Whole mouth disinfection and closed root surface debridement

Whole mouth disinfection is the treatment of antimicrobial, closed and mechanopharmacological gingival pockets, including the entire mouth and gums. It is a treatment method that aims to mechanically empty the periodontal pockets from bacteria with special tools made for this purpose, and to reduce microbial recolonization and to ensure optimal health of the gingiva. For this purpose, it is aimed to remove the bacterial biofilm layer adhered to the teeth and gums, to provide mechanical and chemical detoxification of 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 possibilities are used. Elimination of periodontopathogenic anaerobic bacteria in the crypts of the tonsils and the reservoirs formed at the back of the tongue is among the treatment goals. In this way, the existing infection in the gingival pockets can be corrected by the rapid proliferation of the normal non-pathogenic flora. In periodontal treatment, closed root surface debridement and anti-infectious treatment is a GOLDEN STANDARD approach that produces safe and successful results.


It is ensured that tartar and bacterial biofilm are removed without damaging the tissues. In the removal of bacterial biofilm, the thinnest polishing paste with a maximum of 125 microns thickness, 250 RDA (Radioactive dentine abrasivity) abrasive strength, 170 RDA, 120 RDA, and finally, a maximum of 2 microns thick, 40 RDA abrasion power 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, calculus and necrotic cement fragments remaining in the pockets are removed. Not only the patient, but also his partner is evaluated in terms of gums and treated if necessary. Gingival pockets and tongue are removed from being a periodic reservoir of bacteria. A periodontal care appointment is given after 4 weeks to prevent reinfection. Removal of shallow infiltrating connective tissue provides the patient with less bleeding, better aesthetics due to a small amount of gingival shrinkage, and comfort of life due to faster healing. In advanced cases, it is foreseen as a preliminary stage 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 is to prevent recolonization (bacteria accumulation) that will occur again after treatment or to make it difficult to occur.