{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:26:16Z","timestamp":1760919976246,"version":"build-2065373602"},"reference-count":0,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2002,7,1]],"date-time":"2002-07-01T00:00:00Z","timestamp":1025481600000},"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":[[2002,7]]},"abstract":"<jats:p><jats:italic><jats:bold>Background:<\/jats:bold> This commentary compares the abilities of full\u2010mouth disinfection (FDIS), full\u2010mouth root planing (FRP), and partial\u2010mouth disinfection (PDIS) to improve periodontal health. FDIS consists of 4 quadrants of root planing completed within 24 hours with adjunctive chlorhexidine therapies (e.g., rinsing, subgingival irrigation, tongue brushing). FRP denotes 4 quadrants of root planing performed within 24 hours, and PDlS refers to root planing individual quadrants of the dentition, spaced 2 weeks apart. A basic premise of administering full\u2010mouth therapy (FDlS or FRP) is to eliminate or reduce bacterial reservoirs within the oral cavity that could inhibit optimal healing of treated sites or cause periodontal disease initiation or progression.<\/jats:italic><\/jats:p><jats:p><jats:italic><jats:bold>Methods:<\/jats:bold> Controlled clinical trials that compared the abilities of PDIS and full\u2010mouth root planing with and without adjunctive chlorhexidine chemotherapy to alter periodontal status were reviewed.<\/jats:italic><\/jats:p><jats:p><jats:italic><jats:bold>Results:<\/jats:bold> Several studies conducted at one treatment center indicated that FDlS and FRP attained greater therapeutic improvements than PDlS with respect to decreasing probing depths (FD), gaining clinical attachment (CAL), diminishing bleeding upon probing, and reducing the subgingival microflora. However, the magnitude of PD reductions and gains of clinical attachment must be carefully interpreted, because initial PD measurements were usually determined after scaling and root planing, which may have caused the results to be overstated. Furthermore, in studies that addressed the utility of FDIS, it was not possible to determine if benefits induced beyond PDlS were due to FRP or administration of multifaceted intra\u2010oral chlorhexidine treatments or a combination of both therapies. One investigation that had protocol limitations indicated that similar results were attained by FRP with and without adjunctive chemotherapy. In contrast, recent studies from 2 other treatment centers indicated that there were no significant differences when the efficacy of quadrant\u2010by\u2010quadrant root planing was compared to FRP or FDIS with regard to PD reduction, gains of clinical attachment, and impact on the magnitude and quality of the immune response.<\/jats:italic><\/jats:p><jats:p><jats:italic><jats:bold>Possible Clinical Implications:<\/jats:bold> Conceptually, full\u2010mouth therapy (FRP or FDIS) could reduce the number of patient visits and facilitate more efficient use of treatment time. In addition, there appears to be no major adverse reactions to full\u2010mouth mot planing with or without adjunctive chemotherapy. However, small study populations and non\u2010corroborating data from different treatment centers indicate that additional randomized clinical trials are needed to determine if full\u2010mouth therapy provides clinically relevant improvements beyond PDIS.<\/jats:italic> J Periodontol 2002;73:797\u2010812.<\/jats:p>","DOI":"10.1902\/jop.2002.73.7.797","type":"journal-article","created":{"date-parts":[[2005,2,2]],"date-time":"2005-02-02T07:23:52Z","timestamp":1107329032000},"page":"797-812","source":"Crossref","is-referenced-by-count":17,"title":["Full\u2010Mouth Therapy Versus Individual Quadrant Root Planing: A Critical Commentary"],"prefix":"10.1002","volume":"73","author":[{"given":"Gary","family":"Greenstein","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2002,7]]},"container-title":["Journal of Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1902\/jop.2002.73.7.797","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T09:52:30Z","timestamp":1760867550000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1902\/jop.2002.73.7.797"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,7]]},"references-count":0,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2002,7]]}},"alternative-id":["10.1902\/jop.2002.73.7.797"],"URL":"https:\/\/doi.org\/10.1902\/jop.2002.73.7.797","archive":["Portico"],"relation":{},"ISSN":["0022-3492","1943-3670"],"issn-type":[{"type":"print","value":"0022-3492"},{"type":"electronic","value":"1943-3670"}],"subject":[],"published":{"date-parts":[[2002,7]]}}}