Full mouth disinfection

Full mouth disinfection typically refers to an intense course of treatment for periodontitis typically involving scaling and root planing in combination with adjunctive use of local antimicrobial adjuncts to periodontal treatment such as chlorhexidine in various ways of application. The aim is to complete debridement of all periodontal pocket areas within a short time frame such as 24 hours, in order to minimize the chance of reinfection of the pockets with pathogens coming from another oral niches like the tongue, tonsils and non-treated periodontal pocket.

Eberhard (2008)^[1] published a Cochrane review (systematic review and meta-analysis) which found modest benefit for full mouth disinfection, but the superiority (or otherwise) of the intervention had not at the time of review been conclusively demonstrated. Current recommendations support its use as equal and equivalent to other established effective treatment modalities.

References

↑ Eberhard J, Jepsen S, Jervøe-Storm PM, Needleman I, Worthington HV. Full-mouth disinfection for the treatment of adult chronic periodontitis. Cochrane Database of Systematic Reviews 2008, Issue 1. Art. No.: CD004622. DOI: 10.1002/14651858.CD004622.pub2 viewed 26 Jan 2013, http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004622.pub2/abstract]

Dentistry involving supporting structures of teeth (Periodontology)

Anatomy

Disease

Diagnoses	Chronic periodontitis Localized aggressive periodontitis Generalized aggressive periodontitis Periodontitis as a manifestation of systemic disease Periodontosis Necrotizing periodontal diseases Abscesses of the periodontium Combined periodontic-endodontic lesions

Infection	A. actinomycetemcomitans Capnocytophaga sp. F. nucleatum P. gingivalis P. intermedia T. forsythia T. denticola Red complex

Other	Calculus Clinical attachment loss Edentulism Fremitus Furcation defect Gingival enlargement Gingival pocket Gingival recession Gingivitis Horizontal bony defect Linear gingival erythema Occlusal trauma Periodontal pocket Periodontal disease Periodontitis Plaque Vertical bony defect

Treatment and prevention	Periodontal examination Ante's law Brushing Bleeding on probing Chlorhexidine gluconate Flossing Hydrogen peroxide Mouthwash Oral hygiene Tetracycline Triclosan Host modulatory therapy

Treatment

Conventional therapy	Debridement Scaling and root planing Full mouth disinfection Full mouth ultrasonic debridement

Surgery	Apically positioned flap Bone graft Coronally positioned flap Crown lengthening Open flap debridement Gingival graft Gingivectomy Guided bone regeneration Guided tissue regeneration Enamel matrix derivative Implant placement Lateral pedicle graft Pocket reduction surgery Socket preservation Sinus lift Subepithelial connective tissue graft Tools Curette Membrane Probe Scaler

Important personalities

Other specialties

Endodontology
Orthodontology
Prosthodontology

Dentistry

Specialties	Endodontics Oral and maxillofacial pathology Oral and maxillofacial radiology Oral and maxillofacial surgery Orthodontics and dentofacial orthopedics Pediatric dentistry Periodontics Prosthodontics Dental public health Cosmetic dentistry Dental implantology Geriatric dentistry Restorative dentistry Forensic odontology Dental traumatology Holistic dentistry

Dental surgery	Dental extraction Tooth filling Root canal therapy Root end surgery Scaling and root planing Teeth cleaning Dental bonding Tooth polishing Tooth bleaching Socket preservation Dental implant

Organisations	American Association of Orthodontists British Dental Association British Dental Health Foundation British Orthodontic Society Canadian Association of Orthodontists Dental Technologists Association Indian Dental Association National Health Service Orthodontic National Group Orthodontic Technicians Association General Dental Council

See also	Index of oral health and dental articles Outline of dentistry and oral health Oral hygiene Dental fear Dental instruments Dental material Infant oral mutilation Mouth assessment

Template:Cochrane review

This article is issued from Wikipedia - version of the 12/5/2015. The text is available under the Creative Commons Attribution/Share Alike but additional terms may apply for the media files.