The recolonization hypothesis in a full-mouth or multiple-session treatment protocol: a blinded, randomized clinical trial

Zijnge V, Meijer HF, Lie MA, Tromp JAH, Degener JE, Harmsen HJM, Abbas F: The recolonization hypothesis in a full‐mouth or multiple‐session treatment protocol: a blinded, randomized clinical trial. J Clin Peridontol 2010; 37: 518–525. doi: 10.1111/j.1600‐051X.2010.01562.x. Aim: To test recolonizatio...

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Published inJournal of clinical periodontology Vol. 37; no. 6; pp. 518 - 525
Main Authors Zijnge, Vincent, Meijer, Henriette F., Lie, Mady-Ann, Tromp, Jan A. H., Degener, John E., Harmsen, Hermie J. M., Abbas, Frank
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Publishing Ltd 01.06.2010
Blackwell
Subjects
Adult
Aged
Aggregatibacter actinomycetemcomitans - growth & development
bacteria
Bacteria - classification
Bacteria - growth & development
Bacteroides - growth & development
Biological and medical sciences
Chronic Periodontitis - microbiology
Chronic Periodontitis - therapy
Clinical Protocols
Colony Count, Microbial
Dental Plaque Index
Dental Scaling - methods
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Follow-Up Studies
full-mouth-SRP
Furcation Defects - microbiology
Furcation Defects - therapy
Fusobacterium nucleatum - growth & development
Gingival Hemorrhage - microbiology
Gingival Hemorrhage - therapy
Humans
Male
Medical sciences
Middle Aged
multiple session SRP
Non tumoral diseases
Otorhinolaryngology. Stomatology
Periodontal Index
Periodontal Pocket - microbiology
Periodontal Pocket - therapy
periodontitis
polymerase chain reaction
Porphyromonas gingivalis - growth & development
recolonization
Root Planing - methods
Subgingival Curettage - methods
Treatment Outcome
Treponema denticola - growth & development
Multiple
Stomatology
Dentistry
Polymerase chain reaction
Oral cavity
Periodontal disease
multiple session SRP
Treatment
Periodontitis
Bacteria
Clinical trial
full-mouth-SRP
Molecular biology
recolonization
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Abstract Zijnge V, Meijer HF, Lie MA, Tromp JAH, Degener JE, Harmsen HJM, Abbas F: The recolonization hypothesis in a full‐mouth or multiple‐session treatment protocol: a blinded, randomized clinical trial. J Clin Peridontol 2010; 37: 518–525. doi: 10.1111/j.1600‐051X.2010.01562.x. Aim: To test recolonization of periodontal lesions after full‐mouth scaling and root planing (FM‐SRP) or multiple session‐SRP (MS‐SRP) in a randomized clinical trial and whether FM‐SRP and MS‐SRP result in different clinical outcomes. Materials and Methods: Thirty‐nine subjects were randomly assigned to FM‐SRP or MS‐SRP groups. At baseline and after 3 months, probing pocket depth (PPD), plaque index (PlI) and bleeding on probing (BoP) were recorded. At baseline, immediately after treatment, after 1, 2, 7, 14 and 90 days, paper point samples from a single site from the maxillary right quadrant were collected for microbiological analysis of five putative pathogens by polymerase chain reaction. Results: FM‐SRP and MS‐SRP resulted in significant reductions in PPD, BoP and PlI and the overall detection frequencies of the five species after 3 months without significant differences between treatments. Compared with MS‐SRP, FM‐SRP resulted in less recolonization of the five species, significantly for Treponema denticola, in the tested sites. Conclusion: FM‐SRP and MS‐SRP result in overall clinically and microbiologically comparable outcomes where recolonization of periodontal lesions may be better prevented by FM‐SRP.
AbstractList To test recolonization of periodontal lesions after full-mouth scaling and root planing (FM-SRP) or multiple session-SRP (MS-SRP) in a randomized clinical trial and whether FM-SRP and MS-SRP result in different clinical outcomes. Thirty-nine subjects were randomly assigned to FM-SRP or MS-SRP groups. At baseline and after 3 months, probing pocket depth (PPD), plaque index (PlI) and bleeding on probing (BoP) were recorded. At baseline, immediately after treatment, after 1, 2, 7, 14 and 90 days, paper point samples from a single site from the maxillary right quadrant were collected for microbiological analysis of five putative pathogens by polymerase chain reaction. FM-SRP and MS-SRP resulted in significant reductions in PPD, BoP and PlI and the overall detection frequencies of the five species after 3 months without significant differences between treatments. Compared with MS-SRP, FM-SRP resulted in less recolonization of the five species, significantly for Treponema denticola, in the tested sites. FM-SRP and MS-SRP result in overall clinically and microbiologically comparable outcomes where recolonization of periodontal lesions may be better prevented by FM-SRP.
Zijnge V, Meijer HF, Lie MA, Tromp JAH, Degener JE, Harmsen HJM, Abbas F: The recolonization hypothesis in a full‐mouth or multiple‐session treatment protocol: a blinded, randomized clinical trial. J Clin Peridontol 2010; 37: 518–525. doi: 10.1111/j.1600‐051X.2010.01562.x. Aim: To test recolonization of periodontal lesions after full‐mouth scaling and root planing (FM‐SRP) or multiple session‐SRP (MS‐SRP) in a randomized clinical trial and whether FM‐SRP and MS‐SRP result in different clinical outcomes. Materials and Methods: Thirty‐nine subjects were randomly assigned to FM‐SRP or MS‐SRP groups. At baseline and after 3 months, probing pocket depth (PPD), plaque index (PlI) and bleeding on probing (BoP) were recorded. At baseline, immediately after treatment, after 1, 2, 7, 14 and 90 days, paper point samples from a single site from the maxillary right quadrant were collected for microbiological analysis of five putative pathogens by polymerase chain reaction. Results: FM‐SRP and MS‐SRP resulted in significant reductions in PPD, BoP and PlI and the overall detection frequencies of the five species after 3 months without significant differences between treatments. Compared with MS‐SRP, FM‐SRP resulted in less recolonization of the five species, significantly for Treponema denticola, in the tested sites. Conclusion: FM‐SRP and MS‐SRP result in overall clinically and microbiologically comparable outcomes where recolonization of periodontal lesions may be better prevented by FM‐SRP.
To test recolonization of periodontal lesions after full-mouth scaling and root planing (FM-SRP) or multiple session-SRP (MS-SRP) in a randomized clinical trial and whether FM-SRP and MS-SRP result in different clinical outcomes.AIMTo test recolonization of periodontal lesions after full-mouth scaling and root planing (FM-SRP) or multiple session-SRP (MS-SRP) in a randomized clinical trial and whether FM-SRP and MS-SRP result in different clinical outcomes.Thirty-nine subjects were randomly assigned to FM-SRP or MS-SRP groups. At baseline and after 3 months, probing pocket depth (PPD), plaque index (PlI) and bleeding on probing (BoP) were recorded. At baseline, immediately after treatment, after 1, 2, 7, 14 and 90 days, paper point samples from a single site from the maxillary right quadrant were collected for microbiological analysis of five putative pathogens by polymerase chain reaction.MATERIALS AND METHODSThirty-nine subjects were randomly assigned to FM-SRP or MS-SRP groups. At baseline and after 3 months, probing pocket depth (PPD), plaque index (PlI) and bleeding on probing (BoP) were recorded. At baseline, immediately after treatment, after 1, 2, 7, 14 and 90 days, paper point samples from a single site from the maxillary right quadrant were collected for microbiological analysis of five putative pathogens by polymerase chain reaction.FM-SRP and MS-SRP resulted in significant reductions in PPD, BoP and PlI and the overall detection frequencies of the five species after 3 months without significant differences between treatments. Compared with MS-SRP, FM-SRP resulted in less recolonization of the five species, significantly for Treponema denticola, in the tested sites.RESULTSFM-SRP and MS-SRP resulted in significant reductions in PPD, BoP and PlI and the overall detection frequencies of the five species after 3 months without significant differences between treatments. Compared with MS-SRP, FM-SRP resulted in less recolonization of the five species, significantly for Treponema denticola, in the tested sites.FM-SRP and MS-SRP result in overall clinically and microbiologically comparable outcomes where recolonization of periodontal lesions may be better prevented by FM-SRP.CONCLUSIONFM-SRP and MS-SRP result in overall clinically and microbiologically comparable outcomes where recolonization of periodontal lesions may be better prevented by FM-SRP.
Author Degener, John E.
Zijnge, Vincent
Meijer, Henriette F.
Lie, Mady-Ann
Abbas, Frank
Harmsen, Hermie J. M.
Tromp, Jan A. H.
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  surname: Abbas
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  organization: Department of Periodontology, Center for Dentistry and Oral Hygiene
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Keywords Multiple
Stomatology
Dentistry
Polymerase chain reaction
Oral cavity
Periodontal disease
multiple session SRP
Treatment
Periodontitis
Bacteria
Clinical trial
full-mouth-SRP
Molecular biology
recolonization
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Rhemrev, G. E., Timmerman, M. F., Veldkamp, I., Van Winkelhoff, A. J. & Van Der Velden, U. (2006) Immediate effect of instrumentation on the subgingival microflora in deep inflamed pockets under strict plaque control. Journal of Clinical Periodontology 33, 42-48.
Jervøe-Storm, P. M., Semaan, E., Alahdab, H., Engel, S., Fimmers, R. & Jepsen, S. (2006) Clinical outcomes of quadrant root planing versus full-mouth root planing. Journal of Clinical Periodontology 33, 209-215.
Silness, J. & Löe, H. (1964) Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontologica Scandinavica 22, 121-135.
Van Der Velden, U. & Jansen, J. (1980) Probing force in relation to probe penetration into the periodontal tissues in dogs. A microscopic evaluation. Journal of Clinical Periodontology 7, 325-327.
Tonetti, M. S. & Claffey, N. (2005) Advances in the progression of periodontitis and proposal of definitions of a periodontitis case and disease progression for use in risk factor research. Group C consensus report of the 5th European Workshop in Periodontology. Journal of Clinical Periodontology 32 (Suppl. 6), 210-213.
Zijnge, V., Welling, G. W., Degener, J. E., Van Winkelhoff, A. J., Abbas, F. & Harmsen, H. J. (2006) Denaturing gradient gel electrophoresis as a diagnostic tool in periodontal microbiology. Journal of Clinical Microbiology 44, 3628-3633.
Swierkot, K., Nonnenmacher, C. I., Mutters, R., Flores-de-Jacoby, L. & Mengel, R. (2009) One-stage full-mouth disinfection versus quadrant and full-mouth root planing. Journal of Clinical Periodontology 36, 240-249.
Quirynen, M., Bollen, C. M., Vandekerckhove, B. N., Dekeyser, C., Papaioannou, W. & Eyssen, H. (1995) Full- vs. partial-mouth disinfection in the treatment of periodontal infections: short-term clinical and microbiological observations. Journal of Dental Research 74, 1459-1467.
Wennström, J. L., Tomasi, C., Bertelle, A. & Dellasega, E. (2005) Full-mouth ultrasonic debridement versus quadrant scaling and root planing as an initial approach in the treatment of chronic periodontitis. Journal of Clinical Periodontology 32, 851-859.
Lang, N. P., Tan, W. C., Krahenmann, M. A. & Zwahlen, M. (2008) A systematic review of the effects of full-mouth debridement with and without antiseptics in patients with chronic periodontitis. Journal of Clinical Periodontology 35, 8-21.
Badersten, A., Nilveus, R. & Egelberg, J. (1984) Effect of nonsurgical periodontal therapy. II. Severely advanced periodontitis. Journal of Clinical Periodontology 11, 63-76.
Apatzidou, D. A., Riggio, M. P. & Kinane, D. F. (2004b) Quadrant root planing versus same-day full-mouth root planing. II. Microbiological findings. Journal of Clinical Periodontology 31, 141-148.
Wang, D., Koshy, G., Nagasawa, T., Kawashima, Y., Kiji, M., Nitta, H., Oda, S. & Ishikawa, I. (2006) Antibody response after single-visit full-mouth ultrasonic debridement versus quadrant-wise therapy. Journal of Clinical Periodontology 33, 632-638.
Greenstein, G. & Lamster, I. (1997) Bacterial transmission in periodontal diseases: a critical review. Journal of Periodontology 68, 421-431.
Page, R. C. & Kornman, K. S. (1997) The pathogenesis of human periodontitis: an introduction. Periodontology 2000 14, 9-11.
Quirynen, M., De Soete, M., Dierickx, K. & Van Steenberghe, D. (2001) The intra-oral translocation of periodontopathogens jeopardises the outcome of periodontal therapy. A review of the literature. Journal of Clinical Periodontology 28, 499-507.
Eberhard, J., Jervøe-Storm, P. M., Needleman, I., Worthington, H. & Jepsen, S. (2008) Full-mouth treatment concepts for chronic periodontitis: a systematic review. Journal of Clinical Periodontology 35, 591-604.
Kinane, D. F. & Attström, R. (2005) Advances in the pathogenesis of periodontitis. Group B consensus report of the fifth European Workshop in Periodontology. Journal of Clinical Periodontology 32 (Suppl. 6), 130-131.
Quirynen, M., De Soete, M., Boschmans, G., Pauwels, M., Coucke, W., Teughels, W. & Van Steenberghe, D. (2006) "Benefit of "one-stage full-mouth disinfection" is explained by disinfection and root planing within 24 hours: a randomized controlled trial. Journal of Clinical Periodontology 33, 639-647.
Apatzidou, D. A. & Kinane, D. F. (2004) Quadrant root planing versus same-day full-mouth root planing. I. Clinical findings. Journal of Clinical Periodontology 31, 132-140.
1995; 74
2000; 27
2006; 33
1986; 13
1997; 68
1964; 22
1981; 8
2008; 35
2000; 2
2001; 28
2007; 34
1998; 25
1979; 50
2009; 36
2004; 31
1998; 19
2001
1986; 21
2006; 44
2004a; 31
1984; 11
1997; 14
1979; 6
2005; 32
1980; 7
1996; 1
2005; 38
2004b; 31
1996; 67
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Snippet Zijnge V, Meijer HF, Lie MA, Tromp JAH, Degener JE, Harmsen HJM, Abbas F: The recolonization hypothesis in a full‐mouth or multiple‐session treatment protocol:...
To test recolonization of periodontal lesions after full-mouth scaling and root planing (FM-SRP) or multiple session-SRP (MS-SRP) in a randomized clinical...
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SubjectTerms Adult
Aged
Aggregatibacter actinomycetemcomitans - growth & development
bacteria
Bacteria - classification
Bacteria - growth & development
Bacteroides - growth & development
Biological and medical sciences
Chronic Periodontitis - microbiology
Chronic Periodontitis - therapy
Clinical Protocols
Colony Count, Microbial
Dental Plaque Index
Dental Scaling - methods
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Follow-Up Studies
full-mouth-SRP
Furcation Defects - microbiology
Furcation Defects - therapy
Fusobacterium nucleatum - growth & development
Gingival Hemorrhage - microbiology
Gingival Hemorrhage - therapy
Humans
Male
Medical sciences
Middle Aged
multiple session SRP
Non tumoral diseases
Otorhinolaryngology. Stomatology
Periodontal Index
Periodontal Pocket - microbiology
Periodontal Pocket - therapy
periodontitis
polymerase chain reaction
Porphyromonas gingivalis - growth & development
recolonization
Root Planing - methods
Subgingival Curettage - methods
Treatment Outcome
Treponema denticola - growth & development
Title The recolonization hypothesis in a full-mouth or multiple-session treatment protocol: a blinded, randomized clinical trial
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https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1600-051X.2010.01562.x
https://www.ncbi.nlm.nih.gov/pubmed/20507375
https://www.proquest.com/docview/733109805
Volume 37
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