# Full-Mouth Disinfection Using Oral Sitafloxacin for Stage III and IV Grade C Periodontitis With High Bacterial Load: A Case Series

## TL;DR

A new nonsurgical treatment combining full-mouth disinfection and oral sitafloxacin significantly improved severe periodontitis in four patients with high bacterial loads.

## Contribution

A novel nonsurgical protocol using full-mouth disinfection and sitafloxacin for severe periodontitis with high bacterial load is proposed.

## Key findings

- Marked improvements in probing pocket depth and bleeding on probing were observed.
- Substantial reductions in red complex bacteria were recorded after treatment.
- The approach reduced the need for periodontal surgery in deep pockets.

## Abstract

This case series presents a novel treatment approach for severe periodontitis with high bacterial loads in four patients (aged 32-47 years), including three cases of stage III and one case of stage IV, grade C periodontitis. After conventional scaling and root planing failed in one case, we developed a protocol combining full-mouth disinfection (FMD) with oral sitafloxacin (STFX) for cases with high levels of subgingival periodontal pathogens. FMD involved thorough debridement within 1 week, with STFX (100 mg/day) administered for 7 days. Clinical and microbiological parameters were evaluated before and after treatment. The results showed marked improvements in probing pocket depth, bleeding on probing, and inflamed periodontal surface area, with substantial reductions in red complex bacteria. This approach often eliminates the need for periodontal surgery, even in deep pockets, suggesting FMD with STFX as an effective nonsurgical alternative for severe periodontitis with significant bacterial load.