The effect of plaque control in subjects with shallow pockets and high prevalence of periodontal pathogens.

In a previous study, it was shown that professional tooth cleaning 3x a week had a significant influence on the subgingival microbiota of shallow pockets. The purpose of this investigation was to study the effect of a single episode of full-mouth supragingival cleaning and oral hygiene instructions in subjects with minimal periodontal disease but high prevalence of putative periodontal pathogens. 10 subjects from Arabic countries, aged between 22 and 48 years, which had previously not been exposed to any dental care other than extractions and fillings, were selected for this trial. DNA probe analysis of subgingival samples, taken in the deepest pocket of each quadrant, showed presence of Porphyromonas gingivalis and Prevotella intermedia in all patients, and presence of Actinobacillus actinomycetemcomitans in 5 individuals. 85% of all samples were P. gingivalis-positive, 83% were positive for P. intermedia and 43% were A. actinomycetemcomitans-positive. 4 weeks after treatment, subgingival microbiological samples were again taken in the same sites. In 8 patients, P. gingivalis could still be detected after treatment. However, the number of P. gingivalis positive samples was reduced from 85% to 38%, and the bacterial counts in positive samples were markedly lower than at baseline. P. intermedia-positive samples were obtained from 7 patients after treatment. 33% of all samples were still positive, but showed markedly reduced bacterial counts. 4 patients still yielded A. actinomycetem comitans-positive samples after treatment. Here, the number of positive samples was reduced to 15%, and the bacterial counts were barely exceeding the detection limit.(ABSTRACT TRUNCATED AT 250 WORDS)