Full-mouth Scaling And Root Planing And Systemic Antimicrobial Therapy In Generalized Aggressive Periodontitis: A Short-term Observation

Objective: To investigate the short-term clinical results of full mouth scaling and root planning with amoxicillin/metronidazole therapy in generalized aggressive periodontitis method.I want to provides a new non-surgical therapy treatment plan for aggressive periodontitis.Materials and methods: 7 generalized aggressive periodontitis cases with 1152 sites of the 192 teeth from yantai stomatological hospital were included in this prospective study.1 week before full mouth scaling and root planing,all patients were taken on supragingival scaling and oral hygiene instruction.Before the scaling,6 sites of the every teeth were accepted periodontal specialized examination, including bleeding on probing(BOP),periodontal probing depth(PD), gingival recession(REC), furcation involvement,tooth mobility.There months after the visit, the same periodontal specialized examination were carried on all the teeth.Comparison before and after treatment,the change of the indicators to evaluate the effect of this method.Results: 1.Before scaling,the PD of all patients was from3.5 mm to 6.2 mm.The number of I degree loosed teeth was reduced from 41 to 23 after treatment, the total number of loose teeth was cutted into 43 from 61 after treatment. Ⅲ degree loosed teeth only have 2,and at the time of recalled,the 2 teeth becameⅡ degree.Seven patients have different degree of abnormal tooth position, crowded and malocclusion.2.In all 7cases,there were different degrees of teeth abnormal position, both crowded and wrong micromaxillary deformity and anomal roots such as a cone-shaped short root, orhigh-pitched toot,etc.3. Before and after treatment, patients, PD was reduced by an average 1.3 mm, the attachment loss was rose by an average about 1.0 mm.These difference had statistical significance(P < 0.01).BOP positive sites was cut from 76% to16% on average, and the difference was statistically significant(P < 0.05).4. Before treatment,the sites percentage of mild(PD≤mm), medium(4<PD≤6 mm),and severe(PD> 6 mm)were 62.4%, 21.3% and 62.4%, respectively, and after treatment the percentage were 2.6%, 4.3% and 3.1%.The reduced of PD in severe sites(4.0mm±1.5mm) was more than moderate sites(2.1 mm±0.8 mm), and the difference was statistically significant(P < 0.01).5.After treatment, clinical probing depth of anterior teeth, premolar and molar was reduced, and the difference was statistically significant(P< 0.01). An average PD of the anterior teeth before treatment(4.1 mm±1.4 mm) is less than the average PD of mola(4.8 mm±1.2 mm), and after treatment the reduced PD of molar( 1.3mm + 0.8mm) is greater than the front teeth(1.2mm±1.2mm).But there was no statistically significant difference(P > 0.05).Conclusion:Full mouth scaling and root planning combined with systemic antibiotics(amoxicillin/metronidazole)could therapy generalized aggressive periodontitis treatment and also obtain good clinical effection, especially in the deeper periodontal pocket.