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Zahnmedizin up2date 2007; 1(1): 13-28
DOI: 10.1055/s-2007-965436
Parodontologie

© Georg Thieme Verlag KG Stuttgart · New York

Full-Mouth-Disinfection

Pia-Merete Jervøe-Storm, Jörg Eberhard, Søren Jepsen
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Publication History

Publication Date:
24 August 2007 (online)

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Einleitung

Die Prävalenz der chronisch entzündlichen Erkrankungen des Parodontiums ist in Deutschland seit 1997 gestiegen, was in den niedergelassenen Praxen zu einem erhöhten Behandlungsaufkommen führen wird (Abb. [1]). Für die nicht chirurgische, ursachengerichtete Therapie der chronischen Parodontitis existieren neben der seit Jahrzehnten etablierten Behandlung mittels quadrantenweiser Wurzeloberflächenbearbeitung (Scaling und Rootplaning) seit einigen Jahren alternative Behandlungskonzepte, die sogenannte Full-Mouth-Disinfection und das Full-Mouth-Scaling. Im Rahmen der zahnmedizinischen Versorgung sollten die zur Verfügung stehenden Ressourcen für die Parodontitistherapie sinnvoll eingesetzt werden, um sowohl eine Unter- als auch eine Überversorgung zu vermeiden. Als Entscheidungshilfe bei der Frage, welche der genannten Parodontitistherapien am besten geeignet ist, soll vor diesem Hintergrund die zurzeit bestehende Evidenz skizziert werden.

Abb. 1 Entwicklung der mittelschweren und schweren Parodontalerkrankungen bei 35- bis 44-jährigen Erwachsenen von 1997 bis 2005 (Quelle: DMS IV).

Literatur

  • 1 Apatzidou D A, Kinane D F. Quadrant root planing versus same-day full-mouth root planing. I. Clinical findings.  Journal of Clinical Periodontology. 2004;  31 132-140
    CrossrefSearch in Google Scholar
  • 2 Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical therapy II. Severely advanced periodontitis.  Journal of Clinical Periodontology. 1984;  11 63-76
    CrossrefSearch in Google Scholar
  • 3 Bollen C ML, Vandekerckhove B NA, Papaioannou W, Van Eldere J, Quirynen M. Full- versus partial-mouth disinfection in the treatment of periodontal infections. A pilot study: long-term microbiological observations.  Journal of Clinical Periodontology. 1996;  23 960-970
    CrossrefSearch in Google Scholar
  • 4 Bollen C ML, Mongardini C, Papaioannou W, Van Steenberghe D, Quirynen M. The effect of a one-stage full-mouth disinfection on different intra-oral niches. Clinical and microbiological observations.  Journal of Clinical Periodontology. 1998;  25 56-66
    CrossrefSearch in Google Scholar
  • 5 Flötra L S, Gjermo P, Rölla G, Waerhaug J. A 4-month study on the effect of chlorhexidine mouthwashes on 50 soldiers.  Scandinavian Journal of Dental Research. 1972;  80 10-17
    Search in Google Scholar
  • 6 Jervøe-Storm P M, AlAhdab H, Engel S, Fimmers R, Jepsen S. Clinical outcomes of quadrant root planing versus full-mouth root planing.  Journal of Clinical Periodontology. 2006;  33 209-215
    CrossrefSearch in Google Scholar
  • 7 Jervøe-Storm P M, AlAhdab H, Semaan E, Fimmers R, Jepsen S. Microbiological outcomes of quadrant versus full-mouth root planing as monitored by real-time PCR.  Journal of Clinical Periodontology. 2007;  34 156-163
    Search in Google Scholar
  • 8 Jones C G. Chlorhexidine: Is it still the gold standard?.  Periodontology 2000. 1997;  15 55-62
    CrossrefSearch in Google Scholar
  • 9 Koshy G, Kawashima Y, Kiji M, Nitta H, Umeda M, Nagasawa T, Ishikawa I. Effects of single-visit full-mouth ultrasonic debridement versus quadrant-wise ultrasonic debridement.  Journal of Clinical Periodontology. 2005;  32 734-743
    CrossrefSearch in Google Scholar
  • 10 Löe H, Schiött C R. The effect of mouthrinses and topical application of chlorhexidine on the development of dental plaque and gingivitis in man.  Journal of Periodontal Research. 1970;  5 79-83
    CrossrefSearch in Google Scholar
  • 11 Loos B, Nylund K, Claffey N, Egelberg J. Clinical effects of root debridement in molar and non-molar teeth. A 2-year follow up.  Journal of Clinical Periodontology. 1989;  16 498-504
    CrossrefSearch in Google Scholar
  • 12 Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy I. Moderately advanced periodontitis.  Journal of Clinical Periodontology. 1981;  8 57-72
    CrossrefSearch in Google Scholar
  • 13 Mongardini C, van Steenberghe D, Dekeyser C, Quirynen M. One stage full- vs. partial-mouth disinfection in treatment of chronic adult or early onset periodontitis (I). Long-term clinical observations.  Journal of Periodontology. 1999;  70 632-645
    Search in Google Scholar
  • 14 Nordland P, Garrett S, Kiger R, Vanooteghem R, Hutchens L H, Egelberg J. The effect of plaque control and root debridement in molar teeth.  Journal of Clinical Periodontology. 1987;  14 231-236
    CrossrefSearch in Google Scholar
  • 15 Petersilka G J, Ehmke B, Flemmig T F. Antimicrobial effects of mechanical debridement.  Periodontology 2000. 2002;  28 56-71
    CrossrefSearch in Google Scholar
  • 16 Quirynen M, Bollen C ML, Vandekerckhove B NA, Dekeyser C, Papaioannou W, Eyssen H. Full- versus partial-mouth disinfection in the treatment of periodontal infections: short-term clinical and microbiological observations.  Journal of Dental Research. 1995;  74 1459-1467
    Search in Google Scholar
  • 17 Quirynen M, Mongardini C, De Soete M, Pauwels M, Coucke W, van Eldere J, van Steenberghe D. The role of chlorhexidine in the one-stage full-mouth disinfection treatment of patients with advanced adult periodontitis.  Journal of Clinical Periodontology. 2000;  27 578-589
    Search in Google Scholar
  • 18 Quirynen M, De Soete M, Boschmans G, Pauwels M, Coucke W, Teughels W, van Steenberghe D. 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. 2006;  33 639-647
    CrossrefSearch in Google Scholar
  • 19 Ramseier C A. Potential impact of subject-based risk factor control on periodontitis.  Journal of Clinical Periodontology. 2005;  32 (Suppl. 6) 283-290
    CrossrefSearch in Google Scholar
  • 20 Sbordone L, Ramaglia L, Gulletta E, Iacono V. Recolonisation of the subgingival microflora after scaling and root planing in human periodontitis.  Journal of Periodontology. 1990;  61 579-584
    Search in Google Scholar
  • 21 Suvan J E. Effectiveness of mechanical nonsurgical pocket therapy.  Periodontology 2000. 2005;  37 48-71
    CrossrefSearch in Google Scholar
  • 22 Tanner A CR, Goodson J M. Sampling of microorganisms associated with periodontal disease.  Oral Microbiol Immunol. 1986;  1 15-20
    Search in Google Scholar
  • 23 Teles R P, Haffajee A D, Socransky S S. Microbiological goals of periodontal therapy.  Periodontology 2000. 2006;  42 180-218
    CrossrefSearch in Google Scholar
  • 24 Tunkel J, Heinecke A, Flemmig T F. A systematic review of efficacy of machine-driven and manual subgingival debridement in the management of chronic periodontitis.  Journal of Clinical Periodontology. 2002;  29 (Suppl. 3) 72-81
    CrossrefSearch in Google Scholar
  • 25 Umeda M, Takeuchi Y, Noguschi K, Huang Y, Koshy G, Ishikawa I. Effects of nonsurgical periodontal therapy on the microbiota.  Periodontology 2000. 2004;  36 98-120
    CrossrefSearch in Google Scholar
  • 26 Vandekerckhove B N, Bollen C ML, Dekeyser C, Darius P, Quirynen M. Full- versus partial-mouth disinfection in the treatment of periodontal infections. Long-term clinical observations of a pilot study.  Journal of Periodontology. 1996;  67 1251-1259
    Search in Google Scholar
  • 27 Van der Velden U, van Winkelhoff A J, Abbas F, De Graaff F J. The habitat of periodontopathic micro-organisms.  Journal of Clinical Periodontology. 1986;  13 243-248
    CrossrefSearch in Google Scholar
  • 28 Van der Weijden G A, Timmerman M F. A systematic review on the clinical efficacy of subgingival debridement in the treatment of chronic periodontitis.  Journal of Clinical Periodontology. 2002;  29 (Suppl. 3) 55-71
    CrossrefSearch in Google Scholar
  • 29 Wennström J L, Tomasi C, Bertelle A, Dellasega E. Full-mouth ultrasonic debridement versus quadrant scaling and root planing as an initial approach in the treatment of chronic periodontitis.  Journal of Clinical Periodontology. 2005;  32 851-859
    CrossrefSearch in Google Scholar
  • 30 van Winkelhoff A J, van der Velden U, Clement M, De Graaff J. Intra-oral distribution of black-pigmented Bacteroides species in periodontitis patients.  Oral Microbiology and Immunology. 1988;  3 83-85
    Search in Google Scholar
  • 31 Zanatta G M, Bittencourt S, Nociti Jr F H. Sallum EA, Sallum AW, Casati MZ. Periodontal debridement with povidone-iodine in periodontal treatment: short-term clinical and biochemical observations.  Journal of Periodontology. 2006;  77 498-505
    CrossrefSearch in Google Scholar

Dr. med. dent. Pia-Merete Jervøe-Storm

Poliklinik für Parodontologie, Zahnerhaltung und Präv. Zahnheilkunde
Universitätsklinikum Bonn

Welschnonnenstr. 17

53111 Bonn

Email: storm@uni-bonn.de