Full-mouth disinfection for the treatment of adult chronic periodontitis

Eberhard, Jörg; Jepsen, Søren; Jervøe‐Storm, Pia‐Merete; Needleman, Ian; Worthington, Helen V

doi:10.1002/14651858.cd004622.pub2

Cited by 59 publications

(61 citation statements)

References 22 publications

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“…Carotid IMT measures the extent and severity of localized atherosclerosis in the carotid artery, 20 is independently 21 and is considered to be the best noninvasive marker of global burden of atherosclerosis. 22 Consistent with the pathophysiology of atherosclerosis, carotid IMT generally increases as people age.…”

Section: Discussionmentioning

confidence: 99%

“…In relation to short-term periodontal tissue responses, Cochrane systematic review evidence indicates that single sessions of non-surgical periodontal treatment yield comparable outcomes to multiple visits. 20 Therefore, it was not expected that the alteration from an intervention administered over two appointments would differ in terms of efficacy to an intervention administered in a single session, with regards to short-term changes in periodontal health.…”

Section: Expanded Discussionmentioning

confidence: 99%

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Effect of Periodontal Therapy on Arterial Structure and Function Among Aboriginal Australians

et al. 2014

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Observational studies and nonrandomized trials support an association between periodontal disease and atherosclerotic vascular disease. Both diseases occur frequently in Aboriginal Australians. We hypothesized that nonsurgical periodontal therapy would improve measures of arterial function and structure that are subclinical indicators of atherosclerotic vascular disease. This parallel-group, randomized, open label clinical trial enrolled 273 Aboriginal Australians aged ≥18 years with periodontitis. Intervention participants received full-mouth periodontal scaling during a single visit, whereas controls received no treatment. Prespecified primary end points measured 12-month change in carotid intima-media thickness, an indicator of arterial structure, and 3- and 12-month change in pulse wave velocity, an indicator of arterial function. ANCOVA used complete case data to evaluate treatment group differences. End points could be calculated for 169 participants with follow-up data at 3 months and 168 participants at 12 months. Intima-media thickness decreased significantly after 12 months in the intervention group (mean reduction=−0.023 [95% confidence interval {CI}, −0.038 to −0.008] mm) but not in the control group (mean increase=0.002 [95% CI, −0.017 to 0.022] mm). The difference in intima-media thickness change between treatment groups was statistically significant (−0.026 [95% CI, −0.048 to −0.003] mm; P =0.03). In contrast, there were no significant differences between treatment groups in pulse wave velocity at 3 months (mean difference, 0.06 [95% CI, −0.17 to 0.29] m/s; P =0.594) or 12 months (mean difference, 0.21 [95% CI, −0.01 to 0.43] m/s; P =0.062). Periodontal therapy reduced subclinical arterial thickness but not function in Aboriginal Australians with periodontal disease, suggesting periodontal disease and atherosclerosis are significantly associated.

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Section: Discussionmentioning

confidence: 99%

Section: Expanded Discussionmentioning

confidence: 99%

Effect of Periodontal Therapy on Arterial Structure and Function Among Aboriginal Australians

et al. 2014

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“…Many papers and documents describing the efficacy of the "standard" full-mouth disinfection procedure are available in the literature Eberhard et al (2008) and Farman and Joshi (2008). Nevertheless, no documents are present, at the best of the authors' knowledge, dealing with the assessment of possible effects of an early application of a decontamination protocol on periodontal conditions at the time of SRP.…”

Section: Discussionmentioning

confidence: 99%

“…The aim of this study was not focused on testing the efficacy of the one-stage full-mouth disinfection procedure, which is already well documented (Eberhard et al, 2008;Farman and Joshi, 2008). The idea underlying the study was that bacterial load reduction was achieved with the application of the disinfection protocol proposed, consisting of tongue brushing and mouth rinsing with chlorhexidinebased products, at home, would accordingly lead to a decrease in swelling, pain sensitivity and especially bleeding, making the subsequent SRP procedure more comfortable for the patients.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a decontamination protocol prior to a full-mouth disinfection procedure: A randomised clinical study

Genovesi¹,

Marconcini²,

Ricci³

et al. 2014

J. Dent. Oral Hyg.

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The objective of this study was to test the hypothesis that the application of a chlorhexidine-based decontamination protocol during two weeks prior to scaling root planing (SRP) would reduce bleeding on probing (BoP) at the time of SRP. Secondary outcomes were other clinical parameters. Another secondary aim was to assess whether the improvement of periodontal conditions, if any, would have a benefit up to 3 months later. In this mono-centre, parallel, single blind, randomised, controlled clinical study, thirty subjects affected by chronic periodontitis were randomly allocated 1:1 to either a control group (n=15, individuals subjected to a standard one-stage full-mouth disinfection procedure fifteen days after inclusion), or a test group (n=15, individuals had to apply a decontamination protocol consisting of tongue brushing and mouth rinsing with chlorhexidine-based products during the fifteen days intervening between inclusion and SRP. BoP, probing depth (PD), plaque index (Pl.I) and clinical attachment loss (CAL) were measured at the inclusion and at t SRP =baseline, when individuals were subjected to SRP, and after 30 and 90 days. Immediately before SRP, BoP was significantly reduced in test (68.31±14.70) with respect to control group (29.54±11.97, p<0.0001). The other clinical parameters (except for CAL) were significantly reduced, with comparable improvements between the two groups after 30 and 90 days. Although investigations on a larger sample are desirable, the early application of a disinfection procedure improves the condition of patients undergoing full-mouth therapy. This leads to marked advantages both for patients, who exhibit reduced bleeding, swelling and pain, and the operator, who is less operatively limited during the hygiene session.

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“…Richard (2008) observed that children with periodontal disease may likely come down with Protein Calorie Malnutrition which can even lead to death of the child as a result of poor feeding. Tomas et al (2012) also noted that bacteremia from gingival disease could lead to very fatal morbidity and even mortality while Ebehard (2008), Nguyen (2008), Humphrey (2008), and Popat et al (2008) all opined that tissue death (necrosis), halitosis, Coronary Heart Disease, and Rheumatic fever where other forms of morbidities arising from periodontal disease. Jacqueline et al (2002) also stated that periodontal disease can also lead to destruction of alveolar bone and eventual tooth loss.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Periodontal Diseases in Orlu Local Government Area of Imo State, Nigeria

C¹,

N²,

C³

et al. 2017

IOSR JDMS

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Full-mouth disinfection for the treatment of adult chronic periodontitis

Cited by 59 publications

References 22 publications

Effect of Periodontal Therapy on Arterial Structure and Function Among Aboriginal Australians

Effect of Periodontal Therapy on Arterial Structure and Function Among Aboriginal Australians

Evaluation of a decontamination protocol prior to a full-mouth disinfection procedure: A randomised clinical study

Prevalence of Periodontal Diseases in Orlu Local Government Area of Imo State, Nigeria

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