TRATAMENTO DA PERIODONTITE COM TERAPIAS ADJUVANTES: Revisão de literatura sobre Laserterapia, Terapia Fotodinâmica, Ozonioterapia, Probióticos e Antimicrobianos Locais

Abstract

Introduction: Periodontitis is a multifactorial inflammatory disease characterized by the progressive destruction of the tooth-supporting tissues, often associated with significant systemic repercussions. Nonsurgical periodontal therapy, based on scaling and root planing, remains the therapeutic gold standard. However, its effectiveness may be limited in areas of difficult access, such as deep periodontal pockets or regions with complex anatomy. In this scenario, several adjunctive therapies have been widely investigated with the purpose of enhancing the clinical and microbiological outcomes of conventional treatment. Objective: The aim of this literature review was to analyze the most recent scientific evidence regarding the use of laser therapy, antimicrobial photodynamic therapy, ozone therapy, local antimicrobials, and probiotics as adjunctive approaches in the management of chronic periodontitis. Methodology: For this purpose, scientific articles available in databases such as PubMed, Scopus, and SciELO were selected, with emphasis on randomized clinical trials, systematic reviews, and meta-analyses published in recent years. Results: The included studies demonstrated that these therapies may provide additional benefits, such as reduction in probing depth, gain in clinical attachment level, and favorable modulation of the subgingival microbiota. Although the results are promising, greater methodological standardization and the conduction of long-term clinical studies are still required to confirm the sustained efficacy of these interventions. Conclusion: It is concluded that adjunctive therapies represent relevant and expanding tools in the management of chronic periodontitis, with the potential to complement and enhance conventional periodontal approaches.