Full mouth disinfection

Question 1

what are some risk factors for periodontal disease?

Answer 1

smoking
diabetes
genetics
medication
hormones, pregnancy, menopause

Question 2

why would you FMD?

Answer 2

some bacteria may be able to re – infect areas which have already been treated eg dental instruments, saliva

Full mouth disinfection can be used to provide intensive treatment over two visits, usually within 24 hours

Question 3

what does root surface instrumentation mean?

Answer 3

Removing endotoxins from root surface
Disrupting biofilm on root surface
Removing subgingival calculus from root surface

Question 4

dis adv of FMD?

Answer 4

Long appts
discomfort after treatment
operator fatigue

Question 5

what are FMD principles?

Answer 5

Targets all the areas
If pockets are >5mm ,professional intervention crucial i.e RSD/RSI

Full mouth disinfection can be used to provide intensive treatment over two visits within 24 hours or as short a time as possible

Target all areas in the mouth with Chlorhexidine digluconate 0.2% for 1 minute

Question 6

Benefits of FMD compared to conventional RSI

Answer 6

More attachment gain
More probing depth reduction
Decrease/elimination of pathogens up to 4/12
Decreased malodour
Lower risk of re-infection
Decreased number of patients visits-quicker treatment

Question 7

Potential Disadvantages of FMD?

Answer 7

Increased pain and sensitivity

Recession

Less opportunity for smoking cessation and Oral Hygiene advice