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

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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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Authors’ contribution

Dr. Fernando Costa has contributed to all stages of the research, including study design, data interpretation, and manuscript preparation. Dr. Juliana Silveira has contributed to halimetry examinations and periodontal treatment. Dr. Bernardo Carvalho has contributed to periodontal examination of eligible participants. Dr. Alcione Dutra has contributed to periodontal treatment of participants. Drs. Peterson Oliveira, José Cortelli, and Sheila Cortelli have contributed to initial screening and periodontal examination. Dr. Luís Cota has contributed to statistical analysis and data interpretation. All authors have contributed to the preparation and editing of the manuscript.

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Authors and Affiliations

  1. Department of Dental Clinics, Oral Pathology and Oral Surgery, Federal University of Minas Gerais, Belo Horizonte, Brazil

    Juliana Oliveira Silveira, Fernando Oliveira Costa, Bernardo Carvalho Dutra & Luís Otávio Miranda Cota

  2. Department of Periodontology, Pontific Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil

    Peterson Antônio Dutra Oliveira & Alcione Maria Soares Dutra Oliveira

  3. Department of Dentistry, Periodontics Research Division, University of Taubaté, Taubaté, São Paulo, Brazil

    Sheila Cavalca Cortelli & José Roberto Cortelli

  4. School of Dentistry, Department of Periodontology, Federal University of Minas Gerais, Antônio Carlos Avenue, 6627, Pampulha, PO Box 359, Belo Horizonte, Minas Gerais, Zip Code 31270-901, Brazil

    Fernando Oliveira Costa

Authors
  1. Juliana Oliveira Silveira
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  2. Fernando Oliveira Costa
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  7. Luís Otávio Miranda Cota
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  8. Alcione Maria Soares Dutra Oliveira
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Corresponding author

Correspondence to Fernando Oliveira Costa.

Ethics declarations

This study was approved by the Ethics Committee (#30378613.5.0000.5149) and registered at Clinicaltrials.gov (NTC02368678).

Conflict of interest

The authors declare that they have no conflict of interest.

Funding

The work was supported by grants from the National Council for Scientific and Technological Development (CNPq), Brazil (grant number 552264/2011–3).

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Silveira, J.O., Costa, F.O., Oliveira, P.A.D. et al. Effect of non-surgical periodontal treatment by full-mouth disinfection or scaling and root planing per quadrant in halitosis—a randomized controlled clinical trial. Clin Oral Invest 21, 1545–1552 (2017). https://doi.org/10.1007/s00784-016-1959-0

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  • DOI: https://doi.org/10.1007/s00784-016-1959-0

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