PERIO - Periodontal Practice Today 5 (2008), No. 4 4. June 2009
Recent research indicated that periopathogens colonize, besides the pockets, also other niches within the oral cavity including: the soft tissues, the saliva, the tongue, and even the tonsils. Since the supragingival plaque and the bacteria in these niches have a major impact on the subgingival plaque colonisation but especially on the recolonation after debridement, it seems reasonable to expect that a one-stage, full-mouth disinfection protocol, involving the bacteria over the entire oro-pharyngeal area, has a significantly better outcome when compared to a more staged approach (e.g. with treatments per quadrant). Since several review papers recently discussed the benefits of a one-stage, full-mouth disinfection protocol, pointing to some shortcomings in the our research protocol or with an attempt to compare the data of the new approach with other studies (with unfortunately non comparable approaches), this review paper aims to clarify some of the confusion concerning the benefits of a one-stage, full-mouth disinfection approach.
Keywords: periodontal breakdown, periodontopathogens, mouth disinfection