Terapia periodontal conservadora X desinfecção completa da boca: uma análise crítica dos parâmetros clínicos

Abstract

Conventional periodontal therapy aims to eliminate and control the periodontal disease through the scaling and root planning, which are performed with intervals of 1 or 2 weeks. The reinfection possibility of the treated pockets during these intervals led to the creation of a new treatment protocol. Based on this, in 1995, Quirynen et al introduced the Full mouth disinfection (FMD) protocol, in order to disinfect the entire mouth in a short space of time (24 hours), which would prevent the reinfection. This study aimed a critical review of the available literature and a comparison between the advantages, disadvantages and indications of full mouth disinfection and the conventional therapy regarding clinical outcomes. Mechanical debridement is an important component of periodontal treatment in both FMD and classical therapy. However it is important to develop new studies to investigate effectiveness and indication of antimicrobials application.