Overview

At the end of the 1990s, the FMD concept was considered the best approach for periodontal treatment to avoid the reinfection of the already treated periodontal pockets. Over the years, several modifications to improve the effectiveness of FMD have been suggested. The majority of the studies have demonstrated that the results obtained with FMD, and its variants are equivalent to those obtained with the conventional quadrant method. The FMD concept is based on a plausible scientific rationale. Currently, the selection of this technique remains empirical and depends on the preferences of the practitioner and the patient. Indeed, the selection of the FMD technique cannot be based on its greater effectiveness since the majority of the clinical studies have shown it is possible to obtain results equivalent to those obtained with the conventional method with any variant of the FMD technique.

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