Comparative evaluation of manual scaling and root planing with or without magnification loupes using scanning electron microscope: A pilot study

Abstract

Aim:The aim of the present study is to compare the amount of remaining calculus, loss of tooth substance, and roughness of root surface after scaling and root planing with or without magnification loupes using scanning electron microscope.Materials and Methods:In the study, 30 teeth indicated for extractions due to severe chronic generalized periodontitis were included in the study. In test Group I, scaling and root planing was performed without magnification loupes, and in test Group II, scaling and root planing was performed with magnification loupes before extraction. In control Group III, no procedure was performed. After scaling and root planing, teeth were extracted followed by preparation of specimens. Specimens were then sent for scanning electron microscope study.Results:Statistically significant (P ≤ 0.05) differences were found among different test groups. Results showed that test Group II with magnification loupes had less remaining calculus and smoother surface with lesser amount of loss of cementum layer.Conclusion:From this, it was concluded that test Group II was more efficient in root debridement than test Group 1, so scaling and root planing done with magnification loupes will cause less damage to the tooth surface.

Clinical Benefits of Minimally Invasive Non-Surgical Periodontal Therapy as an Alternative of Conventional Non-Surgical Periodontal Therapy—A Pilot Study

“…The precision was the lowest in preparation without any magnification device. A previous comparative study demonstrated that manual scaling and root planning treatment with magnification loupes could result in less damage to the tooth structure and in less remaining calculus [ 52 ]. However, a recent study compared a total of 30 patients in supragingival debridement with and without using 2.5× magnification loupes [ 53 ].…”

Evaluation of a systematic digitized training program on the effectivity of subgingival instrumentation with curettes and sonic scalers in vitro

“…Despite the potential advantages in wearing loupes, in the current investigation their use was allowed, but not obligatory. However, the benefit of loupes during periodontal treatments is controversially discussed in literature [ 23 – 27 ], although a better view into the sulcus can be assumed.…”

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“…Comparative evaluation of scaling and root planning with the use of scanning electron microscopy resulted in more efficiency in removing the calculus than the unaided group. 48 Another study where the evaluation of the effectiveness of scaling and root planning when done using atomic force microscopy and scanning electron microscopy suggested its efficacy. Microanalysis of the root surface identified alteration within cementum when observed under atomic force microscope.…”