Full‐mouth treatment vs. the conventional staged approach for periodontal infection control

Overcoming behavioral obstacles to prevent periodontal disease: Behavioral change techniques and self‐performed periodontal infection control

“…When should the clinician start scaling procedures? Adequate oral hygiene (ie, self‐performed infection control) should preferably have been established before paying attention to the mechanical instrumentation in order to minimize the reestablishment of subgingival microbiota . Hence, we suggest that the scaling procedures start when the caregiver judges that the patient seems to have achieved the goals agreed on for oral hygiene performance.…”

“…Effective self‐performed supragingival plaque control, together with root/pocket instrumentation, serves to alter the subgingival ecologic environment through disruption of the microbial biofilm, reducing the number of bacteria and suppressing inflammation. It is well established that adequate oral hygiene is essential in order to prevent periodontal disease progression . Thus, behaviors such as daily toothbrushing and interdental cleaning are fundamental for achieving and maintaining periodontal infection control.…”

Patient-related prognostic risk factors in severe periodontitis patients after periodontal therapy

“…Nihon 3,5,7,8,11) 。歯周治療後の治療抵抗性および歯の喪 失や歯周炎の進行，再発と関連性のある患者レベルの 臨床検査指標として歯周治療後の深い歯周ポケットの 残存部位数が挙げられる [12][13][14] 。この指標は，歯周病の 感受性や進行の患者レベルのリスクを評価し，患者 個々の SPT 来院間隔を決定するための歯周病リスク 評価モデル 1,15) に利用されている 6 つのリスク因子の 1 つとしても用いられている。これと関連して，患者 レベルの歯周治療反応性(治療反応性)を評価する指 標として，深い歯周ポケットが歯周治療後に改善した 部位率を評価する方法 5,14) がある。SPT や抗菌療法 など非外科治療後の深い歯周ポケットの減少率(5 mm 以上の PD が 4 mm 以下になる割合)は，歯周外 科治療必要性を判定するための指標とされている 16…”

Preprocedural anxiety and pain perception following root surface debridement in chronic periodontitis patients

“…The studies on the clinical efficacy of the full mouth disinfection versus conventional multi-visit approach suggest only minor differences between the two protocols. [ 12 13 14 ] Nevertheless, these conclusions reflect the therapeutic outcomes clinically based rather than patient-centered outcomes which must also be considered while selecting a treatment. [ 15 ] Nonsurgical periodontal therapies are often perceived as stressful and painful by the patient.…”