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

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 p...

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Veröffentlicht in:Journal of periodontology (1970) 2007-11, Vol.78 (11), p.2135-2142
Hauptverfasser: Knöfler, Gerhild U., Purschwitz, Regina E., Jentsch, Holger F.R.
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container_end_page 2142
container_issue 11
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container_title Journal of periodontology (1970)
container_volume 78
creator Knöfler, Gerhild U.
Purschwitz, Regina E.
Jentsch, Holger F.R.
description 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
doi_str_mv 10.1902/jop.2007.070010
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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 &lt;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 &lt;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 &lt;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.</description><identifier>ISSN: 0022-3492</identifier><identifier>EISSN: 1943-3670</identifier><identifier>DOI: 10.1902/jop.2007.070010</identifier><identifier>PMID: 17970680</identifier><language>eng</language><publisher>Chicago, IL: American Academy of Periodontology</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Chronic Disease ; Dental Scaling - methods ; Dentistry ; Epidemiologic Methods ; Facial bones, jaws, teeth, parodontium: diseases, semeiology ; Female ; Humans ; Infection control ; Male ; Medical sciences ; Middle Aged ; Non tumoral diseases ; Otorhinolaryngology. 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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 &lt;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 &lt;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 &lt;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.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Dental Scaling - methods</subject><subject>Dentistry</subject><subject>Epidemiologic Methods</subject><subject>Facial bones, jaws, teeth, parodontium: diseases, semeiology</subject><subject>Female</subject><subject>Humans</subject><subject>Infection control</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Periodontal Attachment Loss - therapy</subject><subject>periodontal disease</subject><subject>Periodontal Pocket - therapy</subject><subject>Periodontitis - therapy</subject><subject>randomized clinical trial</subject><subject>Root Planing - methods</subject><subject>therapy</subject><issn>0022-3492</issn><issn>1943-3670</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMuOEzEQRS0EYsLAmh3yBnadKT_aHS9RlOGhQUQwrC3bbROPnHaw3aDZ8Ql8I1-Co0SaJauqks69JR2EXhJYEgn06i4dlhRgWMIAQOARWhDJWcfEAI_RAoDSjnFJL9CzUu7aSTiDp-iCDHIAsYIFGtcxTMHqiDc_dZx1DWnCyeOtzjXo-Pf3H6ynEV_P8bh_SnPd4a8ND9N3HCZcdw7fZqfr3k31mFvvcmp9eOtySGOaaqihPEdPvI7FvTjPS_TtenO7ft_dfH73Yf32prOcDX2npfXO9oOVjlsmB9d7xow1znjiuLBmZVbEW88piF4IIyw1o3bWARGGe8Mu0ZtT7yGnH7MrVe1DsS5GPbk0FyVWvJc9sAZenUCbUynZeXXIYa_zvSKgjmJVE6uOYtVJbEu8OlfPZu_GB_5ssgGvz4AuzY_PerKhPHCSchBMNq4_cb9CdPf_-6s-bjdfKGE9-wcBhpTk</recordid><startdate>200711</startdate><enddate>200711</enddate><creator>Knöfler, Gerhild U.</creator><creator>Purschwitz, Regina E.</creator><creator>Jentsch, Holger F.R.</creator><general>American Academy of Periodontology</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200711</creationdate><title>Clinical Evaluation of Partial‐ and Full‐Mouth Scaling in the Treatment of Chronic Periodontitis</title><author>Knöfler, Gerhild U. ; Purschwitz, Regina E. ; Jentsch, Holger F.R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4375-a9cfec57c9e4c397e5f33bcbebf1e46cb8b81fcf4206566b6c2bdaece016b4fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Dental Scaling - methods</topic><topic>Dentistry</topic><topic>Epidemiologic Methods</topic><topic>Facial bones, jaws, teeth, parodontium: diseases, semeiology</topic><topic>Female</topic><topic>Humans</topic><topic>Infection control</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Periodontal Attachment Loss - therapy</topic><topic>periodontal disease</topic><topic>Periodontal Pocket - therapy</topic><topic>Periodontitis - therapy</topic><topic>randomized clinical trial</topic><topic>Root Planing - methods</topic><topic>therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Knöfler, Gerhild U.</creatorcontrib><creatorcontrib>Purschwitz, Regina E.</creatorcontrib><creatorcontrib>Jentsch, Holger F.R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of periodontology (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Knöfler, Gerhild U.</au><au>Purschwitz, Regina E.</au><au>Jentsch, Holger F.R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Evaluation of Partial‐ and Full‐Mouth Scaling in the Treatment of Chronic Periodontitis</atitle><jtitle>Journal of periodontology (1970)</jtitle><addtitle>J Periodontol</addtitle><date>2007-11</date><risdate>2007</risdate><volume>78</volume><issue>11</issue><spage>2135</spage><epage>2142</epage><pages>2135-2142</pages><issn>0022-3492</issn><eissn>1943-3670</eissn><abstract>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 &lt;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 &lt;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 &lt;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.</abstract><cop>Chicago, IL</cop><pub>American Academy of Periodontology</pub><pmid>17970680</pmid><doi>10.1902/jop.2007.070010</doi><tpages>8</tpages></addata></record>
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subjects Adult
Aged
Biological and medical sciences
Chronic Disease
Dental Scaling - methods
Dentistry
Epidemiologic Methods
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Humans
Infection control
Male
Medical sciences
Middle Aged
Non tumoral diseases
Otorhinolaryngology. Stomatology
Periodontal Attachment Loss - therapy
periodontal disease
Periodontal Pocket - therapy
Periodontitis - therapy
randomized clinical trial
Root Planing - methods
therapy
title Clinical Evaluation of Partial‐ and Full‐Mouth Scaling in the Treatment of Chronic Periodontitis
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