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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
10
|
| pubmed:dateCreated |
1997-2-25
|
| pubmed:abstractText |
A standard periodontal treatment consists of 4 to 6 scalings and rootplanings at a 1- to 2-week interval, which allows reinfection of a previously disinfected area before completion of the treatment. The present pilot study aims to examine the microbiological long-term effects of a full-mouth disinfection. 10 patients with advanced chronic periodontitis were randomly allocated to a test and control group. The patients from the control group received scaling and rootplaning and oral hygiene instructions at a 2-week interval. The full-mouth disinfection (test group) consisted of a full-mouth scaling and rootplaning in 2 visits within 24 h in combination with: tongue brushing with 1% chlorhexidine gel for 1 min, mouth rinsing with 0.2% chlorhexidine solution for 2 min and subgingival irrigation of all pockets (3x in 10 min) with 1% chlorhexidine gel. The patients of the test group were instructed to rinse 2x daily with 0.2% chlorhexidine. Plaque samples were taken at baseline and after 1, 2, 4 and 8 months. Differential phase-contrast microscopy showed a significantly larger reduction of spirochetes and motile organisms in the test group up to month 2 for the single-rooted and up to month 8 for the multi-rooted teeth. Furthermore, the culture data supported the effectiveness of the new treatment strategy. In both groups, the number of anaerobic CFU decreased 1 log around single- and 0.5 log around multi-rooted teeth. The number of anaerobic CFU remained low in the test group, in contrast to the control group. At 1 month, the test group harboured a significantly (p<0.01) lower proportion of pathogenic organisms, but this difference disappeared with time. Moreover, the test sites showed a significantly higher (p<0.02) increase in the proportion of beneficial micro-organisms up to 4 months. These findings suggest that a full-mouth disinfection leads to a significant microbiological improvement up to 2 months, which could be consolidated, although not significant, for the next 6 months.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
D
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Oct
|
| pubmed:issn |
0303-6979
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
23
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
960-70
|
| pubmed:dateRevised |
2010-11-18
|
| pubmed:meshHeading |
pubmed-meshheading:8915027-Adult,
pubmed-meshheading:8915027-Anti-Infective Agents, Local,
pubmed-meshheading:8915027-Bacteria, Anaerobic,
pubmed-meshheading:8915027-Bacterial Infections,
pubmed-meshheading:8915027-Chlorhexidine,
pubmed-meshheading:8915027-Colony Count, Microbial,
pubmed-meshheading:8915027-Dental Plaque,
pubmed-meshheading:8915027-Dental Scaling,
pubmed-meshheading:8915027-Female,
pubmed-meshheading:8915027-Follow-Up Studies,
pubmed-meshheading:8915027-Gels,
pubmed-meshheading:8915027-Humans,
pubmed-meshheading:8915027-Longitudinal Studies,
pubmed-meshheading:8915027-Male,
pubmed-meshheading:8915027-Middle Aged,
pubmed-meshheading:8915027-Mouthwashes,
pubmed-meshheading:8915027-Oral Hygiene,
pubmed-meshheading:8915027-Patient Education as Topic,
pubmed-meshheading:8915027-Periodontal Pocket,
pubmed-meshheading:8915027-Periodontitis,
pubmed-meshheading:8915027-Pilot Projects,
pubmed-meshheading:8915027-Root Planing,
pubmed-meshheading:8915027-Spirochaetales,
pubmed-meshheading:8915027-Therapeutic Irrigation,
pubmed-meshheading:8915027-Tongue,
pubmed-meshheading:8915027-Toothbrushing
|
| pubmed:year |
1996
|
| pubmed:articleTitle |
Full- versus partial-mouth disinfection in the treatment of periodontal infections. A pilot study: long-term microbiological observations.
|
| pubmed:affiliation |
Research group for Microbial Adhesion, Catholic University of Leuven, Belgium.
|
| pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
|