One Stage Full‐ Versus Partial‐Mouth Disinfection in the Treatment of Chronic Adult or Generalized Early‐Onset Periodontitis. I. Long‐Term Clinical Observations

Mongardini, Claudio; Steenberghe, Daniël van; Dekeyser, Christel; Quirynen, Marc

doi:10.1902/jop.1999.70.6.632

Cited by 142 publications

(202 citation statements)

References 81 publications

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“…Mongardini et al 1999 36 The clinical data were reported in another study that is included (Quirynen et al 2000) 30 Quirynen et al 1995 17 The duration of the study less than six months. However, the long-term follow-up of the patients was reported in another study that is included 31 Quirynen et al 1998 37 Only microbiological data were reported …”

Section: Reason(s) For Exclusionmentioning

confidence: 99%

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: Reason(s) For Exclusionmentioning

confidence: 99%

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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“…The assessed clinical parameters at t SRP, with exception made for CAL, resulted in being significantly reduced versus the inclusion. Nevertheless, the main goal of the present study was not merely focused on the already welldocumented efficacy of the one-stage full-mouth disinfection procedure (Morgandini et al, 1999;Quirynen et al, , 2006Aimetti et al, 2011;Swierkot et al, 2009;Teughels et al, 2009), when applied under the commonly used conditions. The hypothesis of the present study was that the application of a disinfection protocol consisting of tongue brushing and mouth rinsing with chlorhexidine-based products during two weeks prior to SRP would (1) reduce BoP at the time of SRP, (2) improve clinical parameters related to periodontitis, and (3) provide for improvement of periodontal tissue conditions up to three months and finally, (4) facilitate the clinicians in their job.…”

Section: Discussionmentioning

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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“…The percent value of lymphadenopathy-positive patients in daily treated group was twice of that weekly treated ones. Mongardini, et al [23] reported that half of the patients who underwent intensive subgingival instrumentation over a short period reported pyrexia over the following 12-24 hours as anecdotal evidence. Those reported changes in the above mentioned two studies could be attributed to systemic elevation of pro-inflammatory cytokines and acute-phase proteins.…”

Section: Discussionmentioning

confidence: 99%

Effect of Antibiotic Prophylaxis on Serum CRP Level Immediately Following Periodontal Treatment: An Experimental Clinical Study

Boduroglu¹

2014

Int J Oral Dent Health

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One Stage Full‐ Versus Partial‐Mouth Disinfection in the Treatment of Chronic Adult or Generalized Early‐Onset Periodontitis. I. Long‐Term Clinical Observations

Abstract: These findings suggest that a one stage full-mouth disinfection results in an improved clinical outcome for the treatment of chronic adult or early-onset periodontitis as compared to scaling and root planing per quadrant at 2-week intervals.

Cited by 142 publications

References 81 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

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

Effect of Antibiotic Prophylaxis on Serum CRP Level Immediately Following Periodontal Treatment: An Experimental Clinical Study

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