One-stage full-mouth disinfection versus subgingivales Scaling an einem Tag oder subgingivales Scaling quadrantenweise bei Patienten mit generalisierter chronischer Parodontitis
Loading...
Files
Date
Authors
Publisher
Philipps-Universität Marburg
Abstract
Objective: The aim of this study was to test the hypothesis that the one-stage
full-mouth disinfection (FMD) provides greater clinical and microbiological
improvement compared to full-mouth scaling and root planing (FM-SRP) within
24 hours and quadrant scaling and root planing (Q-SRP) in patients with
generalized chronic periodontitis.
Method: 28 patients were randomised into three groups. The Q-SRP group
was scaled quadrantwise at one-week intervals. The two other groups received
a one-stage full-mouth scaling with (FMD) and without (FM-SRP) the adjunctive
use of chlorhexidine. At baseline, after 1, 2, 4 and 8 months clinical parameters
were recorded and microbiological analysis was performed using real-time
PCR.
Results: All three treatment modalities resulted in significant clinical
improvement at any time whereas the medium pockets (4 - 6 mm) of singlerooted
teeth showed significant better results than multi-rooted-teeth in all
groups. There were only group differences up to after 2 months: in the FM-SRP
group was a significantly higher reduction of probing depth and bleeding on
probing compared to the other two groups. There were significant reductions of
the total bacteria after a period of 8 months with the Q-SRP and FMD treatment.
The number of Porphyromonas gingivalis could be significantly reduced in every
group, and Aggregatibacter actinomycetemcomitans only in the Q-SRP and FMSRP
group.
Conclusion: All three treatment modalities lead to an improvement of the
clinical and microbiological parameters, however, without significant group
differences after 8 months.
Review
Metadata
License
This item has been published with the following license: In Copyright