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

• Autores: Regina E. Purschwitz, Holger Jentsch, Gerhild Knöfler
• Localización: Journal of periodontology, ISSN 0022-3492, Vol. 78, Nº. 11, 2007, págs. 2135-2142
• Idioma: inglés
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• Resumen

  • Clinical Evaluation of Partial- and Full-Mouth Scaling in the Treatment of Chronic Periodontitis Gerhild U. Knöfler,* Regina E. Purschwitz,* and Holger F.R. Jentsch* *Department of Conservative Dentistry and Periodontology, University of Leipzig, Leipzig, Germany.

    Correspondence: Dr. Gerhild Knöfler, Department of Conservative Dentistry and Periodontology, University of Leipzig, Nürnberger Str. 57, 04103 Leipzig, Germany. Fax: 49-341-9721229; e-mail: gerhild.knoefler@medizin.uni-leipzig.de.

    Background: Full-mouth scaling (FMS) is claimed by some researchers to be superior to standard scaling and root planing (SRP). The aim of the present study was to evaluate clinical outcomes of two modalities of non-surgical periodontal therapy for patients with chronic periodontitis.

    Methods: In a prospective, randomized, controlled clinical study, 37 subjects with chronic periodontitis were treated by SRP in two quadrants at 4-week intervals (N = 20) or by FMS (N = 17). Clinical attachment level (CAL), probing depth (PD), and bleeding on probing (BOP) were recorded at premolar and molar teeth at baseline and after 6 and 12 months.

    Results: Both therapies resulted in significant improvements of all clinical variables. After 12 months, CAL at pockets with PDs of 4 to 6 mm was reduced significantly from 4.5 ± 0.8 mm to 3.4 ± 1.0 mm with SRP and from 4.7 ± 0.9 mm to 3.8 ± 1.1 mm with FMS (P <0.001). PD decreased from 4.4 ± 0.6 mm to 3.3 ± 0.9 mm in the SRP group and from 4.5 ± 0.7 mm to 3.5 ± 1.0 mm in the FMS group (P <0.001). BOP was reduced from 63.6% ± 45.3% to 29.0% ± 42.6% in the SRP group and from 59.6% ± 43.8% to 28.6% ± 38.3% in the FMS group (P <0.001 and P = 0.001, respectively). There were no significant differences between the groups with respect to CAL gain, PD, and BOP reduction.

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

    KEYWORDS: Infection control, periodontal disease, randomized clinical trial, therapy Cited by Helen V Worthington, Jan E Clarkson, Gemma Bryan, Paul V Beirne and Helen V Worthington. 2013. Routine scale and polish for periodontal health in adults. Cochrane Database of Systematic Reviews.

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    Online publication date: 1-Feb-2013.

    CrossRef Carlos Krück, Sigrun Eick, Gerhild U. Knöfler, Regina E. Purschwitz and Holger F.R. Jentsch. (2012) Clinical and Microbiologic Results 12 Months After Scaling and Root Planing With Different Irrigation Solutions in Patients With Moderate Chronic Periodontitis: A Pilot Randomized Trial. Journal of Periodontology 83:3, 312-320.

    Online publication date: 1-Mar-2012.

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    Online publication date: 1-Aug-2011.

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    Abstract | Full Text | PDF (489 KB) | PDF Plus (519 KB) Cristiano Tomasi and Jan L. Wennström. (2011) Locally Delivered Doxycycline as an Adjunct to Mechanical Debridement at Retreatment of Periodontal Pockets: Outcome at Furcation Sites. Journal of Periodontology 82:2, 210-218.

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