Based on evidence, do you believe that debriding and disinfecting pockets is better than debriding alone?
There is definitely evidence supporting combining debridement and disinfection subgingivally to provide more comprehensive treatment for patients showing signs of inflammation or infection. Drisko recommends that mechanical and chemotherapeutic approaches be utilized to minimize or eliminate microbial biofilm both supra and subgingivally. This anti-infective therapy is certainly warranted in cases that have not shown clinical improvements such as reduced PD and most importantly, reduced BOP with mechanical debridement alone. There is also evidence indicating that bacteria such as Pg and Aa are not entirely removed with conventional mechanical instrumentation alone, and further evidence shows that these putative pathogens are capable of invading host cells, which may lead to recurrent periodontal diseases or refractory periodontal diseases.
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