“…However, it is difficult to remove plaque completely using conventional methods. Novel methods, such as the use of some chemical agents, laser irradiation, and both sonic and ultrasonic treatments, may be useful for controlling plaque (1,2,3,20,45,46). Therapeutic ultrasound, which has a long history of use as a therapeutic, diagnostic, and surgical tool (4,5,7,38), uses sound waves to transfer mechanical energy to tissues and cells.…”