Clinical and Biochemical Effects of Same Day Full Mouth versus Quadrant Scaling and Root Planing

Objectives: The aim of this study is to evaluate the effects of same day full mouth scaling and root planing (FM-SRP) versus quadrant scaling and root planing (Q-SRP) in chronic periodontitis patients in terms of clinical parameters and saliva TNF-alfa levels, total antioxidant status (TAS), total oxidant status (TOS) and oxidative stres index (OSI).
Methods: A total of fifty chronic periodontitis patients were volunteered for this study in Istanbul University School of Dentistry Department of Periodontology Clinics. They were enrolled in test (n=25) and control (n=25) groups randomly. Test group received same day full mouth scaling by using ultrasonic device and root planing by using Gracey currettes. Control group received the same treatment with the test group but in quadrants, all treatment to be completed in four seperate appointments. All treatments were carried out by the same clinician. Periodontal status was evaluated by recording; plaque index(PI), bleeding on probing (BOP),probing depth (PD), and clinical attachment level (CAL) before treatment and at 1 and 3-months following treatment. Biochemical parameters were evaluated in saliva samples collected at the same timepoints with the clinical recordings. TNF-alfa levels, total antioxidant status (TAS), total oxidant status (TOS) and oxidative stres index (OSI) in saliva were evaluated by special laboratory kits.
Results: All clinical parameters were improved in both test and control groups during the study period. There were no statistically significant differences between groups in terms of clinical parameters at each timepoint. The changes in saliva TAS, TOS and OSI were not statistically significant between two groups. Saliva TNF-alfa levels were decreased more in the test group and this was statistically significant.
Conclusions: Both treatment modalities resulted in good clinical healing outcomes. Although, completing the treatment in one appointment resulted in lower saliva TNF-alpha levels in the short term. It is possible to conclude that from a clinical perspective chronic periodontitis patients would benefit similarly from both treatment approaches. To have a better understanding of the differences in saliva TNF-alpha levels, further studies should address the possible mechanisms underlying this effect.