EFETIVIDADE DO USO DE COLUTÓRIOS À BASE DE COMPOSTOS NATURAIS APÓS CIRURGIAS PERIODONTAIS: UMA REVISÃO DE LITERATURA

Abstract

Periodontal surgery (PC) plays an important role in the treatment of changes in the periodontium, in order to promote oral health and aesthetics. However, pre- and post-operative guidance is necessary to avoid complications and ensure a comfortable recovery. Chlorhexidine (CX) is widely used as a rinse, especially when post-surgical hygiene is challenging due to local sensitivity. However, side effects can represent obstacles in clinical practice. In this context, rinses based on natural compounds emerge as an alternative to overcome them. This study aimed to investigate the effectiveness of these mouthwashes in post-periodontal surgery, not only in relation to reducing the oral microbiota, but also with regard to minimizing potential side effects. A literature review was conducted in the PubMed® database, using the descriptors “periodontal surgery”, “herbal extract”, “plant extract”, “herbal” and “herbal medicine”. 219 articles were found and after applying inclusion and exclusion criteria, three clinical studies with human beings were selected. The results showed that mouthwashes based on natural compounds demonstrated comparable efficacy to chlorhexidine in aspects such as reducing plaque and gingival index. Furthermore, they stood out for offering less discomfort to the palate. However, CX still maintained greater overall effectiveness. Thus, mouthwashes based on natural compounds emerge as a promising alternative for post-surgery care, offering a more comfortable option. However, more research is needed to standardize analyzes and consider different natural compounds in order to offer personalized and effective therapeutic options.