Clinical evaluation of the speed and effectiveness of subgingival calculus removal on single-rooted teeth with diamond-coated ultrasonic tips

Journal of Periodontology
R A YuknaElizabeth T Mayer

Abstract

Several studies have found incomplete calculus removal during periodontal treatment with traditional hand curets, sonic, and ultrasonic instruments. This study evaluated the speed and effectiveness of subgingival calculus removal with new diamond-coated ultrasonic tips on single-rooted teeth. Single session subgingival scaling and root planing was performed on 80 teeth with 5 to 12 mm probing depths in 15 patients. Each patient provided groups of 4 teeth that were randomly treated with either hand curets (HAND); standard smooth ultrasonic tip (US); or fine grit (FINDIAM) or medium grit (MEDDIAM) diamond-coated ultrasonic tips. The time taken to reach the therapeutic endpoint of a clean, smooth root surface in a defined region on each tooth with each instrument by the 3 therapists with differing experience levels was recorded. The teeth were then atraumatically extracted, stored in a surfactant, photographed at 10X, and the percent of calculus present in the area of the pocket or on a comparable control surface calculated by histometric point counting. ANOVA and paired t tests showed that mean percent remaining calculus on treated versus control surfaces was HAND 4.6 +/- 5.3 versus 57.5 +/- 28.2, US 4.7 +/- 6.4 versus 54.4 +/- 2...Continue Reading

References

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Citations

Dec 7, 2007·Clinical Oral Investigations·Fábio André SantosElcio Marcantonio
Sep 8, 2010·Clinical Oral Investigations·Philipp MüllerPatrick R Schmidlin
Nov 23, 2006·Lasers in Medical Science·A Moghare AbedM Mir
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Mar 16, 2004·Journal of Clinical Periodontology·Patrick R ObeidPierre Bercy
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Sep 26, 2014·Acta Odontologica Scandinavica·Alparslan Dilsiz, Semanur Sevinc
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