Effect of the use of different periodontal curettes  on the topography and roughness of root surface

Müller, Matheus; Cunha, Emanuelle Juliana; Scariot, Rafaela; Zielak, João César; Santos, Felipe Rychuv; Deliberador, Tatiana Miranda; Storrer, Carmen Lúcia Mueller

doi:10.21726/rsbo.v13i1.266

Cited by 3 publications

(6 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…His study showed that stainless steel millennium had the most homogeneous root surface. In our study, in terms of smoothness, Gracey’s curette produced a smoother root surface compared to After Five and Mini Five Curettes, consistent with the study mentioned above [ 27 ].…”

Section: Discussionsupporting

confidence: 91%

“…It has been well established that there is no significant difference in periodontal pocket depth, clinical attachment levels, or bleeding upon probing when using ultrasonic instruments or manual instruments [ 41 ]. In contrast, there is a substantial difference in root roughness when using manual and ultrasonic instruments [ 27 ]. Regarding hand instruments, there is a paucity of studies that have compared the effects of debridement on root structure using separate hand instruments like Gracey, After Five, and Mini Five.…”

Section: Discussionmentioning

confidence: 99%

“…For the fibrous reattachment to occur, the fibroblasts must contact the root surfaces; otherwise, a long junctional epithelium will form. Matheus Andre Muller investigated the effect of different Gracey curettes on the roughness of the root surfaces of teeth through SEM and found that the quality of the curette's cutting surface significantly affected root surface homogeneity [ 27 ]. Colette Landry compared Gracey curette with the Curvette Sub 0 curette to measure their effects on root roughness.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Analysing root roughness and smear layer relationship by comparing contemporary dental curettes with conventional dental curettes: a randomised controlled trial

et al. 2022

View full text Add to dashboard Cite

Background Root debridement procedures for the treatment of periodontal diseases, produces root surface irregularities and smear layer on the root surface that can adversely affect the healing of periodontal tissues. The objective of the present study was to evaluate the surface texture of root after hand instrumentation with Gracey curette, After Five curette, and Mini Five curette. Methods A randomised, controlled clinical trial was conducted with 120 participants clinically diagnosed with chronic periodontitis. Participants were equally randomised into four groups, with parallel treatment assignment of scaling and root planning using Gracey Curettes, After five and Mini five curette, and a control group with no instrumentation. Mobile teeth of these patients were then extracted atraumatically and analysed under a Scanning Electron Microscope and graded for "Roughness and Loss of Tooth substance index" and "Smear layer index." Cross Tabulation was made between the test groups (Control, Gracey Curette, After five, and Mini Five) versus "Roughness and Loss of Tooth substance Index" and "Smear Layer Index." A Chi-square test with Bonferroni correction was used to determine the graded distribution among the groups. Results In the control group, 73.3% of the teeth showed grade 1 roughness. In the Gracey group, 56.7% showed grade 2 roughness; in the After 5 group, 70% showed grade 3 roughness; in the Mini 5 group, 76.7% showed grade 3 roughness. A significant association was found between roughness scores and the use of individual instruments. Regarding smear layer formation, 46.7% of teeth showed a grade 4 smear layer in the control group. 50% of teeth showed grade 2 smear layer thickness in the Gracey group. In the After 5 group, 73.3% of teeth showed a grade 1 smear layer, while in the Mini 5 group, 80.0% showed a grade 1 smear layer. The use of individual instruments was significantly associated with the smear layer scores. Conclusion Gracey curettes produced relatively smoother root surfaces with less smear layer formation than After Five and Mini Five curettes, which produced relatively more roughened root surfaces with thicker smear layer formation. Trial registration ID: ClinicalTrials.gov Identifier: NCT04216966 Date of Registration: January 3, 2020.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Analysing root roughness and smear layer relationship by comparing contemporary dental curettes with conventional dental curettes: a randomised controlled trial

et al. 2022

View full text Add to dashboard Cite

show abstract

“…It has been established that there is no difference in bleeding upon probing, periodontal pocket depth, or clinical attachment levels when using ultrasonic or hand instruments [24], although a significant difference in root roughness has been reported when manual and ultrasonic instruments were used [16]. Regarding hand instruments, to the best of our knowledge, there have been no studies comparing the effects of debridement on the root structure using separate hand instruments, such as Gracey and double Gracey curettes.…”

Section: Discussionmentioning

confidence: 99%

“…Tooth substance loss is also affected by the shape and design of the instrument. Matheus Andre Muller investigated the effect of different Gracey curettes on the roughness of the root surfaces and found that the quality of the curette's cutting surface affected the homogeneity of the root surface [16].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Alterations That May Occur on Root Surfaces after Root Planing Procedures with a Scanning Electron Microscope

Aslan İğrek,

Çekici

2024

Applied Sciences

View full text Add to dashboard Cite

Background: The aim of root debridement procedures in non-surgical periodontal treatment is the elimination of etiologic factors that cause periodontal disease, as well as the removal of cement affected by the disease. However, root debridement procedures for the treatment of periodontal diseases produce root surface irregularities that can adversely affect the healing of periodontal tissues. The objective of the present study is to evaluate the surface texture of a root after instrumentation, including an ultrasonic instrument, a Gracey curette, or a double Gracey curette. Methods: A total of 26 single-rooted teeth were used in this study; two specimens were used as controls, and the remaining 24 specimens were equally divided into three groups. Specimens from each group were then subjected to root planing using one of the following instruments: (1) an ultrasonic instrument; (2) a Gracey curette; or (3) a double Gracey curette. The control group was treated with no instrumentation. The extracted teeth were analyzed under a scanning electron microscope and graded in terms of the “roughness and loss of tooth substance index” and the “exposed dentin tubule index.” The SPSS (Statistical Package for Social Sciences) V.21 program was used to conduct a statistical analysis of the data obtained in this study. While evaluating the data, in addition to descriptive statistical methods (mean and standard deviation), a one-way analysis of variance (one-way ANOVA) was carried out to compare the quantitative data and evaluate normally distributed parameters between groups, while a post hoc multiple comparison test was carried out for subgroup comparisons. Results: There was no statistically significant difference between the roughness and material loss on the root surfaces in the samples treated with the ultrasonic instrument or the Gracey curette, and no exposed dentine tubules were observed. Meanwhile, it was observed that the double Gracey curette caused more roughness and material loss on the root surface, and exposed dentine tubules were observed in some samples. The time required for treatment using a double Gracey curette was significantly shorter than that required with the Gracey curette and ultrasonic instruments. Conclusions: The double Gracey curettes produced a relatively rougher root surface than the Gracey curettes or the ultrasonic instrument.

show abstract

Calculus Removal and Root Surface Roughness When Using the Er:YAG or Er,Cr:YSGG Laser Compared with Conventional Instrumentation Method: A Literature Review

Alfergany

Nasher

Gutknecht

2019

Photobiomodulation, Photomedicine, and Laser Surgery

View full text Add to dashboard Cite

Effect of the use of different periodontal curettes on the topography and roughness of root surface

Abstract: How to cite Complete issue More information about this article Journal's homepage in redalyc.org Scientific Information System Network of Scientific Journals from Latin America, the Caribbean, Spain and Portugal Non-profit academic project, developed under the open access initiative

Cited by 3 publications

References 11 publications

Analysing root roughness and smear layer relationship by comparing contemporary dental curettes with conventional dental curettes: a randomised controlled trial

Analysing root roughness and smear layer relationship by comparing contemporary dental curettes with conventional dental curettes: a randomised controlled trial

Evaluation of Alterations That May Occur on Root Surfaces after Root Planing Procedures with a Scanning Electron Microscope

Calculus Removal and Root Surface Roughness When Using the Er:YAG or Er,Cr:YSGG Laser Compared with Conventional Instrumentation Method: A Literature Review

Contact Info

Product

Resources

About