{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T07:17:21Z","timestamp":1782544641987,"version":"3.54.5"},"reference-count":0,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[1999,6,1]],"date-time":"1999-06-01T00:00:00Z","timestamp":928195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[1999,6]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Recent studies showed the clinical benefits of a one stage full\u2010mouth disinfection, when compared to the worldwide standard treatment strategy of consecutive root planings per quadrant without proper disinfection of the remaining intraoral niches. The purpose of this study was to investigate the microbiological benefits of such a one stage full\u2010mouth disinfection with special attention to all intraoral niches for periodontopathogens and to evaluate the perception by the patients of the new treatment strategy.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Sixteen patients with early\u2010onset periodontitis and 24 patients with severe adult periodontitis were randomly assigned to test and control groups. The control group was scaled and root planed, per quadrant, at 2\u2010week intervals and given oral hygiene instructions. The test group received the one stage full\u2010mouth disinfection treatment. At baseline and after 1, 2, 4, and 8 months, microbiological samples were taken from all niches (tongue, mucosa, saliva, and pooled samples from single\u2010 and multi\u2010rooted teeth). The samples were cultured on selective and non\u2010selective media. Patient perception of the treatment was evaluated using a questionnaire.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> In comparison to the standard therapy, the one stage full\u2010mouth disinfection resulted in significant additional microbial improvements. The test group showed larger reductions in the proportions of spirochetes and motile organisms in the subgingival flora, and more significant reductions in the density of key pathogens, with even the eradication of <jats:italic>P. gingivalis<\/jats:italic>. The beneficial effects in the other niches were primarily restricted to the number of colony\u2010forming units\/ml of black\u2010pigmented bacteria, especially on the mucosa and in the saliva and to a lesser extent on the tongue. Both treatments were well tolerated by the patients and the overall severity rating for both therapies was comparable, although 4 quadrants were treated within 24 hours in the test group versus only 1 in the control group. The full\u2010mouth disinfection approach resulted more frequently in a slight increase of body temperature, especially after the second day.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold>These findings support the benefit of a one stage full\u2010mouth disinfection in the treatment of patients with either chronic adult or early\u2010onset periodontitis. <jats:italic>J Periodontol 1999;70:646\u2010656.<\/jats:italic><\/jats:p>","DOI":"10.1902\/jop.1999.70.6.646","type":"journal-article","created":{"date-parts":[[2005,2,2]],"date-time":"2005-02-02T06:10:57Z","timestamp":1107324657000},"page":"646-656","source":"Crossref","is-referenced-by-count":104,"title":["One Stage Full\u2010 Versus Partial\u2010Mouth Disinfection in the Treatment of Chronic Adult or Generalized Early\u2010Onset Periodontitis."],"prefix":"10.1002","volume":"70","author":[{"given":"Marc","family":"Quirynen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Mongardini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martine","family":"Pauwels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Curd M.L.","family":"Bollen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Van Eldere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Van Steenberghe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1999,6]]},"container-title":["Journal of Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1902\/jop.1999.70.6.646","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T08:41:11Z","timestamp":1760863271000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1902\/jop.1999.70.6.646"}},"subtitle":["II. Long\u2010Term Impact on Microbial Load"],"short-title":[],"issued":{"date-parts":[[1999,6]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1999,6]]}},"alternative-id":["10.1902\/jop.1999.70.6.646"],"URL":"https:\/\/doi.org\/10.1902\/jop.1999.70.6.646","archive":["Portico"],"relation":{},"ISSN":["0022-3492","1943-3670"],"issn-type":[{"value":"0022-3492","type":"print"},{"value":"1943-3670","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,6]]}}}