Clinical effects of scaling and root planing on untreated teeth

Objective: The aim of this report is to examine whether scaling and root planing (SRP) in one area of the mouth may affect periodontal improvement in untreated areas in the same patient, possibly through systemic effects of treatment. Material and Methods: Twenty patients diagnosed with generalized...

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Veröffentlicht in:Journal of clinical periodontology 2005-01, Vol.32 (1), p.21-28
Hauptverfasser: Pawlowski, Adrian P., Chen, Allen, Hacker, Beth M., Mancl, Lloyd A., Page, Roy C., Roberts, Frank A.
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container_end_page 28
container_issue 1
container_start_page 21
container_title Journal of clinical periodontology
container_volume 32
creator Pawlowski, Adrian P.
Chen, Allen
Hacker, Beth M.
Mancl, Lloyd A.
Page, Roy C.
Roberts, Frank A.
description Objective: The aim of this report is to examine whether scaling and root planing (SRP) in one area of the mouth may affect periodontal improvement in untreated areas in the same patient, possibly through systemic effects of treatment. Material and Methods: Twenty patients diagnosed with generalized aggressive periodontitis were randomized into treatment (n=11) and no treatment (n=9) groups. Within the treatment group, three quadrants were treated by SRP at week 0, 3, 12, and 24, while a single experimental quadrant remained untreated throughout the study. The outcome for all teeth was assessed using clinical parameters, subtraction radiography, and pathogenic bacteria levels in the subgingival flora over the 24‐week study period. Results: Compared with sites in no treatment patients, the treated sites in the treated patients showed a 1 mm decrease in probing depth (PD) (p
doi_str_mv 10.1111/j.1600-051X.2004.00626.x
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Material and Methods: Twenty patients diagnosed with generalized aggressive periodontitis were randomized into treatment (n=11) and no treatment (n=9) groups. Within the treatment group, three quadrants were treated by SRP at week 0, 3, 12, and 24, while a single experimental quadrant remained untreated throughout the study. The outcome for all teeth was assessed using clinical parameters, subtraction radiography, and pathogenic bacteria levels in the subgingival flora over the 24‐week study period. Results: Compared with sites in no treatment patients, the treated sites in the treated patients showed a 1 mm decrease in probing depth (PD) (p&lt;0.01) and a 0.5 mm increase in bone height (p&lt;0.01) by 24 weeks. In untreated sites within treated subjects, however, PDs tended to improve (p=0.09) but at a reduced rate compared with treated sites. The levels of Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, and Tannerella forsythensis (Bacteroides forsythus) remained unchanged in untreated sites while levels of Prevetolla intermedia and Treponema denticola tended to decrease as compared with controls but did not reach significance. Conclusions: This study indicates that untreated sites in treated periodontitis patients show a trend towards clinical improvement and exhibit reductions in some but not all periodontopathic bacterial species tested.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/j.1600-051X.2004.00626.x</identifier><identifier>PMID: 15642054</identifier><language>eng</language><publisher>Oxford, UK: Munksgaard International Publishers</publisher><subject>Adolescent ; Adult ; Colony Count, Microbial - trends ; Dental Plaque - microbiology ; Dental Plaque Index ; Dental Scaling - methods ; Dentistry ; Female ; generalized aggressive periodontitis ; Humans ; Male ; microbiology ; non-surgical therapy ; Periodontitis - microbiology ; Periodontitis - therapy ; Root Planing - methods ; scaling and root planing ; treatment effects ; Treatment Outcome</subject><ispartof>Journal of clinical periodontology, 2005-01, Vol.32 (1), p.21-28</ispartof><rights>Copyright Blackwell Munksgaard, 2004.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4056-5f64e113747b57a1a742e473fd38f244f9bb82b6c4691e71f047cf254740c8233</citedby><cites>FETCH-LOGICAL-c4056-5f64e113747b57a1a742e473fd38f244f9bb82b6c4691e71f047cf254740c8233</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-051X.2004.00626.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-051X.2004.00626.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15642054$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pawlowski, Adrian P.</creatorcontrib><creatorcontrib>Chen, Allen</creatorcontrib><creatorcontrib>Hacker, Beth M.</creatorcontrib><creatorcontrib>Mancl, Lloyd A.</creatorcontrib><creatorcontrib>Page, Roy C.</creatorcontrib><creatorcontrib>Roberts, Frank A.</creatorcontrib><title>Clinical effects of scaling and root planing on untreated teeth</title><title>Journal of clinical periodontology</title><addtitle>J Clin Periodontol</addtitle><description>Objective: The aim of this report is to examine whether scaling and root planing (SRP) in one area of the mouth may affect periodontal improvement in untreated areas in the same patient, possibly through systemic effects of treatment. Material and Methods: Twenty patients diagnosed with generalized aggressive periodontitis were randomized into treatment (n=11) and no treatment (n=9) groups. Within the treatment group, three quadrants were treated by SRP at week 0, 3, 12, and 24, while a single experimental quadrant remained untreated throughout the study. The outcome for all teeth was assessed using clinical parameters, subtraction radiography, and pathogenic bacteria levels in the subgingival flora over the 24‐week study period. Results: Compared with sites in no treatment patients, the treated sites in the treated patients showed a 1 mm decrease in probing depth (PD) (p&lt;0.01) and a 0.5 mm increase in bone height (p&lt;0.01) by 24 weeks. In untreated sites within treated subjects, however, PDs tended to improve (p=0.09) but at a reduced rate compared with treated sites. The levels of Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, and Tannerella forsythensis (Bacteroides forsythus) remained unchanged in untreated sites while levels of Prevetolla intermedia and Treponema denticola tended to decrease as compared with controls but did not reach significance. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Colony Count, Microbial - trends
Dental Plaque - microbiology
Dental Plaque Index
Dental Scaling - methods
Dentistry
Female
generalized aggressive periodontitis
Humans
Male
microbiology
non-surgical therapy
Periodontitis - microbiology
Periodontitis - therapy
Root Planing - methods
scaling and root planing
treatment effects
Treatment Outcome
title Clinical effects of scaling and root planing on untreated teeth
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