This Cochrane review update comparing full-mouth scaling/disinfection (FMS/D) to conventional quadrant scaling for periodontitis for the treatment of periodontitis included 20 RCTs. However there is still no clear evidence that FMS/D approaches provide additional clinical benefit compared to conventional treatment.
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This review of the efficacy of adjunctive subgingival administration of chlorhexidine gel in nonsurgical periodontal treatment for chronic periodontitis included 17 RCTs only one of which was at low risk of bias for all domains. Findings suggest an improvement in pocket probing depth but not for clinical attachment.
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13 small RCTs were identified for this review, comparing full mouth interventions with quadrant scaling for periodontitis. Limited evidence of a small benefit was found in two comparisons.
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This updated Cochrane review now includes 12 trials. However, there is no clear evidence that full-mouth scaling or full-mouth disinfection provides additional benefit compared to conventional scaling and root planing.
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