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VOLUME 20 , ISSUE 8 ( August, 2019 ) > List of Articles

ORIGINAL RESEARCH

Comparative Evaluation of Two Different One-stage Full-mouth Disinfection Protocols using BANA Assay: A Randomized Clinical Study

Arjumand Farooqui, Vineet V Kini, Ashvini M Padhye

Keywords : n-Benzoyl-DL-arginine-2-naphthylamide, Dental plaque, One-stage full-mouth disinfection, Red complex, Tongue coat

Citation Information : Farooqui A, Kini VV, Padhye AM. Comparative Evaluation of Two Different One-stage Full-mouth Disinfection Protocols using BANA Assay: A Randomized Clinical Study. J Contemp Dent Pract 2019; 20 (8):963-969.

DOI: 10.5005/jp-journals-10024-2623

License: CC BY-NC 4.0

Published Online: 00-08-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The aim of this study was to evaluate and compare two different one-stage full-mouth disinfection protocols in the treatment of chronic periodontitis by assessing dental plaque and tongue coat using BANA assay. Materials and methods: The present study was a prospective randomized clinical parallel arm study design including 40 healthy subjects randomly allocated into two groups, i.e., group A (Quirynen\'s protocol of one-stage full-mouth disinfection) and group B (Bollen\'s protocol of one-stage full-mouth disinfection). Subjects were assessed at baseline and six weeks using plaque index, gingival index, and sulcus bleeding index. Probing depth and relative clinical attachment level were also recorded at six weeks. Winkel tongue coat index and BANA were recorded at 8 weeks using subgingival plaque and tongue coat sample. Results: Both group A and group B demonstrated statistically significant reduction in plaque index, gingival index, sulcus bleeding index, Winkel tongue coat index, reduction in probing depth, and gain in relative clinical attachment level on intragroup comparison. There was no significant difference in BANA assay score of subgingival plaque and tongue coat samples in between group A and group B. Conclusion: From the findings of this study, both Quirynen\'s protocol and Bollen\'s protocol of one-stage full-mouth disinfection are effective in plaque reduction and tongue coat reduction and achieve comparable clinical healing outcomes. Clinical significance: The difference in duration and mode of use of chlorhexidine as a chemical plaque control agent in the two treatment interventions of Quirynen\'s and Bollen\'s protocol of one-stage full-mouth disinfection did not demonstrate statistical significance in reducing sulcus bleeding index scores, reducing probing depths, and gain in relative clinical attachment levels.


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  1. Brown L, Loe H. Prevalence, extent, severity and progression of periodontal disease. Periodontol 2000 1993;2:57–71. DOI: 10.1111/j.1600-0757.1993.tb00220.x.
  2. Socransky SS, Haffajee AD, et al. Microbial complexes in subgingival plaque. J Clin Periodontol 1998;25:134–144. DOI: 10.1111/j.1600-051X.1998.tb02419.x.
  3. Newman MG, Takei H, et al. Carranza's Clinical Periodontology- E-Book: Expert Consult: Online. Elsevier health sciences; 2014.
  4. Harper DS, Robinson PJ. Correlation of histometric, microbial, and clinical indicators of periodontal disease status before and after root planing. J Clin Periodontol 1987 Apr;14(4):190–196. DOI: 10.1111/j.1600-051X.1987.tb00966.x.
  5. Quirynen M, Bollen CM, et al. Full- vs partial-mouth disinfection in the treatment of periodontal infections: short-term clinical and microbiological observations. J Dent Res 1995 Aug;74(8):1459–1467. DOI: 10.1177/00220345950740080501.
  6. Bollen CM, Mongardini C, et al. The effect of a one-stage full-mouth disinfection on different intra-oral niches. Clinical and microbiological observations. J Clin Periodontol 1998 Jan;25(1): 56–66. DOI: 10.1111/j.1600-051X.1998.tb02364.x.
  7. Mongardini C, van Steenberghe D, et al. One stage full- versus partial-mouth disinfection in the treatment of chronic adult or generalized early-onset periodontitis. I. Long-term clinical observations. J Periodontol 1999 Jun;70(6):632–645. DOI: 10.1902/jop.1999.70.6.632.
  8. Apatzidou DA, Kinane DF. Clinical findings following quadrant root planing versus full mouth root planing. J Dent Res 2001;80(Spec. Issue):550.
  9. Jose AA, Feres M, et al. The ability of the BANA test to detect different levels of P. gingivalis, T. denticola and T. forsythia. Braz Oral Res 2010;24(2):224–230. DOI: 10.1590/S1806-83242010000200016.
  10. Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999 Dec;4(1):1–6. DOI: 10.1902/annals.1999.4.1.1.
  11. Löe H. The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol 1967;38(Suppl 6):610–616. DOI: 10.1902/jop.1967.38.6.610.
  12. Loe H, Silness J. Periodontal disease in pregnancy. I Prevalence and severity. Acta Odontol Scand 1963;21:533–551. DOI: 10.3109/00016356309011240.
  13. Mühlemann HR, Son S. Gingival sulcus bleeding–a leading symptom in initial gingivitis. Helv Odontol Acta 1971;15(2):107–113.
  14. Winkel EG, Roldan S, et al. Clinical effects of a new mouthrinse containing chlorhexidine, cetylpyridinium chloride and zinc-lactate on oral halitosis. J Clin Periodontol 2003;30:300–306. DOI: 10.1034/j.1600-051X.2003.00342.x.
  15. Badersten A, Nilveus R, et al. Effect of nonsurgical periodontal therapy. I. Moderately advanced periodontitis. J Clin Periodontol 1981;8(1):57–72. DOI: 10.1111/j.1600-051X.1981.tb02024.x.
  16. Vandekerckhove BN, Bollen CM, et al. Full- versus partial-mouth disinfection in the treatment of periodontal infections. Long-term clinical observations of a pilot study. J Periodontol 1996;67(12): 1251–1259. DOI: 10.1902/jop.1996.67.12.1251.
  17. Swierkot K, Nonnenmacher CI, et al. One-stage full-mouth disinfection versus quadrant and full-mouth root planing. J Clin Periodontol 2009;36(3):240–249. DOI: 10.1111/j.1600-051X.2008.01368.x.
  18. Soares L, Castagna L, et al. Effectiveness of full- and partial-mouth disinfection on halitosis in periodontal patients. J Oral Sci 2015;57(1):1–6. DOI: 10.2334/josnusd.57.1.
  19. Quirynen M, Mongardini C, et al. The effect of a 1-stage full-mouth disinfection on oral malodor and microbial colonization of the tongue in periodontitis. A pilot study. J Periodontol 1998;69(3):374–382. DOI: 10.1902/jop.1998.69.3.374.
  20. Eberhard J, Jepsen S, et al. Full-mouth treatment modalities (within 24 hours) for chronic periodontitis in adults. Cochrane Database Syst Rev 2015;17(4):CD004622. DOI: 10.1002/14651858.CD004622. pub3.
  21. Quirynen M, Mongardini C, et al. One stage full- versus partial-mouth disinfection in the treatment of chronic adult or generalized early-onset periodontitis. II. Long-term impact on microbial load. J Periodontol 1999;70(6):646–656. DOI: 10.1902/jop.1999.70.6.646.
  22. Faveri M, Gursky LC, et al. Scaling and root planing and chlorhexidine mouthrinses in the treatment of chronic periodontitis: a randomized, placebo-controlled clinical trial. J Clin Periodontol 2006;33:819–828. DOI: 10.1111/j.1600-051X.2006.00994.x.
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