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  • Full Mouth Disinfection Students Slides

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    Full mouth disinfection (FMD) involves completing scaling and root planing of all four quadrants within 24 hours along with adjunctive chlorhexidine therapies to target the oropharyngeal niches like the tongue and tonsils. Chlorhexidine use is usually maintained for 2 months. FMD aims to prevent reinfection of previously treated sites from remaining intraoral reservoirs by eliminating periodontal pathogens systemically. The main periodontal pathogens include Actinomyces, Streptococcus, Capnocytophaga, Prevotella, Bacteroides, Porphyromonas, and Treponema species found in supragingival and subgingival plaque.

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    Full mouth disinfection (FMD) involves completing scaling and root planing of all four quadrants within 24 hours along with adjunctive chlorhexidine therapies to target the oropharyngeal niches like the tongue and tonsils. Chlorhexidine use is usually maintained for 2 months. FMD aims to prevent reinfection of previously treated sites from remaining intraoral reservoirs by eliminating periodontal pathogens systemically. The main periodontal pathogens include Actinomyces, Streptococcus, Capnocytophaga, Prevotella, Bacteroides, Porphyromonas, and Treponema species found in supragingival and subgingival plaque.

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    224 views5 pages

    Full Mouth Disinfection Students Slides

    Uploaded by

    DrAbhishek Sinha
    Full mouth disinfection (FMD) involves completing scaling and root planing of all four quadrants within 24 hours along with adjunctive chlorhexidine therapies to target the oropharyngeal niches like the tongue and tonsils. Chlorhexidine use is usually maintained for 2 months. FMD aims to prevent reinfection of previously treated sites from remaining intraoral reservoirs by eliminating periodontal pathogens systemically. The main periodontal pathogens include Actinomyces, Streptococcus, Capnocytophaga, Prevotella, Bacteroides, Porphyromonas, and Treponema species found in supragingival and subgingival plaque.

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    Define Full Mouth Disinfection

    Definition: Four quadrants of RP completed in 24 hrs with adjunctive chlorhexidine therapies Chlorhexidine therapies include rinsing, subgingival irrigation, tongue brushing, etc This adds the oropharyngeal niches (tongue, tonsils, mucosa, saliva) Chlorhexidine use usually maintained for 2 months www.perio.org Journal of Periodontology

    Emily Richards

    What are the Main Periodontal Pathogens?


    Supragingival Plaque
    Actinomyces israelii Actinomyces odontolyticus Actinomyces naeslundii Neisseria mucosa Streptococcus gordonii Capnocytophaga ochracea Capnocytophaga sputigena Prevotella nigrescens Prevotella intermedia Bacteroides forsythus Porphyromonas gingivalis

    Subgingival Plaque

    Severe and Refractory Periodontitis - Porphyromonas gingivalis - Bacteroides forsythus - Treponema denticola Necrotizing Periodontal Disease - spirochetes - Fusobacterium - Prevotella Localized Aggressive Periodontitis - Actinobacillus actinomycetemcomitans

    References 1. Dr. J. C. Fenno, Microbiology of Periodontal Diseases Dentistry 609. 2. Ximenez, Fyvie: J Clin Periodontal, Volume 27(10). October 2000. 722-32.

    What are the specific goals of FMD?


    To prevent the re-infection of previous sc/rp pockets from remaining intra-oral niches such as tongue, mucosa, and saliva

    Bollen CM et al. Journal of Clinical Periodontology, 1998 Jan.

    Vincent Lin

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