American Academy of Periodontology. Periodontal diseases of children and adolescents. J Periodontol. 2003 Nov; 74(11): 1696-704.
27. Leone CW. Presence or absence of periodontal pathogens does not distinguish between chronic and aggressive periodontitis. Evid Based Dent. 2003; 4: 60.
28. Discepoli N, Bascones-Martínez A. Controversias etiológicas, diagnósticas y terapéuticas de la periodontitis agresiva. Av Periodon Implantol. 2008 Dic; 20(1): 39-47.
29. Loesche W. Dental caries and periodontitis: contrasting two infections that have medical implications. Infect Dis Clin North Am. 2007 Jun; 21(2): 471-502.
30. Szczawinska-Poplonyk A, Gerreth K, Breborowicz A, Borysewicz-Lewicka M. Oral manifestations of primary immune deficiencies in children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Sep; 108(3): e9-20.
31. Parameter on aggressive periodontitis. American Academy of Periodontology. J Periodontol. 2000 May; 71(5 Suppl): 867-9.
32. Kawar N, Gajendrareddy PK, Hart TC, Nouneh R, Maniar N, Alrayyes S. Periodontal Disease for the Primary Care Physician. Dis Mon. 2011 Apr; 57(4): 174-83.
33. Alrayyes S, Hart TC. Periodontal Disease in Children. Dis Mon. 2011 Apr; 57(4): 184-91.
34. Pérez Luzardo B. Periodontitis agresiva: Clasificación, características clínicas y etiopatogenia. Acta Odontol Venez. 2009 Sep; 47(3): 153-60.
35. Pérez Luzardo B. Periodontitis agresiva: Diagnóstico y tratamiento. Acta Odontol Venez. 2009 Dic; 47(4): 211-24.
36. Aimetti M, Romano F, Guzzi N, Carnevale G. One-stage full-mouth disinfection as a therapeutic approach for generalized aggressive periodontitis. J Periodontol. 2011 Jun; 82(6): 845-53.
37. Aimetti M, Romano F, Guzzi N, Carnevale G. Full-mouth disinfection and systemic antimicrobial therapy in generalized aggressive periodontitis a randomized, placebo-controlled trial. J Clin Periodontol. 2012 Mar; 39(3): 284-94.
38. Mongardini C, van Steenberghe D, Dekeyser C, Quirynen M. One stage full- versus partial-mouth disinfection in the treatment of chronic adult or generalized early-onset periodontitis. I. Long-term clinical observations. J Periodontol. 1999 Jun; 70(6): 632-45.
39. Pawlowski AP, Chen A, Hacker BM, Manci LA, Page RC, Roberts FA. Clinical effects of scaling and root planing on untreated teeth. J Clin Periodontol. 2005 Jan; 32(1): 21-8.
40. Quirynen M, Mongardini C, Pauwels M, Bollen CM, Van Eldere J, van Steenberghe D. One stage full- versus partial-mouth disinfection in the treatment of chronic adult or generalized early-onset periodontitis. II. Long-term impact on microbial load. J Periodontol. 1999 Jun; 70(6): 646-56.
41. Christersson LA, Slots J, Rosling BG, Genco RJ. Microbiological and clinical effects of surgical treatment of localized juvenile periodontitis. J Clin Periodontol. 1985 Jul; 12(6): 465-76.
42. Kunihira DM, Caine FA, Palcanis KG, Best AM, Ranney RR. A clinical trial of phenoxymethyl penicillin for adjunctive treatment of juvenile periodontitis. J Periodontol. 1985 Jun; 56(6): 352-8.
43. Akincibay H, Orsal SO, Sengn D, Tozum TF. Systemic administration of doxycycline versus metronidazole plus amoxicillin in the treatment of localized aggressive periodontitis: a clinical and microbiologic study. Quintessence Int. 2008 Feb; 39(2): e33-9.
44. Griffiths GS, Ayob R, Guerrero A, Nibali L, Suvan J, Moles DR, Tonetti MS. Amoxicillin and metronidazole as an adjunctive treatment in generalized aggressive periodontitis at initial therapy or re-treatment: a randomized controlled clinical trial. J Clin Periodontol. 2011 Jan; 38(1): 43-9.
45. Guerrero A, Griffiths GS, Nibali L, Suvan J, Moles DR, Laurell L, Tonetti MS, et al. Adjunctive benefits of systemic amoxicillin and metronidazole in non-surgical treatment of generalized aggressive periodontitis: a randomized placebo-controlled clinical trial. J Clin Periodontol. 2005 Oct; 32(10): 1096-107.
46. Heller D, Varela VM, Silva-Senem MX, Torres MC, Feres-Filho EJ, Colombo AP. Impact of systemic antimicrobials combined with anti-infective mechanical debridement on the microbiota of generalized aggressive periodontitis: a 6-month RCT. J Clin Periodontol. 2011 Apr; 38(4): 355-64.
47. Kaner D, Bernimoulin JP, HopfenmllerW, Kleber BM, Friedmann A. Controlled-delivery chlorhexidine chip versus amoxicillin/metronidazole as adjunctive antimicrobial therapy for generalized aggressive periodontitis: a randomized controlled clinical trial. J Clin Periodontol. 2007 Oct; 34(10): 880-91.
48. Lundgren T, Renvert S. Periodontal treatment of patients with Papillon-Lefèvre syndrome: a 3-year follow-up. J Clin Periodontol. 2004 Nov; 31(11): 933-8.
49. Machtei EE, Younis MN. The use of 2 antibiotic regimens in aggressive periodontitis: comparison of changes in clinical parameters and gingival crevicular fluid biomarkers. Quintessence Int. 2008 Nov; 39(10): 811-9.
50. Mandell RL, Socransky SS. Microbiological and clinical effects of surgery plus doxycycline on juvenile periodontitis. J Periodontol. 1988 Jun; 59(6): 373-9.
51. Mestnik MJ, Feres M, Figueiredo LC, Duarte PM, Lira EA, Faveri M. Short-term benefits of the adjunctive use of metronidazole plus amoxicillin in the microbial profile and in the clinical parameters of subjects with generalized aggressive periodontitis. J Clin Periodontol. 2010 Apr; 37(4): 353-65.
52. Purucker P, Mertes H, Goodson JM, Bernimoulin JP. Local versus systemic adjunctive antibiotic therapy in 28 patients with generalized aggressive periodontitis. J Periodontol. 2001 Sep; 72(9): 1241-5.
53. Saxén L, Asikainen S. Metronidazole in the treatment of localized juvenile periodontitis. J Clin Periodontol. 1993 Mar; 20(3): 166-71.
54. Sigusch BW, Pfitzner A, Nietzsch T, Glockmann E. Periodontal dressing (Vocopac®) influences outcomes in a two-step treatment procedure. J Clin Periodontol. 2005 Apr; 32(4): 401-5.
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Cómo citar
Arias Parra, D. C., Herrera Fajardo, L. X., Romero Sánchez, M. R., & Velosa Porras, J. (2013). Diagnóstico y alternativas de tratamiento de las enfermedades periodontales agresivas o como manifestación de enfermedad sistémica en niños entre 3 y 12 años. Revisión sistemática de la literatura / Diagnosis and Treatment Alternatives for Aggressive P. Universitas Odontologica, 32(69), 123–146. Recuperado a partir de https://revistas.javeriana.edu.co/index.php/revUnivOdontologica/article/view/SICI%3A%202027-3444%28201307%2932%3A69%3C123%3ADATEPA%3E2.0.CO%3B2-A
Sección
Práctica Clínica