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The effect of a one‐stage full‐mouth disinfection on different intra‐oral niches Clinical and microbiological observations

Identifieur interne : 009872 ( Main/Exploration ); précédent : 009871; suivant : 009873

The effect of a one‐stage full‐mouth disinfection on different intra‐oral niches Clinical and microbiological observations

Auteurs : Curd M. L. Bollen [Belgique] ; Claudio Mongardini [Belgique] ; William Papaioannou [Belgique] ; Daniel Van Steenberghe [Belgique] ; Marc Quirynen [Belgique]

Source :

RBID : ISTEX:690A96760CEDB43861535D84FAD22BDDD094CF65

Descripteurs français

English descriptors

Abstract

Abstract. A treatment for periodontal infections often consists of consecutive rootplanings (per quadrani, at a 1‐to 2‐week interval), without a proper disinfection of the remaining intra‐oral niches (untreated pockets, tongue, saliva, mucosa and tonsils). Such an approach, could theoretically lead to a reinfection of previously‐treated pockets. The present study aims to examine the effect of a full‐mouth disinfection on the microbiota in the above‐mentioned niches. Moreover, the clinical benefit of such an approach was investigated. 16 patients with severe periodontitis were randomly allocated to a test and a control group. The patients from the control group were scaled and rootplaned, per quadrant, at 2‐week intervals and obtained oral hygiene instructions. The patients from the test group received a full‐mouth disinfection consisting of: scaling and rootplaning of all pockets in 2 visits within 24 h, in combination with tongue brushing with 1% chlorhexidine gel for 1 min, mouth rinsing with a 0.2% chlorhexidine solution for 2 min and subgingival irrigation of all pockets (3× in 10 min) with 1%, chlorhexidine gel. Besides oral hygiene, the test group rinsed 2× daily with 0.2% chlorhexidine and sprayed the tonsils with a 0.2% chlorhexidine for 2 months. Plaque samples (pockets, tongue, mucosa and saliva) were taken at baseline and after 2 and 4 months, and changes in probing depth, attachment level and bleeding on probing were reported. The full‐mouth disinfection resulted in a statistically significant additional reduction/elimination of periodonlopathogens, especially in the subgingival pockets, but also in the other niches. These microhiological improvements were reflected in a statistically‐significant higher probing depth reduction and attachment gain in the test patients. These findings suggest that a disinfection of all intra‐oral niches within a short time span leads to significant clinical and microbiological improvements for up to 4 months.

Url:
DOI: 10.1111/j.1600-051X.1998.tb02364.x


Affiliations:


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Le document en format XML

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<term>Additional disinfection</term>
<term>Anaerobic incubation</term>
<term>Antimicrobial irrigation</term>
<term>Attachment</term>
<term>Attachment gain</term>
<term>Attachment level</term>
<term>Bacterial load</term>
<term>Baseline</term>
<term>Belgium</term>
<term>Biomerieux france</term>
<term>Blood agar plate</term>
<term>Bollen</term>
<term>Buccal mucosa</term>
<term>Catholic university</term>
<term>Chlorhexidine</term>
<term>Chlorhexidine pendant</term>
<term>Chlorhexidine solution</term>
<term>Chlorhexidine spray</term>
<term>Ciinicai</term>
<term>Ciinicai periodontoiogy</term>
<term>Clinical attachment level</term>
<term>Clinical effects</term>
<term>Clinical feriodontologv</term>
<term>Clinical feriodontology</term>
<term>Conirol group</term>
<term>Consecutive rootplanings</term>
<term>Control group</term>
<term>Danser</term>
<term>Deep pockets</term>
<term>Dental research</term>
<term>Depth reduction</term>
<term>Descriptive statistics</term>
<term>Disinfection</term>
<term>Edentulous patients</term>
<term>Eontrol group</term>
<term>First quadrant</term>
<term>Flora</term>
<term>Gilmore bhaskar</term>
<term>Gingivitis index</term>
<term>Groupe test</term>
<term>Hygiene</term>
<term>Initial pockets</term>
<term>Irrigation</term>
<term>Journai</term>
<term>Listgarten</term>
<term>Listgarten hellden</term>
<term>Local delivery</term>
<term>Medium pockets</term>
<term>Microbiological</term>
<term>Microbiological benefits</term>
<term>Microbiological effects</term>
<term>Microbiological observations</term>
<term>Microbiological situation</term>
<term>Modality</term>
<term>Motile organisms</term>
<term>Mouth rinsing</term>
<term>Multirooted teeth</term>
<term>Niche</term>
<term>Oral cavity</term>
<term>Oral hygiene instruction</term>
<term>Oral niches</term>
<term>Other niches</term>
<term>Other studies</term>
<term>Pathogenic bacteria</term>
<term>Periodontal</term>
<term>Periodontal infections</term>
<term>Periodontal pockets</term>
<term>Periodontal therapy</term>
<term>Periodontal treatment</term>
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<term>Periodontology</term>
<term>Pilot study</term>
<term>Plaque</term>
<term>Plaque index</term>
<term>Plaque samples</term>
<term>Present study</term>
<term>Prevotella species</term>
<term>Quadrant</term>
<term>Quirynen</term>
<term>Relative importance</term>
<term>Rootplaning</term>
<term>Saliva</term>
<term>Several studies</term>
<term>Severe periodontitis</term>
<term>Significant differences</term>
<term>Significant reduction</term>
<term>Significant reductions</term>
<term>Singlerooted teeth</term>
<term>Spiral plater</term>
<term>Standard deviation</term>
<term>Standard therapy</term>
<term>Stannous fluoride</term>
<term>Streptococcus mutans</term>
<term>Subgingival</term>
<term>Subgingival application</term>
<term>Subgingival flora</term>
<term>Subgingival instrumentation</term>
<term>Subgingival samples</term>
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<term>Test patients</term>
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<term>Tonsil area</term>
<term>Tooth type</term>
<term>Total amount</term>
<term>Total number</term>
<term>Treatment modality</term>
<term>Typical colony morphology</term>
<term>Untreated pockets</term>
<term>Upper right quadrant</term>
<term>Velden</term>
<term>Winkelhoff</term>
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<term>Additional disinfection</term>
<term>Anaerobic incubation</term>
<term>Antimicrobial irrigation</term>
<term>Attachment</term>
<term>Attachment gain</term>
<term>Attachment level</term>
<term>Bacterial load</term>
<term>Baseline</term>
<term>Belgium</term>
<term>Biomerieux france</term>
<term>Blood agar plate</term>
<term>Bollen</term>
<term>Buccal mucosa</term>
<term>Catholic university</term>
<term>Chlorhexidine</term>
<term>Chlorhexidine pendant</term>
<term>Chlorhexidine solution</term>
<term>Chlorhexidine spray</term>
<term>Ciinicai</term>
<term>Ciinicai periodontoiogy</term>
<term>Clinical attachment level</term>
<term>Clinical effects</term>
<term>Clinical feriodontologv</term>
<term>Clinical feriodontology</term>
<term>Conirol group</term>
<term>Consecutive rootplanings</term>
<term>Control group</term>
<term>Danser</term>
<term>Deep pockets</term>
<term>Dental research</term>
<term>Depth reduction</term>
<term>Descriptive statistics</term>
<term>Disinfection</term>
<term>Edentulous patients</term>
<term>Eontrol group</term>
<term>First quadrant</term>
<term>Flora</term>
<term>Gilmore bhaskar</term>
<term>Gingivitis index</term>
<term>Groupe test</term>
<term>Hygiene</term>
<term>Initial pockets</term>
<term>Irrigation</term>
<term>Journai</term>
<term>Listgarten</term>
<term>Listgarten hellden</term>
<term>Local delivery</term>
<term>Medium pockets</term>
<term>Microbiological</term>
<term>Microbiological benefits</term>
<term>Microbiological effects</term>
<term>Microbiological observations</term>
<term>Microbiological situation</term>
<term>Modality</term>
<term>Motile organisms</term>
<term>Mouth rinsing</term>
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<term>Other studies</term>
<term>Pathogenic bacteria</term>
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<term>Periodontal infections</term>
<term>Periodontal pockets</term>
<term>Periodontal therapy</term>
<term>Periodontal treatment</term>
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<term>Pilot study</term>
<term>Plaque</term>
<term>Plaque index</term>
<term>Plaque samples</term>
<term>Present study</term>
<term>Prevotella species</term>
<term>Quadrant</term>
<term>Quirynen</term>
<term>Relative importance</term>
<term>Rootplaning</term>
<term>Saliva</term>
<term>Several studies</term>
<term>Severe periodontitis</term>
<term>Significant differences</term>
<term>Significant reduction</term>
<term>Significant reductions</term>
<term>Singlerooted teeth</term>
<term>Spiral plater</term>
<term>Standard deviation</term>
<term>Standard therapy</term>
<term>Stannous fluoride</term>
<term>Streptococcus mutans</term>
<term>Subgingival</term>
<term>Subgingival application</term>
<term>Subgingival flora</term>
<term>Subgingival instrumentation</term>
<term>Subgingival samples</term>
<term>Test group</term>
<term>Test patients</term>
<term>Threshold level</term>
<term>Tonsil</term>
<term>Tonsil area</term>
<term>Tooth type</term>
<term>Total amount</term>
<term>Total number</term>
<term>Treatment modality</term>
<term>Typical colony morphology</term>
<term>Untreated pockets</term>
<term>Upper right quadrant</term>
<term>Velden</term>
<term>Winkelhoff</term>
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<front>
<div type="abstract">Abstract. A treatment for periodontal infections often consists of consecutive rootplanings (per quadrani, at a 1‐to 2‐week interval), without a proper disinfection of the remaining intra‐oral niches (untreated pockets, tongue, saliva, mucosa and tonsils). Such an approach, could theoretically lead to a reinfection of previously‐treated pockets. The present study aims to examine the effect of a full‐mouth disinfection on the microbiota in the above‐mentioned niches. Moreover, the clinical benefit of such an approach was investigated. 16 patients with severe periodontitis were randomly allocated to a test and a control group. The patients from the control group were scaled and rootplaned, per quadrant, at 2‐week intervals and obtained oral hygiene instructions. The patients from the test group received a full‐mouth disinfection consisting of: scaling and rootplaning of all pockets in 2 visits within 24 h, in combination with tongue brushing with 1% chlorhexidine gel for 1 min, mouth rinsing with a 0.2% chlorhexidine solution for 2 min and subgingival irrigation of all pockets (3× in 10 min) with 1%, chlorhexidine gel. Besides oral hygiene, the test group rinsed 2× daily with 0.2% chlorhexidine and sprayed the tonsils with a 0.2% chlorhexidine for 2 months. Plaque samples (pockets, tongue, mucosa and saliva) were taken at baseline and after 2 and 4 months, and changes in probing depth, attachment level and bleeding on probing were reported. The full‐mouth disinfection resulted in a statistically significant additional reduction/elimination of periodonlopathogens, especially in the subgingival pockets, but also in the other niches. These microhiological improvements were reflected in a statistically‐significant higher probing depth reduction and attachment gain in the test patients. These findings suggest that a disinfection of all intra‐oral niches within a short time span leads to significant clinical and microbiological improvements for up to 4 months.</div>
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