Effects of single‐visit full‐mouth ultrasonic debridement <i>versus</i> quadrant‐wise ultrasonic debridement

Koshy, Geena; Kawashima, Yoko; Kiji, M.; Nitta, Hiroshi; Umeda, Makoto; Nagasawa, Toshiyuki; Ishikawa, Isao

doi:10.1111/j.1600-051x.2005.00775.x

Cited by 100 publications

(242 citation statements)

References 60 publications

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“…The number of analgesics used and the body temperature change was the same in both the groups. 29 The experience of pain in full-mouth groups and quadrant therapy was the same in the Quirynen et al 2000 study after the fi rst day of treatment (half mouth treat ment) but this was signifi cantly higher in full-mouth therapy after the second day (completion of the therapy). The usage of analgesics was higher for full mouth groups after the second day and five patients were reported to have a rise in body temperature to more than 38°C.…”

Section: Patient Complicationsmentioning

confidence: 80%

“…Koshy et al 2005 showed that the lar results than quadrant therapy. This was 2h 19 min for FMD, 2h 7 min for FRp and 2h 58 min for quadrant scal ing and root planing.…”

Section: Time Spentmentioning

confidence: 97%

“…In the third study which we have included in this category, Koshy et al 29 compared three treatment modalities and used povidone-iodine for disinfec tion during debridement. Considering FMD and quadrant scaling, analysis failed to show any signifi cant differ ence between the groups for any clini cal parameter.…”

Section: Comparisons Of Full-mouth Disinfection (Fmd) V Quadrant Scalmentioning

confidence: 99%

“…29,30,33 They were studies that included three treatment groups (FMD, FRp, Q). All of these studies showed no statistically significant difference in …”

Section: Comparisons Of Full-mouth Disinfection (Fmd) V Full-mouth Dementioning

confidence: 99%

“…This was 2h 19 min for FMD, 2h 7 min for FRp and 2h 58 min for quadrant scal ing and root planing. 29 Wennström et al 2005 reported on a new parameter called 'treatment efficiency'. Treatment effi ciency is defined by the time required to achieve one closed pocket (≤4 mm).…”

Section: Time Spentmentioning

confidence: 99%

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Full-mouth treatment versus quadrant root surface debridement in the treatment of chronic periodontitis: a systematic review

Farman

Joshi

2008

Br Dent J

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VERIFIABLE CPD PAPER• There were no significant differences in the effects of full-mouth treatment over the quadrant-wise approach over six months after treatment.• Root surface debridement remains the primary treatment modality for the professional management of chronic periodontitis.• The evidence for the additional benefi t of antiseptic use is inconclusive. I N B R I E F RESEARCHBackground and aims Non-surgical periodontal therapy has been proven to be an effective treatment for patients with chronic periodontitis. Conventional non-surgical therapy by debridement of the root surfaces is performed on a quadrant basis with 1-2 week intervals. This time interval may result in re-colonisation by the bacteria of the instrumented pockets and impair healing. Therefore, a new approach of full-mouth non-surgical therapy to be completed within two consecu tive days with (full-mouth disinfection) or without (full-mouth debridement) use of oral antiseptics has been suggested. The aim of this review was to compare the clinical outcomes of the three modalities of non-surgical therapy (full-mouth disinfection [FMD], full-mouth debridement [FRp], quadrant scaling and root planing [Q]). Methods Standard searches of Medline and Embase databases and appropriate hand searching provided the published studies, which were then as sessed against pre-determined inclusion criteria. Meta-analysis was performed wherever possible using Review Manager 4.2 software. Results Seven randomised controlled trials (RCTs) were included in the review and these failed to show any statistically significant differences between the FRp and Q approaches. Further studies are required to reach conclusion regarding the advantages of FMD approach. Practical implications Mechanical debridement is an important component of treatment for chronic periodontitis and this review suggests that both the traditional quadrant approach and the newer the full-mouth debridement could be equally effective. BACKGROUND

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Section: Patient Complicationsmentioning

confidence: 80%

“…Koshy et al 2005 showed that the lar results than quadrant therapy. This was 2h 19 min for FMD, 2h 7 min for FRp and 2h 58 min for quadrant scal ing and root planing.…”

Section: Time Spentmentioning

confidence: 97%

Section: Comparisons Of Full-mouth Disinfection (Fmd) V Quadrant Scalmentioning

confidence: 99%

“…29,30,33 They were studies that included three treatment groups (FMD, FRp, Q). All of these studies showed no statistically significant difference in …”

Section: Comparisons Of Full-mouth Disinfection (Fmd) V Full-mouth Dementioning

confidence: 99%

Section: Time Spentmentioning

confidence: 99%

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Full-mouth treatment versus quadrant root surface debridement in the treatment of chronic periodontitis: a systematic review

Farman

Joshi

2008

Br Dent J

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Full-mouth disinfection for the treatment of adult chronic periodontitis

Eberhard

Jepsen

Jervøe‐Storm

et al. 2008

Cochrane Database of Systematic Reviews

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In patients with chronic periodontitis in moderately deep pockets slightly more favourable outcomes for pocket reduction and gain in probing attachment were found following FMD compared to control. However, these additional improvements were only modest and there was only a very limited number of studies available for comparison, thus limiting general conclusions about the clinical benefit of full-mouth disinfection.

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Full-mouth treatment modalities (within 24 hours) for chronic periodontitis in adults

Eberhard

Jepsen

Jervøe‐Storm

et al. 2015

Cochrane Database of Systematic Reviews

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The inclusion of five additional RCTs in this updated review comparing the clinical effects of conventional mechanical treatment with FMS and FMD approaches for the treatment of chronic periodontitis has not changed the conclusions of the original review. From the twelve included trials there is no clear evidence that FMS or FMD provide additional benefit compared to conventional scaling and root planing. In practice, the decision to select one approach to non-surgical periodontal therapy over another should include patient preference and the convenience of the treatment schedule.

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Effects of single‐visit full‐mouth ultrasonic debridement versus quadrant‐wise ultrasonic debridement

Abstract: Single-visit full-mouth mechanical debridement may have limited additional benefits over quadrant-wise therapy in the treatment of periodontitis, but can be completed in a shorter time.

Cited by 100 publications

References 60 publications

Full-mouth treatment versus quadrant root surface debridement in the treatment of chronic periodontitis: a systematic review

Full-mouth treatment versus quadrant root surface debridement in the treatment of chronic periodontitis: a systematic review

Full-mouth disinfection for the treatment of adult chronic periodontitis

Full-mouth treatment modalities (within 24 hours) for chronic periodontitis in adults

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