Full-Mouth Disinfection versus Quadrant Scaling & Root Planing - A Review

In this paper, the author has reviewed the microbial & clinical impacts of the one-stage full-mouth disinfection and quadrant scaling root planing in Periodontics. Periodontal diseases are one of the most common in the oral cavity and have an infectious nature triggered by pathogenic microorganisms that first lead to gingivitis and may develop to periodontitis and, if not treated, to tooth loss. Periodontitis is characterized by loss of attachment in the conjunctive tissues followed by alveolar bone destruction and consequent formation of periodontal pockets. To overcome a bacterial transmission, ‘one-stage full-mouth disinfection’ was introduced for the treatment of periodontal infections. This treatment strategy resulted in significant clinical and microbiological improvements when compared with the standard sequential treatment.