3.+Outcomes+of+Incomplete+Scaling+vs.+Complete+Scaling

Outcomes of Incomplete Scaling vs. Complete Scaling Gerhild, U., Purschwits, R. E., Eick, S., Pfister, W., Roedel, M., & Jentsch, H. F. (2011, October). Microbiologic findings 1 year after partial and full mouth scalingin the treatment of moderate chronic periodontitis. //Quintessence International//, //42//(9), 107-117. Retrieved March 1, 2012, from []

Partial scaling is when the supra and just some of the subgingival calculus is removed from the tooth and scaling and root planning is when all the supra and the subgingival calculus is removed from the tooth and root. Caranza agrees in order to reduce and eleminate the factors that cause periodontal diease it is achieved by the complete removal of plaque and calcus from the tooth. This makes perfect sence how can we ever expect to irradicate the dieseas process if the causative agent is still there (in regaurds to partial removal). Combind with the complete removal of plaque and calculus long term success depends on the patients willingness to maintain proper home care after phase -1 therapy. CA20

Kinane, D. F. (2005, July). Single-visit, full-mouth ultrasonic debridement: a paradigm shift in periodontal therapy?.

// Journal of Clinical Periodontology //. pp. 732-733. doi:10.1111/j.1600-051X.2005.00784.x.

Carranza states that phase one therapy is essential to halt the disease progression of periodontitis. In order to restore health to the peridontium, the complete removal of plaque and calculus is necessary. This is why scaling to completion is important. The article that I chose stated that based on research, full mouth debridement and quad scaling both eliminate the microorganisms that cause periodontitis. -Elina Sandoval #34

-Asia Hernandez 28-
==== Dongqing, W., Koshy, G., Nagasawa, T., Kawashima, Y., Kiji, M., Nitta, H., & Ishikawa, I. (2006). Antibody response after single-visit full-mouth ultrasonic debridement versus quadrant-wise therapy. //Journal Of Clinical Periodontology//, //33//(9), 632-638. doi:10.1111/j.1600-051X.2006.00963.x Retrieved from Ebscohost 3/2/12. ====

==== Carranza discussed that in order to have successful phase I therapy, all the irritants must be completely removed, so this includes all plaque and calculus. Carranze also states that due to newer, thinner tips for ultrasonic inserts, the root surfaces are able to be left smooth and provide "satisfactory clinical results" when measured by plaque and calculus removal, microbe reduction, and reduction in pocket depths and inflammation. This agrees with my article which stated that quad scaling and full mouth ultrasonic debridement are comparable to one another. Carranza states that use of hand scalers vs. ultrasonic scalers should be determined based on patient needs as well as clinician experience and preference. ====

Cobb, C. (2008). Microbes, inflammation, scaling and root planning, and the periodontal condition. Journal Of Dental Hygiene, 824-9.

Caranza talks about how effective scaling can decrease or even eliminate the inflammation and disease process depending on the extent or severity of the disease. It also talks about the different standards that are required for a patient to be referred to a specialist such as a periodontist. The initial phase is Phase 1 therapy which involves the elimination of contributing factors to gingivitis or periodontitis. If a patient requires a more extensive cleaning such as a deep cleaning, they are re-evaluated at a 4 week period which is also referred to as the healing time. At this time the tissues are evaluated to ensure that the disease has been eliminated. If the tissues are not responding to non-surgical treatment then this is when a referral would be ideal. My article goes more in depth about the complexity of the microorganisms involved in periodontal disease, and how re-infection can result from incomplete scaling. Elle-33

Koshy, G., Kawashima, Y., Kiji, M., Nitta, H., Umeda, M., Nagasawa, T., & Ishikawa, I. (2005). Effects of single-visit full-mouth ultrasonic debridement versus quadrant-wise ultrasonic debridement. Journal Of Clinical Periodontology, 32(7), 734-743. doi:10.1111/j.1600-051X.2005.00775.x The big idea for my article is that the effects between a one visit full mouth ultrasonic debridement and a quadrant wise ultrasonic debridement is that the single visit may have some limited benefits over quad scale in the treatment of periodontitis. Studies revealed that the one visit full mouth debridement showed a significant reduction in bop and probing depths and that there is a less chance of bacteria to re-infect than when doing quadrant scales. In Carranza while using the ultrasonic powerscaler there was a decrease of bacterial as well as pocket reductions. Monica Gutierrez#27

Farman M. and Joshi R. (2008). Full-mouth treatment //versus// quadrant root surface debridement in the treatment of chronic periodontitis: a systematic review. //British Dental Journal,// // 205:E18, 1-11. //DOI: 10.1038/sj.bdj.2008.874. Retrieved from []- 77c9b6679771%40sessionmgr14&vid=8&hid=19 My articles big idea was that full mouth debridement had no significance difference when compared to root planing and scaling. In phase I therapy the goal is to eliminate the microbial etiology and contributing factors to get the patient to a state of health again. Scaling is when plaque and calculus is removed supra- gingival and sub- gingival. Root planing is when the calculus that is left is removed and cementum to get a clean root surface. The goal is to remove plaque and calculus to reduce inflammation to get the patient’s tissues healthy. Velinda Davis #24 -- Del Peloso Ribeiro, É., Bittencourt, S., Sallum, E. A., Nociti, J. H., Gonçalves, R., & Casati, M. (2008). Periodontal debridement as a therapeutic approach

for severe chronic periodontitis: a clinical, microbiological and immunological study. //Journal Of Clinical Periodontology//, //35//(9), 789-798.

Retrieved from http://ezproxy.mvc.edu:2074/ehost/pdfviewer/pdfviewer?sid=d5296226-a102-4217-b426-c4d8979da523%

40sessionmgr10&vid=6&hid=10

The article that I choose discusses that there isn’t a significant difference between full mouth debridement and quad scaling and root planing, both resulted in similar pocket depth reduction, decrease in BOP’s, and attachment gain. According to Carranza to have a successful outcome of phase 1 therapy all irritants (calculus and plaque) must be completely removed both supra-gingival and sub-gingival to effectively help with the reduction of inflammation and the disease process. -Lauren #38

Wennström, J., Tomasi, C., Bertelle, A., & Dellasega, E. (2005). Full mouthultrasonic Debridement versus quadrant scaling and root planning as an initial approach in The treatment of chronic periodontitis. //Journal of Clinical Periodontology,// 32(8), 851-859. Retrieved February 28, 2012 from: []

In the Article "Full-mouth ultrasonic scaling debridement versus quadrant scaling and root planning as an initial approach in the treatment of chronic periodontitis", they conducted a study on the effectiveness of a single session of full mouth debridement (gross scaling) compared to traditional scaling and root planning. Probing assessments were done at the 3 month re-exam no significant differences were found between the two treatment groups. While Carrranza states that scaling is the removing plaque and calculus both sub and supragingival and no removal of the tooth surface. Root planning is the removal of residual embedded calculus and portions of cementum from the roots to give the tooth a smooth surface that is clean. NB#22

Gusmão, E. S., Coelho, R. S., Farias, B. C., & Cimões, R. (2010). Dentin Hypersensitivity Before and After Periodontal Treatment. //Acta Stomatologica Croatica//, //44//(4), 251-260.

In the article Dentis Hypersensitivity Before and After Periodontal treatments patients were asked to rate their sensitivity on a scale on 1-3 from both mechanical stimuli and thermal stimuli. Follow this initial assessments patients teeth were scaled. Some patients received gross scaling and others received complete scaling. Following their cleaning, the patients were asked to rate the pain to the stimulus again. Both party's reported that their sensitivity to thermal pressure and increases significantly, but their sensitivity to mechanical pressure had only increased moderately. Carranza states that removal of tooth surface should not apart of scaling and root planning to remove both sub and supra calculus and plaque.The goal is to create a smooth tooth surface and to remove all irritants that cause inflammation and infection, but to not remove and tooth surface.

KR#32

Swierkot, K., Nonnenmacher, C., 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//(3), 240-249. doi:10.1111/j.1600-051X.2008.01368.x. Retreived March 3, 2012 from:[|http://ezproxy.mvc.edu:2074/ehost/detail?vid=5&hid=8&sid=b0cdb0c9-10a0-4a85-90f5-e8ecc32560cf%40sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=ddh&AN=36460443]

My article studies the difference in outcomes of a full mouth disinfection, a full mouth SRP, and a quadrant SRP. In their study they determined that all 3 procedures led to improvements clinically and microbiologically but there were more group difference in the full mouth SRP after 1 and 2 months. Also that after 8 months there were no significant group differences in the 3 different procedures. The article made it seem like quadrant SRP wasn’t any different than a regular full mouth SRP, which is very interesting because if that were true then why do we do it. Carranza explains that in phase I therapy the objective is to eliminate the microbial etiology and contributing factors for gingival and periodontal diseases and return it to a state of health and comfort, which is only accomplished from complete removal calculus and plaque. Carranza also mentions that the estimated number of appointments is determined by how much you can get done in one appointment, so obviously someone with heavier calculus is going to have to come to multiple appointments in order to remove all of the calculus. Amber Starnes 36

--- Christgau, M. M., Männer, T. T., Beuer, S. S., Hiller, K. A., & Schmalz, G. G. (2006). Periodontal healing after non-surgical therapy with a modified sonic scaler: a controlled clinical trial. //Journal Of Clinical Periodontology//, //33//(10), 749-758. doi:10.1111/j.1600-051X.2006.00981.x

After reading the article that I selected and Carranza I believe the main idea is that if the entire local irritant which is plaque and calculus is not removed then there can be no tissue resolution. Partially removing the plaque and calculus can be initially pleasing asthetically to the free gingiva, there is still an open wound at the base of the pocket that cannot heal because the irritant still remains. It’s like removing the tick body from a pet and leaving the head behind to continue causing disease or just removing the visible piece of an splinter and leaving the rest under the skin. AY37 ---

Jervoe-Storm, P., Semaan, E., AlAhdab, H., Engel, S., Fimmers, R., & Jensen, S. (2006). Clinical outcomes of quadrant root planing versus full-mouth root planing. //Journal of Clinical Periodontology, // 33(3), 209-215

The big idea of my article was to discuss the difference between quadrant scaling and full mouth scaling and root planing. It discussed research that was done that showed that there were benefits of each procedure but overall comparing the two, there were no significant differences and both of them were beneficial. When reading Carranza, it was not specified as to which one was more beneficial and it seemed like the more important idea was that we need to remove the plaque and calculus in all areas so that we can see less inflammation in the tissue.

SF25

Quirynen, M., Bollen, C., Vandekerckhove, B., 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(8), 1459-1467.

In the article, “Full- vs. partial-mouth disinfection in the treatment of periodontal infections: short-term clinical and microbiological observations”, a study was conducted to whether the outcome of treatment would be significantly increased by performing a full mouth debridement within a 24 hour time frame in comparison to standard partial mouth scaling and root planing. The results showed that the full mouth debridement did show more of a reduction in pocket depths than scaling and root planing as well as a decrease in number of pathogenic organisms over a short term basis. Caranza discusses that scaling and root planing is intended for the removal of plaque and calculus without the removal of tooth structure. However, when root planing you can remove some tooth structure since you are smoothing out the root surface with embedded calculus to decrease the amount of inflammation in the pocket.

Charlene Malit #29

Tomasi, C., Bertelle, A., Dellasega, E., & Wennström, J. L. (2006). Full-mouth ultrasonic debridement and risk of disease recurrence: a 1-year follow-up. //Journal Of Clinical Periodontology//, //33//(9), 626-631. doi:10.1111/j.1600-051X.2006.00962.x

The big idea for my article is that there is no difference in the efficacy of pocket/root debridement techniques using hand instrumentation with quadrant scaling or power-driven scalers in one-hour full-mouth ultrasonic debridement. The study revealed that there is no significant difference in risk of recurrence of diseased periodontal pockets between either treatment modality. Carranza big idea for scaling and root planing is that scaling removes plaque and calculus supragingivally and subgingivally, whereas root planing removes residual embedded calculus and portions of cementum from root surfaces to produce smooth, hard, clean surfaces. Scaling and root planing are technique sensitive in to obtain maximum efficacy, the clinician must apply instrumentation priciples to obtain restoration of gingival health. Carranza also states that studies show that ultrasonic instrumentation produce root surface smoothness just as effective, if not better than what is produced by curettes. Carranza concludes that selection of either modality should be determined by the clinician's preference, experience, and needs of the patient; success is a result of time devoted to procedure and thoroughness of root debridement. ACS #35