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Type: Journal article
Title: Effects of full-mouth scaling on the periodontal health of indigenous Australians: a randomized controlled trial
Author: Kapellas, K.
Do, L.
Bartold, P.
Skilton, M.
Maple-Brown, L.
O'Dea, K.
Brown, A.
Celermajer, D.
Slade, G.
Jamieson, L.
Citation: Journal of Clinical Periodontology, 2013; 40(11):1016-1024
Publisher: Blackwell Munksgaard
Issue Date: 2013
ISSN: 0303-6979
Statement of
Kostas Kapellas, Loc G. Do, P. Mark Bartold, Michael R. Skilton, Louise J. Maple-Brown, Kerin O’Dea, Alex Brown, David S. Celermajer, Gary D. Slade and Lisa M. Jamieson
Abstract: <h4>Background</h4>Simplified periodontal therapy might be a pragmatic strategy for public health programmes targeting Indigenous Australian adults. The objective of this randomized controlled trial was to evaluate oral health effects of single-visit, non-surgical periodontal therapy compared to no treatment.<h4>Methods</h4>This parallel-group, randomized, open label clinical trial enrolled 273 Indigenous Australians aged ≥18 years with periodontitis. Intervention participants received full-mouth periodontal scaling and root planing during a single visit while the control group received no treatment. Endpoints were summary variables derived from clinical assessments of probing depth, clinical attachment loss, plaque, calculus and gingival bleeding before treatment and 3 months later.<h4>Results</h4>Endpoints could be calculated for 169 participants with follow-up data. Compared to the control group, there were statistically significant reductions in extent of shallow pockets: PD ≥4 mm (mean difference -2.86, [95% CI -5.01 to -0.71], p = 0.009) and gingival bleeding (mean difference -0.25, [95% CI -0.43 to -0.08], p = 0.005) but not deeper pockets PD ≥5 mm (mean difference -0.48, [95% CI -1.78 to 0.82], p = 0.468) or plaque scores.<h4>Conclusions</h4>Periodontal therapy produced improvements in shallow periodontal pockets and measures of gingival bleeding in these Indigenous Australians.
Keywords: full-mouth scaling
Indigenous Australian
non-surgical periodontal therapy
randomized controlled trial
subgingival scaling
Rights: © 2013 John Wiley & Sons A/S.
DOI: 10.1111/jcpe.12152
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Dentistry publications

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