[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-460284-105":59,"doc-detail-460284-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","evaluation-of-full-mouth-non-surgical-modalities-for-the-treatment-of-chronic-periodontitis","Evaluation of Full-Mouth Non-Surgical Modalities for the Treatment of Chronic Periodontitis","","Periodontitis is a prevalent chronic inflammatory condition that destroys the supporting tissues of teeth. Conventional quadrant-wise scaling and root planning (Q-SRP) is limited by multi-session logistics and possible bacterial cross-contamination. This randomized study evaluates four non-surgical strategies—Q-SRP, full-mouth scaling (FMS), full-mouth disinfection (FMD), and FMD combined with air-polishing (FMDAP)—in 220 patients with Stage III chronic periodontitis, assessing plaque, gingival status, probing depth, and clinical attachment level at baseline, 3 and 6 months.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/evaluation-of-full-mouth-non-surgical-modalities-for-the-treatment-of-chronic-periodontitis/460284/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/evaluation-of-full-mouth-non-surgical-modalities-for-the-treatment-of-chronic-periodontitis/460284.png","ImageObject",300,407,{"name":92,"@type":93},"awa","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What treatments were compared in this randomized study of Stage III chronic periodontitis?","Question",{"text":112,"@type":113},"The study compared quadrant-wise scaling and root planning (Q-SRP), full-mouth scaling (FMS), full-mouth disinfection (FMD), and FMD with air-polishing (FMDAP). Participants were allocated into four groups.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were clinical outcomes measured and when were they recorded?",{"text":117,"@type":113},"Clinical parameters including plaque index, gingival index, probing depth, and clinical attachment level were recorded at baseline, 3 months, and 6 months.",{"name":119,"@type":110,"acceptedAnswer":120},"Which modality showed the best overall improvements, and what added benefit was reported?",{"text":121,"@type":113},"FMDAP provided the greatest overall benefit, with superior improvements in probing pocket depth (PPD) and clinical attachment level (CAL), along with reduced treatment time compared with Q-SRP.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},460284,1790758140,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":39,"preview_page_count":4},3985747858093,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Original Article  \nEvaluation of Full‑Mouth Non‑Surgical Modalities for the Treatment of Chronic Periodontitis  \nAjita Meenawat, Christina L. Pachuau, Vivek Srivastava, Yasir Shahab Khan, Sajid Husain, Tanu Sahney  \nDepartment of Periodontology, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India  \nSubmitted: 04‑Aug‑2025  \nRevised: 10‑Aug‑2025  \nAccepted: 19‑Aug‑2025  \nPublished: 17‑Dec‑2025  \nAbstract  \nBackground: Periodontitis is a common chronic inflammatory disease-causing destruction of the supporting tissues of teeth. Conventional treatment involves quadrant‑wise scaling and root planning (Q‑SRP) . Alternative approaches like full‑mouth scaling (FMS), full‑mouth disinfection (FMD), and FMD with air‑polishing (FMDAP) have been introduced to enhance outcomes. Methods: In this randomized study, 220 patients with Stage III chronic periodontitis were allocated into four groups—Q‑SRP, FMS, FMD, and FMDAP. Clinical parameters (plaque index, gingival index, probing depth, and clinical attachment level) were recorded at baseline, 3 months, and 6 months. Statistical comparisons were performed using ANOVA with Tukey’s post hoc test. Results: All groups showed significant intra‑group improvements in clinical parameters at 3 and 6 months (P \u003C 0.001) . Inter-group analysis revealed no baseline differences, but significant improvements in FMD and FMDAP groups at follow‑ups (P \u003C 0.001), with FMDAP showing the greatest overall benefit. Conclusion: All four treatment strategies were effective; however, FMDAP provided superior clinical improvements in probing pocket depth (PPD) and clinical attachment level (CAL), with the added advantage of reduced treatment time compared to Q‑SRP.  \nKeywords: Air polishing, full mouth disinfection, quadrant‑wise debridement, root planning, sodiumhydrogencarbonate, ultrasonic scaling   \nIntroduction  \neriodontitis is defined  \nPcondition affecting the  \nas an  \nsupporting  \ninflammatory structures of  \nthe teeth, caused by specific microbial pathogens, and characterized by the progressive destruction of the periodontal ligament and alveolar bone, often accompanied by periodontal pocket formation and/ or gingival recession.[1] It is one of the most prevalent dental diseases and results from a complex interplay between pathogenic biofilms and the host immune response, ultimately leading to soft and hard tissue loss. Effective management hinges on the meticulous removal of supra‑ and subgingival plaque and calculus, forming the foundation of periodontal therapy.[2] In the present study, therapeutic approaches included quadrant‑wise debridement, full‑mouth scaling (FMS), full‑mouth disinfection (FMD), and adjunctive air‑polishing, each aiming to optimize debridement and minimize bacterial recolonization.  \n\n| Access this article online |  |\n| --- | --- |\n| Quick Response Code:\u003Cbr>| Website: [https://journals.lww.com/jpbs](https://journals.lww.com/jpbs) |\n|  | DOI: 10.4103/jpbs.jpbs_1366_25 |\n\nTraditional periodontal therapy typically involves quadrant‑wise scaling and root planning (SRP) performed over multiple weekly sessions, often in conjunction with antiseptic rinses such as 0. 12% chlorhexidine.[3] However, a notable drawback of this approach is the potential for cross‑contamination, where untreated areas may serve as bacterial reservoirs and lead to re‑infection of previously treated sites.[4] To address this limitation, the concept of FMD was introduced, involving complete SRP of the entire dentition within 24 hours along with comprehensive disinfection of oropharyngeal niches using chlorhexidine during and after treatment.[5] This protocol, first proposed by Quirynen et [al](al. in)[. in](al. in) 1995, was designed to reduce microbial reservoirs and enhance therapeutic outcomes.  \n\n| Address for correspondence: Dr. Tanu Sahney,\u003Cbr>Department of Periodontology, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, In","cbCaiiWkKtimxlJj","https://ap.wps.com/l/cbCaiiWkKtimxlJj","pdf",557821,"English","# Abstract\n# Introduction\n## Background and rationale\n# Materials and Methods\n## Participants and eligibility\n## Study groups and interventions\n## Outcomes and statistics","[{\"question\":\"What treatments were compared in this randomized study of Stage III chronic periodontitis?\",\"answer\":\"The study compared quadrant-wise scaling and root planning (Q-SRP), full-mouth scaling (FMS), full-mouth disinfection (FMD), and FMD with air-polishing (FMDAP). Participants were allocated into four groups.\"},{\"question\":\"How were clinical outcomes measured and when were they recorded?\",\"answer\":\"Clinical parameters including plaque index, gingival index, probing depth, and clinical attachment level were recorded at baseline, 3 months, and 6 months.\"},{\"question\":\"Which modality showed the best overall improvements, and what added benefit was reported?\",\"answer\":\"FMDAP provided the greatest overall benefit, with superior improvements in probing pocket depth (PPD) and clinical attachment level (CAL), along with reduced treatment time compared with Q-SRP.\"}]","Evaluation of Full-Mouth Non-Surgical Modalities for the Treatment of Chronic Periodontitis | PDF"]