Clinical Evaluation of Partial‐ and Full‐Mouth Scaling in the Treatment of Chronic Periodontitis

Knöfler, Gerhild; Purschwitz, Regina; Jentsch, Holger

doi:10.1902/jop.2007.070010

Cited by 32 publications

(44 citation statements)

References 39 publications

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“…One study assumed the hostʼs increased immune reaction was caused by bacteremia after Fdis but reported a similar immune reaction to those of cSRP 11) . Another study reported similar clinical effect to those of cSRP after completion of Fdis in a single visit [12][13][14] . A more recent study by Moreira and .…”

Section: Introductionmentioning

confidence: 75%

The clinical effects of modified full-mouth disinfection in the treatment of moderate to severe chronic periodontitis patients

Lee

Kim

Chung

et al. 2009

J Korean Acad Periodontol

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Purpose: Full-mouth disinfection enables to reduce the probability of cross contamination from untreated pockets to treated ones, for completing the entire SRP under local anesthesia with chlorhexidine as a mouth wash in two visits within 24 hours. This study aimed to compare the clinical effects of modified full-mouth disinfection (Fdis) after 6 months with those of conventional SRP (cSRP). Methods: Thirty non-smoking chronic periodontitis subjects were randomly allocated two groups. The Fdis group underwent the entire SRP under local anesthesia in two visits within 24 hours, a week after receiving supragingival scaling. A chlorhexidine (0.1%) solution was used for rinsing and subgingival irrigation for Fdis. The cSRP group received SRP per quadrant under local anesthesia at one-week intervals, one week after they had received scaling. Clinical parameters were recorded at baseline, after 1, 3 and 6 months. Results: There are significant (P < 0.05) decreases in the sulcus bleeding index, and plaque index, and the increases in gingival recession were significantly smaller with Fdis after six months compared with cSRP. There was significant improvement in the probing depth and clinical attachment level for initially medium-deep pockets (4-6mm) after Fdis compared with cSRP. Multi-rooted teeth showed significantly larger attachment gain up to six months after Fdis. Single-rooted teeth showed significantly more attachment gain, 1 and 6 months after Fdis. Buk-Gu, Gwangju, 500-757, Korea. E-mail: periodrk@chonnam.ac.kr, Tel: 82-62-530-5648, Fax: 82-62-530-5649. Received: Jun 25, 2009; Accepted: Jul 28, 2009 No external funding, apart from the support of the authorsʼ institution, was available for this study. 240The clinical effects of modified full-mouth disinfection in the treatment of moderate to severe chronic periodontitis patients Lee SH, Kim YJ, Chung HJ et al.

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Section: Introductionmentioning

confidence: 75%

The clinical effects of modified full-mouth disinfection in the treatment of moderate to severe chronic periodontitis patients

Lee

Kim

Chung

et al. 2009

J Korean Acad Periodontol

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“…Of the 15 studies that comprised the selected body of evidence, 10 were clinical trials (12,(33)(34)(35)(36)(37)(38)(41)(42)(43) and five were systematic reviews (2,6,8,39,40). The overall quality of clinical trials was considered low to moderate, and this can be regarded as a consequence of bias control as well as of the internal validity of the trials.…”

Section: Discussionmentioning

confidence: 99%

“…Because no study satisfied the minimum standard to be considered a high-quality study, there were no level 1 studies. The studies and reasons for classification are shown in Table 2 (5,12-31) and Table 3 (2,6,8,(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43).…”

Section: Determining Strength Of Recommendations For a Body Of Evidencementioning

confidence: 99%

Use of the Strength of Recommendation Taxonomy (SORT) to assess full-mouth treatments of chronic periodontitis

2015

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Previous studies have not resolved whetherscaling and root planing with a full-mouth (with or without antiseptics) or quadrant approach is better for treatment of chronic periodontitis. We identified relevant studies and used Strength of Recommendation Taxonomy (SORT) criteria to critically interpret the results of all relevant studies. A literature search was performed using the PubMed, EMBASE, and Cochrane databases up to July 2015. Selected studies were stratified according to their quality, quantity, and consistency. In total, 377 studies were identified, and 36 articles selected for retrieval were stratified according SORT criteria, as follows: no level 1 studies, 15 level 2 studies, and 21 level 3 studies (which were excluded from subsequent analysis). Among the selected level 2 studies, including seven randomized clinical trials and three systematic reviews, 67% showed no significant difference between scaling and root planing with a full-mouth or quadrant approach. In conclusion, on the basis of the best available data, the strength of evidence is grade B (consistent, lowquality evidence) for full-mouth (with or without antiseptics) and quadrant scaling and root planing for treatment of chronic periodontitis. (J Oral Sci 57, [345][346][347][348][349][350][351][352][353] 2015)

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“…The presence of systemic humoral and cellular reactivity to a variety of oral microorganisms has been found in subjects with different forms of periodontal disease [6][7][8][9] . Some investigations have shown the efficacy of scaling in the treatment of gingivities and periodontitis [17][18][19][20][21] . Indeed, scaling and plaque control have been shown to be as effective as surgical modalities in the treatment of periodontal disease.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies reported that use of these methods alone or with antiseptic yields clinical benefits [17][18][19] . Knöfler et al 20) suggested that full mouth scaling and conventional scaling with root planing have similar effects on target periodontal pathogen species. Yang et al 21) reported that the prevalence and levels of P. gingivalis were significantly reduced after scaling and root planing by real-time polymerase chain reaction.…”

Section: Among Them Aggregatibacter Actinomycetemcomitans(a Actinommentioning

confidence: 99%

Comparison of quantitative detection of periodontal pathogens before and after scaling by real-time polymerase chain reaction

Kim¹,

Lee²,

Lee³

2015

J Korean Soc Dent Hyg

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Objectives:The purpose of the study is to investigate the quantitative detection of periodontal pathogens before and after scaling by real-time polymerase chain reaction. Methods: Participants were voluntarily recruited at D university, and saliva samples were extracted before and after scaling. Multiple real-time polymerase chain reactions were used to analyze characteristics and the amount of nine kinds of periodontal pathogens; Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola, Prevotella intermedia, Fusobacterium nucleatum, Parvimonas micra, Campylobacter rectus, and Eikenella corrodens. Results: After scaling, most periodontal pathogens except Eikenella corrodens were significantly decreased in all subjects(p<0.05). In addition, the percentage of microorganisms associated with disease, the microorganism risk index of periodontitis and the prevalence of red complex, orange complex, and Aggregatibacter actinomycetemcomitans was also significantly reduced after scaling(p<0.05). Conclusions: Scaling decreased in the amount of major periodontal pathogens and periodontitis prevalence rate.

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Clinical Evaluation of Partial‐ and Full‐Mouth Scaling in the Treatment of Chronic Periodontitis

Abstract: Both therapy modalities have the same positive influence on clinical outcome at premolar and molar teeth with PDs of 4 to 6 mm.

Cited by 32 publications

References 39 publications

The clinical effects of modified full-mouth disinfection in the treatment of moderate to severe chronic periodontitis patients

The clinical effects of modified full-mouth disinfection in the treatment of moderate to severe chronic periodontitis patients

Use of the Strength of Recommendation Taxonomy (SORT) to assess full-mouth treatments of chronic periodontitis

Comparison of quantitative detection of periodontal pathogens before and after scaling by real-time polymerase chain reaction

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