Enhanced periodontal debridement with the use of micro ultrasonic, periodontal endoscopy.

نویسنده

  • John Y Kwan
چکیده

Current literature supports the use of powered instrumentation over traditional hand instrumentation. The objective of scaling and root planing is the complete removal of plaque and calculus from root surfaces. While this is unrealistic, the accepted end-point is a smooth, glassy root surface during periodontal instrumentation. This often has resulted in overinstrumentation and excessive removal of cementum. Cementum removal has been deemed generally unnecessary. What is essential is the removal of plaque, calculus, and the endotoxin adherent to the root surface. This cleaning of root surfaces is best done with judicious use of powered instrumentation. The excessive removal of cementum during hand instrumentation is due to the lack of visualization. Using endoscopic technology, the ability to visually debride roots can improve chances of success in a more conservative and minimally invasive way. This article provides a brief review of micro ultrasonic technologies and periodontal endoscopy, its implementation in our practice, and a limited case series.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Clinical Efficacy of Full-Mouth Ultrasonic Debridement against Partial-Mouth Ultrasonic Debridement in the Treatment of Chronic Periodontitis: Full-Vs Partial-Mouth Debridement

Aim: To compare the clinical benefit of full-mouth ultrasonic debridement against partial-mouth ultrasonic debridement in patients with chronic periodontitis up to 3 months after therapy. Materials & Methods: Sixty patients with probing pocket depth ≥ 5 mm were randomly assigned to evaluate the clinical efficacy of full-mouth ultrasonic debridement against partial-mouth ultrasonic debridement i...

متن کامل

Patients' perception of pain during ultrasonic debridement: a comparison between piezoelectric and magnetostrictive scalers.

PURPOSE To compare patients' perception of discomfort, vibration and noise levels between piezoelectric and the magnetostrictive ultrasonic units during periodontal debridement. METHODS Periodontal debridement was performed on 75 subjects using a split-mouth design. Two quadrants on the same side were instrumented with a piezoelectric ultrasonic device (EMS Swiss Mini Master® Piezon) and the ...

متن کامل

On Approaches to Periodontal Infection Control

ON APPROACHES TO PERIODONTAL INFECTION CONTROL Cristiano Tomasi Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy at Göteborg University, Box 450, SE 405 30 Göteborg, Sweden The purpose of the project was to gain understanding of clinical possibilities and applicability of non-surgical periodontal therapy. A clinical study was designed to compare a full-mouth ultras...

متن کامل

Clinical evaluation of a protocol of subgingival debridement with Er:YAG laser in comparison to ultrasonic debridement: a randomized clinical trial

Objective:The aim of this parallel controlled randomized clinical trial was to evaluate the clinical efficacy of ultrasonic subgingival debridement in combination with Er:YAG laser as compared to full mouth ultrasonic subgingival debridement alone, after one year, in patients with initial to moderate chronic periodontitis. Material & Methods: 40 patients diagnosed with mild to moderate periodon...

متن کامل

Subgingival debridement of periodontal pockets by air polishing in comparison with ultrasonic instrumentation during maintenance therapy.

AIM The objective was to determine clinical and microbiological effects and perceived treatment discomfort of root debridement by subgingival air polishing compared with ultrasonic instrumentation during supportive periodontal therapy (SPT). MATERIAL AND METHODS The trial was conducted as a split-mouth designed study of 2-month duration including 20 recall patients previously treated for chro...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Journal of the California Dental Association

دوره 33 3  شماره 

صفحات  -

تاریخ انتشار 2005