Scaling and Root Planing

Pattison, Anna Matsuishi; Pattison, Gordon L.

doi:10.1016/b978-1-4377-0416-7.00045-7

Cited by 11 publications

(17 citation statements)

References 141 publications

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“…Ultrasonic instrumentation was performed using Slimline ® cavitron insert. [20] Er:YAG laser scaling and root planing was performed with non-contact mode hand piece kept at a distance of 1 cm from the tooth surface. The beam was focused on the deposit and was continuously moved until deposit was removed.…”

Section: Methodsmentioning

confidence: 99%

A comparative scanning electron microscopy study between hand instrument, ultrasonic scaling and erbium doped:Yttirum aluminum garnet laser on root surface: A morphological and thermal analysis

Mishra¹,

Prakash

2013

Contemp Clin Dent

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Background and Objectives:Scaling and root planing is one of the most commonly used procedures for the treatment of periodontal diseases. Removal of calculus using conventional hand instruments is incomplete and rather time consuming. In search of more efficient and less difficult instrumentation, investigators have proposed lasers as an alternative or as adjuncts to scaling and root planing. Hence, the purpose of the present study was to evaluate the effectiveness of erbium doped: Yttirum aluminum garnet (Er:YAG) laser scaling and root planing alone or as an adjunct to hand and ultrasonic instrumentation.Subjects and Methods:A total of 75 freshly extracted periodontally involved single rooted teeth were collected. Teeth were randomly divided into five treatment groups having 15 teeth each: Hand scaling only, ultrasonic scaling only, Er:YAG laser scaling only, hand scaling + Er:YAG laser scaling and ultrasonic scaling + Er:YAG laser scaling. Specimens were subjected to scanning electron microscopy and photographs were evaluated by three examiners who were blinded to the study. Parameters included were remaining calculus index, loss of tooth substance index, roughness loss of tooth substance index, presence or absence of smear layer, thermal damage and any other morphological damage.Results:Er:YAG laser treated specimens showed similar effectiveness in calculus removal to the other test groups whereas tooth substance loss and tooth surface roughness was more on comparison with other groups. Ultrasonic treated specimens showed better results as compared to other groups with different parameters. However, smear layer presence was seen more with hand and ultrasonic groups. Very few laser treated specimens showed thermal damage and morphological change.Interpretation and Conclusion:In our study, ultrasonic scaling specimen have shown root surface clean and practically unaltered. On the other hand, hand instrument have produced a plane surface, but removed more tooth structure. The laser treated specimens showed rough surfaces without much residual deposit or any other sign of morphological change.

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Section: Methodsmentioning

confidence: 99%

A comparative scanning electron microscopy study between hand instrument, ultrasonic scaling and erbium doped:Yttirum aluminum garnet laser on root surface: A morphological and thermal analysis

Mishra¹,

Prakash

2013

Contemp Clin Dent

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“…Passive professional prevention Scaling and cleaning aim at removing supra‐ and subgingival plaque and calculus, and are important for the professional prevention of both dental caries and periodontal disease 22 .…”

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confidence: 99%

Geriatric dentistry – meet the need

2012

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Geriatric dentistry -meet the needGeriatric dentistry or gerodontics is the delivery of dental care to older adults involving the diagnosis, prevention, and treatment of problems associated with normal ageing and age-related diseases as part of an inter-disciplinary team with other health care professionals. Geriatric health is an ignored and underexplored area worldwide. Oral health reflects overall well being for the elderly population. Conversely, elderly patients are more predisposed to oral conditions due to age-related systemic diseases and functional changes. The major barriers to practising geriatric dentistry are the lack of trained faculty members, a crowded curriculum and monetary concerns. For successful treatment, the practitioner must adopt a humanitarian approach and develop a better understanding of the feelings and attitudes of the elderly. Prevention and early intervention strategies must be formulated to reduce the risk of oral diseases in this population. In future, dental professionals must have a proper understanding of the magnitude of the services to be provided to the elderly. This could only be realised through an education programme in geriatric dentistry, which should be started without further delay. This article hence sets out the objectives, needs, present scenario, strategies and types of dental treatment required by the elderly population.

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“…The SB group included 30 sites per restoration, while the SV and S groups included 36 sites per unit. Williams periodontal probes with 1, 2, 3, 5, 7, 8, 9 and 10 mm markings 35 were used.…”

Section: Methodsmentioning

confidence: 99%