Cited by 154Oral microbiology and periodontitis researchPeriodontal Regeneration and TreatmentsDental Research and COVID-19

The effect of repeated professional supragingival plaque removal on the composition of the supra‐ and subgingival microbiota

Open access
Ximénez‐Fyvie, Laurie Ann, Haffajee, Anne D., Som, Sovanda, Thompson, Maureen, Torresyap, Gay, Socransky, Sigmund S.·2000·Journal of Clinical Periodontology

Abstract

Background, aims: The purpose of the present investigation was to determine the effect of weekly professionally administered supragingival plaque removal on the composition of the supra and subgingival microbiota. Methods: 18 adult subjects with periodontitis who had been treated and were in a maintenance phase of therapy were clinically and microbiologically monitored at baseline, 3, 6 and 12 months. After the baseline visit, the subjects received scaling and root planing followed by professional supragingival plaque removal every week for 3 months. Clinical measures of plaque accumulation, bleeding on probing (BOP), gingival redness, suppuration, pocket depth and attachment level were made at 6 sites per tooth at each visit. Separate supra (N=1804) and subgingival (N=1804) plaque samples were taken from the mesial aspect of all teeth excluding third molars in each subject at each time point and evaluated for their content of 40 bacterial taxa using checkerboard DNA‐DNA hybridization. Significance of changes in mean counts, prevalence and proportions of bacterial species over time in both supra and subgingival samples were determined using the Quade test and adjusted for multiple comparisons. Results: Mean % of sites exhibiting plaque, gingival redness and BOP were significantly reduced during the course of the study. Significant decreases in mean counts were observed in both supra and subgingival samples. Mean total DNA probe counts (×10 5, ±SEM) at baseline, 3, 6 and 12 months were: 133±19, 95±25, 66±6, 41±6 (p<0.001) for supragingival samples and 105±22, 40±10, 19±4, 13±3 (p<0.001) for subgingival samples. Mean counts of 22 of 40 and 34 of 40 species tested were significantly reduced in the supra and subgingival samples respectively over the monitoring period. For example, mean counts of Porphyromonas gingivalis×10 5 at baseline, 3, 6 and 12 months in the subgingival plaque samples were 2.0±0.4, 0.5±0.2, 0.6±0.3, 0.3±0.1 (p<0.001); Bacteroides forsythus 2.0±0.6, 0.4±0.1, 0.4±0.2, 0.1±0.2 (p<0.001); Treponema denticola 3.4±1.1, 0.8±0.3, 0.4±0.2, 0.3±0.3 (p<0.01). Similar reductions were seen in supragingival plaque samples. While counts were markedly reduced by professional plaque removal, the proportion and prevalence of the 40 test species were marginally affected. Conclusions: Weekly professional supragingival plaque removal profoundly diminished counts of both supra‐ and subgingival species creating a microbial profile comparable to that observed in periodontal health. This profile was maintained at the final monitoring visit, 9 months after completion of therapy.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1034/j.1600-051x.2000.027009637.x

Cites

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • In periodontitis patients, weekly professional supragingival plaque removal significantly diminished counts of both supragingival and subgingival species, creating a microbial profile comparable with that observed in periodontal health.

    “although it has been shown in periodontitis patients that weekly professional supragingival plaque removal significantly diminished counts of both supragingival and subgingival species creating a microbial profile comparable with that observed in periodontal health.112”

    From Contemporary practices for mechanical oral hygiene to prevent periodontal disease. (2020) · cites this paper as [112]

    The Abstract and Microbiological findings (page numbers unavailable) report significant reductions in species counts in both supragingival and subgingival samples. The Discussion describes a state resembling health only as conceivable, not as a demonstrated comparison with healthy patients. The Abstract also notes that scaling and root planing preceded the weekly plaque removal, so the claim overattributes the observed change to plaque removal alone. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

The publisher hasn’t deposited this paper’s reference list.

Research works printed but not linked: 35

  1. Al-Yahfoufi, Z., Mombelli, A., Wicki, A. & Lang, N. P. (1995) The effect of plaque control in subjects with shallow pockets and high prevalence of periodontal patho- gens. Journal of Clinical Periodontology 22, 78-84.
  2. Axelsson, P. & Lindhe, J. (1974) The effect of a preventive programme on dental plaque, gingivitis and caries in schoolchildren. Re- sults after one and two years. Journal of Clinical Periodontology 1, 126-138.
  3. Axelsson, P. & Lindhe, J. (1981) The signifi- cance of maintenance care in the treatment of periodontal disease. Journal of Clinical Periodontology 8, 281-294.
  4. Beltrami, M., Bickel, M. & Baehni, P. C. (1987) The effect of supragingival plaque control on the composition of the subgin- gival microflora in human periodontitis. Journal of Clinical Periodontology 14, 161- 164.
  5. Conover, W. J. (1980) Practical nonpara- metric statistics, 2nd edition. John Wiley & Sons, New York, pp 295-299.
  6. Dahlen, G., Lindhe, J., Sato, K., Hanamura, H. & Okamoto, H. (1992) The effect of supragingival plaque control on the sub- gingival microbiota in subjects with peri- odontal disease. Journal of Clinical Peri- odontology 19, 802-809.
  7. Daly, C. G. & Highfield, J. E. (1996) Effect of localized experimental gingivitis on early supragingival plaque accumulation. Journal of Clinical Periodontology 23, 160-164.
  8. De Sanctis, M., Zuchelli, G. & Clauser, C. (1996a) Bacterial colonization of barrier material and periodontal regeneration. Journal of Clinical Periodontology 23, 1039-1046.
  9. De Sanctis, M., Zuchelli, G. & Clauser, C. (1996b) Bacterial colonization of bioab- sorbable material and periodontal re- generation. Journal of Periodontology 67, 1193-1200.
  10. Haffajee, A. D., Socransky, S. S. & Goodson, J. M. (1983) Comparison of different data analyses for detecting changes in attach- ment level. Journal of Clinical Periodonto- logy 10, 298-310.
  11. Hellstrom, M.-K., Ramberg, P., Krok, L. & Lindhe, J. (1996) The effect of supragin- gival plaque control on the subgingival mi- croflora in human periodontitis. Journal of Clinical Periodontology 23, 934-940.
  12. Katsanoulas, T., Renee, I. & Attstrom, R. (1992) The effect of supragingival plaque control on the composition of the sub- gingival flora in periodontal pockets. Journal of Clinical Periodontology 19, 760-765.
  13. Kho, P., Smales, F. C. & Hardie, J. M. (1985) The effect of supragingival plaque control on the subgingival microflora. Journal of Clinical Periodontology 12, 676-686.
  14. Kornman, K. S., Newman, M. G., Moore, D. J. & Singer, R. E. (1994) The influence of supragingival plaque control on clinical and microbial outcomes following the use of antibiotics in the treatment of peri- odontitis. Journal of Periodontology 65, 848-854.
  15. Lavanchy, D. L., Bickel, M. & Baehni, P. C. (1987) The effect of plaque control after scaling and root planing on the subgingi- val microflora in human periodontitis. Journal of Clinical Periodontology 14, 295- 299.
  16. Lindhe, J. & Nyman, S. (1975) The effect of plaque control and surgical pocket elimin- ation on the establishment and mainten- ance of periodontal health. A longitudinal study of periodontal therapy in cases of advanced disease. Journal of Clinical Peri- odontology 2, 67-79.
  17. Lindhe, J., Westfelt, E., Nyman, S., Socran- sky, S. S. & Haffajee, A. D. (1984) Long- term effect of surgical/non surgical treat- ment of periodontal disease. Journal of Clinical Periodontology 11, 448-458.
  18. Lindhe, J., Westfelt, E., Nyman, S., Socran- sky, S. S., Heijl, L. & Bratthall, G. (1982) Healing following surgical/non surgical treatment of periodontal disease. Journal of Clinical Periodontology 9, 115-128.
  19. Lo ¨e, H., Theilade, E. & Jensen, S. B. (1965) Experimental gingivitis in man. Journal of Periodontology 36, 177-187.
  20. Magnusson, I., Lindhe, J., Yoneyama, T. & Liljenberg, B. (1984) Recolonization of a subgingival microbiota following scaling in deep pockets. Journal of Clinical Period- ontology 11, 193-207.
  21. McNabb, H., Mombelli, A. & Lang, N. P. (1992) Supragingival cleaning 3 times a week. The microbiological effects in mod- erately deep pockets. Journal of Clinical Periodontology 19, 348-356.
  22. Muller, H.-P., Hartmann, J. & Flores-de-Ja- coby, L. (1986) Clinical alterations in re- lation to the morphological composition of the subgingival microflora following scaling and root planing. Journal of Clin- ical Periodontology 13, 825-832.
  23. Nyman, S., Rosling, B. & Lindhe, J. (1975) Effect of professional tooth cleaning on healing after periodontal surgery. Journal of Clinical Periodontology 2, 80-86.
  24. Ramberg, P., Furuichi, Y., Volpe, A. R,, Gaf- far, A. & Lindhe, J. (1996) The effects of antimicrobial mouthrinses on de novo plaque formation at sites with healthy and inflamed gingivae. Journal of Clinical Peri- odontology 23, 7-11.
  25. Rosling, B., Nyman, S. & Lindhe, J. (1976a) The effect of systematic plaque control on bone regeneration in infrabony pockets. Journal of Clinical Periodontology 3, 38- 53.
  26. Rosling, B., Nyman, S., Lindhe, J. & Jern, B. (1976b) The healing potential of the peri- odontal tissues following different tech- niques of periodontal surgery in plaque- free dentitions. A 2-year clinical study. Journal of Clinical Periodontology 3, 233- 250.
  27. Smulow, J., Turesky, S. S. & Hill, R. G. (1983) The effect of supragingival plaque removal on anaerobic bacteria in deep periodontal pockets. Journal of American Dental As- sociation 107, 737-742.
  28. Socransky, S. S., Haffajee, A. D., Smith, C. & Dibart, S. (1991) Relation of counts of mi- crobial species to clinical status at the sampled site. Journal of Clinical Periodon- tology 18, 766-775.
  29. Socransky, S. S., Haffajee, A. D., Cugini, M. A., Smith, C. & Kent, Jr. R. L. (1998) Mi- crobial complexes in subgingival plaque. Journal of Clinical Periodontology 25, 134- 144.
  30. Tabita, P. V., Bissada, N. F. & Mayberry, J. E. (1981) Effectiveness of supragingival plaque control on the development of sub- gingival plaque and gingival inflammation in patients with moderate pocket depth. Journal of Periodontology 52, 88-93.
  31. Westfelt, E., Bragd, L., Socransky, S. S., Haf- fajee, A. D., Nyman, S. & Lindhe, J. (1985) Improved periodontal conditions follow- ing therapy. Journal of Clinical Periodonto- logy 12, 283-293.
  32. Westfelt, E., Nyman, S., Lindhe, J. & Socran- sky, S. (1983) Use of chlorhexidine as a plaque control measure following surgical treatment of periodontal disease. Journal of Clinical Periodontology 10, 22-36.
  33. Westfelt, E., Rylander, H., Dahlen, G. & Lindhe, J. (1998) The effect of supragin- gival plaque control on the progression of advanced periodontal disease. Journal of Clinical Periodontology 25, 2536-2541.
  34. Xime ´nez-Fyvie, L. A., Haffajee, A. D. & Soc- ransky, S. S. (2000a) Microbial compo- sition of supra and subgingival plaque in subjects with adult periodontitis. Journal of Clinical Periodontology 27, in press.
  35. Xime ´nez-Fyvie, L. A., Haffajee, A. D. & Soc- ransky, S. S. (2000b) Comparison of the microbiota of supra-and subgingival plaque in health and periodontitis. Journal of Clinical Periodontology 27, 648-657.

Cited by

Sorted by citations

Authors
Ximénez‐Fyvie, L. A., Haffajee, A. D., Som, S., Thompson, M., Torresyap, G., & Socransky, S. S.
Affiliations
The Forsyth Institute (US)
Venue
Journal of Clinical Periodontology
Publisher
Wiley
Published
2000-09
Volume
27
Issue
9
Pages
637-647
ISSN
  • 0303-6979 (ISSN-L)
  • 1600-051X
OpenAlex
W2020444158
Cited by
152
References
0
Citations by year
2026: 2 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 4 · 2021: 4 · 2020: 8 · 2019: 8 · 2018: 5 · 2017: 8 · 2016: 3 · 2015: 4 · 2014: 7 · 2013: 4 · 2012: 8
FWCI
8.16
Type
journal article
Language
en
Open access
Locations
  • Journal Of Clinical Periodontology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Universidad Nacional Autónoma de México
  • Dirección General de Asuntos del Personal Académico, Universidad Nacional Autónoma de México
  • National Institute of Dental and Craniofacial Research (DE 12108, DE-10977, R01DE012108, P50DE004881, R37DE010977, DE04881)
Topics
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
  • Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
Keywords
supragingival plaque, subgingival plaque, periodontitis, periodontal maintenance, scaling and root planing, oral microbiota, Porphyromonas gingivalis, Treponema denticola, Porphyromonas asaccharolytica, Porphyromonas endodontalis
MeSH terms
Adult, Aged, Bacteria, Dental Plaque, Dental Plaque Index, DNA, Bacterial, Female, Gingiva, Humans, Male, Middle Aged, Nucleic Acid Hybridization, Periodontitis, Dental Scaling, Time Factors, Colony Count, Microbial, DNA Probes, Root Planing

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review