Microbiological outcomes of quadrant versus full‐mouth root planing as monitored by real‐time PCR

Abstract

The results of the present study showed similar microbiological outcomes following both treatment modalities.

Full-mouth scaling and root planing in type 2 diabetic subjects: one-year microbiological outcomes

“…Jervøe-Storm et al 7 showed similar levels of Aggregatibacter actinomycetemcomitans, F. nucleatum ssp., P. gingivalis, Prevotella intermedia, T. denticola and T. forsythia following the FMSRP and PMSRP approaches up to six months. Similar results were also demonstrated for the levels of A. actinomycetemcomitans, P. gingivalis, P. intermedia, Dialister pneumosintes, Campylobacter rectus and Parvimonas micra at eight months after both therapies.…”

“…However, the authors provided only a short-term evaluation (4-6 weeks) after treatments. 18 It should be noted that the current and all of the above-mentioned studies (Quirynen et al, 4 Apatzidou et al, 5 Koshy et al, 6 Jervøe-Storm et al, 7 Swierkot et al, 8 Zijnge et al, 9 Lang et al, 11 Serrano et al 18 ) verified that the subgingival microbiota improved significantly from baseline to post-therapy evaluations for both the FMSRP and PMSRP approaches. In fact, it is well documented that the proportions of periodontal pathogens are found at higher levels before than after SRP in subjects or at sites that responded clinically well, since positive microbiological changes must precede clinical improvements.…”

“…Other studies with similar experimental designs have also showed that positive microbiological changes after FMSRP and PMSRP led to significant clinical improvements in non-diabetic subjects, and the approaches did not differ in their clinical effects. [5][6][7][8][9]19,20 The current study has limitations. It represents secondary analyses of microbiological data collected during a RCT designed based on clinical outcomes.…”

“…The current microbiological findings in diabetics are in line with previous studies that compared the microbiological effect of FMSRP with PMSRP in non-diabetic subjects by assessing a few bacterial species using polymerase chain reaction (PCR). [5][6][7][8][9]11 Apatzidou et al 5 observed that FMSRP and PMSRP did not differ in terms of microbiological benefits at six months post-therapies. Koshy et al…”

“…However, considering the hypothesis that previously treated areas could be reinfected by pathogenic species from not yet treated sites, some studies evaluated whether full-mouth scaling and root planing (FMSRP) performed within a short period could avoid this bacterial reinfection and lead to better clinical outcomes. [4][5][6][7][8][9] Nonetheless, three systematic reviews, compiling data from several investigations have failed to show that FMSRP provides statistically significant clinical and microbiological advantages over PMSRP for the treatment of periodontitis in non-diabetic subjects. [10][11][12] Assuming that FMSRP and PMSRP have similar clinical effectiveness, it would still be important to consider some practical advantages of the FMSRP protocol.…”