Instrumentation of furcation with modified sonic scaler inserts: study on manikins, part I

Journal of Clinical Periodontology
T KocherH C Plagmann

Abstract

The purpose of this study was to determine the suitability of different scaling instruments for the debridement of furcations. 12 upper and 12 lower replicated molars with through-and-through furcations were instrumented 3x with 5 different types of instruments: (i) hand instruments; (ii) hand instruments in conjunction with diamond burrs; (iii) a conventional ultrasonic scaler insert; (iv) a conventional sonic scaler insert; (v) a set of 2 modified diamond coated sonic scaler inserts with different angulated shafts. The plastic replicas were fixed in a manikin head without replicated soft tissues. Following debridement, weight loss and % of instrumented furcation area were assessed. In the case of lower molars, it made little difference whether they were treated with hand instruments, hand instruments combined with diamond burrs, or diamond-coated sonic scaler inserts. On upper molars, however, significantly more area was instrumented with the diamond-coated inserts than with the other instruments. Substance removal was greater with diamond-coated inserts than with the other devices. In conclusion, an effective debridement of the furcation seems possible only with an odontoplasty, in which a furcation is fitted to the instrume...Continue Reading

References

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Citations

Apr 1, 2006·Journal of Applied Oral Science : Revista FOB·Fernanda Vieira RibeiroMárcio Zaffalon Casati
Aug 28, 2004·Periodontology 2000·Shigeru OdaIsao Ishikawa
Jan 13, 2001·Periodontology 2000·C H Drisko
Sep 22, 2011·Microscopy Research and Technique·Guilherme José Pimentel Lopes de OliveiraRosemary Adriana Chiérici Marcantonio

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