CLINICAL EFFECTIVENESS AND PATIENT SATISFACTION WITH THE 24-HOUR FULL-MOUTH SCALING AND ROOT PLANING PROTOCOL

Abstract

Objectives: To evaluate the clinical effectiveness, changes in body temperature, pain levels, and patient satisfaction with 24-hour full-mouth scaling and root planing protocol.

Methods: Seventeen systemically healthy patients with generalized chronic periodontitis, stage III–IV were treated with the 24-hour full-mouth scaling and root planing protocol, combined with 0.12% Chlorhexidine (CHX) mouthwash for one week. Clinical periodontal indices (PlI, GI, BOP, PPD, CAL, PISA) were recorded before treatment at 1 and 3 months post-treatment. Body temperature change within 24 hours, as well as pain level and satisfaction with treatment time after one week, were recorded.

Results: Compared with baseline, all clinical periodontal indices showed statistically significant reductions at 1 and 3 months (p <0.001). Pocket closure rates at 1 and 3 months were 60.28% and 74.14%, respectively. Body temperature increased significantly 24 hours after SRP (p <0.001). Pain level was mild to moderate. Most patients were very satisfied or satisfied with the treatment duration.

Conclusions: The 24-hour full-mouth scaling and root planing protocol is safe, significantly improves periodontal status, and is well-accepted by patients.

Keywords: periodontitis; 24-hour full-mouth scaling and root planing; pocket closure; periodontal inflamed surface area (PISA)