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Published in: Clinical Oral Investigations 5/2017

01-06-2017 | Original Article

Effect of non-surgical periodontal treatment by full-mouth disinfection or scaling and root planing per quadrant in halitosis—a randomized controlled clinical trial

Authors: Juliana Oliveira Silveira, Fernando Oliveira Costa, Peterson Antônio Dutra Oliveira, Bernardo Carvalho Dutra, Sheila Cavalca Cortelli, José Roberto Cortelli, Luís Otávio Miranda Cota, Alcione Maria Soares Dutra Oliveira

Published in: Clinical Oral Investigations | Issue 5/2017

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Abstract

Objective

The objective of this study was to compare the effect of one-stage full-mouth disinfection (FMD) and conventional quadrant scaling in four weekly sessions (QS) on periodontal clinical parameters and halitosis among individuals with advanced chronic periodontitis.

Materials and methods

In this randomized controlled clinical trial, 30 individuals were divided into two groups: FMD (n = 15) and QS (n = 15). The following data were collected at the baseline and 90 days after treatment: plaque index, tongue-coating index (TCI), bleeding on probing, probing depth, and clinical attachment level. Halimetry was performed by the organoleptic method, and the levels of volatile sulfur compounds (H2S and CH3SH) were measured by gas chromatography. The Chi-square, Fisher’s exact, the Mann-Whitney, the McNemar, and the Wilcoxon tests were used for statistical analysis.

Results

Both groups showed statistically significant improvements in periodontal clinical parameters, reduction in TCI, organoleptic scores, and in CH3SH levels between times. However, major reduction was observed in FMD group.

Conclusion

Non-surgical periodontal therapy, regardless of the protocol, was effective in improving periodontal clinical status of individuals, decreasing organoleptic scores and CH3SH levels between times, as well as reducing halitosis.

Clinical relevance

This study contributed to the knowledge that non-surgical periodontal therapy, whether by FMD or QS, was effective in reducing halitosis in individuals with advanced chronic periodontitis.
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Metadata
Title
Effect of non-surgical periodontal treatment by full-mouth disinfection or scaling and root planing per quadrant in halitosis—a randomized controlled clinical trial
Authors
Juliana Oliveira Silveira
Fernando Oliveira Costa
Peterson Antônio Dutra Oliveira
Bernardo Carvalho Dutra
Sheila Cavalca Cortelli
José Roberto Cortelli
Luís Otávio Miranda Cota
Alcione Maria Soares Dutra Oliveira
Publication date
01-06-2017
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 5/2017
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-016-1959-0

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