The effectiveness of different root debridement modalities in open flap surgery

Journal of Clinical Periodontology
M B HuerzelerJ R Strub

Abstract

It is unclear what degree of roughness or smoothness result from use of hand instruments alone in comparison to the use of hand instruments in combination with other aids and how it may effect the grade of cleanliness. The aim of this study was to determine in vivo whether the combination of hand instruments with other aids can increase the effectiveness of root debridement. 11 patients with holpless 4 mandibular incisors were involved in this study. After elevating a lingual and buccal mucoperiosteal flap, the 4 incisors were randomly treated with either: (1) no treatment (control); (2) 5-min scaling (method 1); (3) 4-min scaling and 1 min instrumentation with a perio-diamond bur (15 microm) (method 2); (4) 3-min scaling, 1-min instrumentation with a perio-diamond bur (15 microm) and 1 min with an air abrasive system (method 3). The cleanliness of the surface was determined using the method of Eschler and -Rapley. The degree of roughness (Ra and Rt) were measured with a laser beam (computer supported optical surface sensor system). In addition, an SEM analysis was performed. With regard to the remaining calculus (surface cleanliness), method 3 yielded significantly better results than the other 2 methods. The roughness analyse...Continue Reading

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Citations

Dec 7, 2007·Clinical Oral Investigations·Fábio André SantosElcio Marcantonio
Jan 4, 2007·Journal of Periodontology·Raymond A YuknaElizabeth T Mayer
Feb 19, 2015·International Journal of Dental Hygiene·J BühlerC Walter
Jan 18, 2008·Journal of Clinical Periodontology·Grit MeissnerThomas Kocher
Nov 26, 2014·International Journal of Dental Hygiene·D HoferP R Schmidlin
Jan 28, 2015·Journal of Indian Society of Periodontology·Shantipriya ReddySavita Singh
Feb 13, 2018·Australian Dental Journal·F TürktekinE Buduneli
May 16, 2002·Periodontology 2000·Gregor J PetersilkaThomas F Flemmig
Mar 1, 2003·Journal of Applied Oral Science : Revista FOB·Fabio Valverde Rodrigues Bastos Neto, Sebastião Luiz Aguiar Greghi

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