Full mouth disinfection is the treatment of antimicrobial, closed and mechanopharmacological gingival pockets that include the entire mouth and gums. It is a treatment method that aims to mechanically clean periodontal pockets from bacteria using special tools made for this purpose, reduce microbial recolonization, and restore optimal health of the gums. For this purpose, it is aimed to remove the bacterial biofilm layer adhering to the teeth and gums, to provide mechanical and chemical detoxification in the tooth roots, to remove the pocket epithelium and connective tissue infiltrated by bacteria, and to create an inactive bacterial balance environment. To achieve these goals, not only mechanical treatment methods but also antimicrobial facilities are used. Elimination of periodontopathogenic anaerobic bacteria in the reservoirs formed in the crypts of the tonsils and at the back of the tongue is among the treatment goals. In this way, the existing infection in the gum pockets can be resolved by the rapid proliferation of normal, non-pathogenic flora and maintaining balance. Anti-infectious treatment with closed root surface debridement in periodontal treatment is a GOLD STANDARD approach that produces safe and successful results. can be removed without causing any damage. In the removal of bacterial biofilm, a prophylaxis paste with a maximum thickness of 125 microns and an abrasion power of 250 RDA (Radioactive dentin abrasivity), 170 RDA, 120 RDA, and finally the thinnest polishing paste with a maximum thickness of 2 microns and an abrasion power of 40 RDA is used. With this method, micro retention lines on the teeth are minimized. Biological correction of the root surfaces is achieved with chemical agents. Plaque, tartar and necrotic cementum pieces remaining in the pockets are removed. Not only the patient but also his/her partner are evaluated in terms of their gums and receive treatment if necessary. Gum pockets and tongue become periodic bacterial reservoirs. is subtracted from . A periodontal care appointment is made after 4 weeks to prevent reinfection. Removal of shallow incipient and infiltrated connective tissue provides significantly less bleeding, better aesthetics due to less gingival shrinkage, and comfort of life for the patient due to faster healing. In advanced cases, it is envisaged as a preliminary preparation phase that improves tissue quality before surgery. In advanced cases, bone defects can be eliminated or reduced with more intensive resective and regenerative techniques. The important thing in all cases is to prevent recolonization (bacterial accumulation) that will occur again after treatment or to make it difficult for it to occur.
Dr. GÜNGÖR KARAGÖZLÜ Gum Diseases and Surgery Specialist.
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