1/17/2024 0 Comments Subgingival calculus removal![]() ![]() Results: From a total of 41 studies, 14 studies involved comparison of power-driven devices with hand instrumentation for non-surgical therapy. Primary outcome was whether power-driven instruments offered an advantage over hand instrumentation secondary outcomes were effect on root surface, effectiveness of new instrument designs, and role of biophysical effects such as cavitation. Material and Methods: A literature search of power-driven instruments (in vitro, in vivo and controlled clinical trials) was performed from April 2001 using similar criteria to Tunkel et al. ![]() This review focuses on the composition and formation of calculus, its significance for the disease process, the methods available for calculus removal, and prevention of its formation.read more read lessĪbstract: Objectives: The primary aim was: "Does power-driven pocket/root instrumentation offer a clinical advantage over hand instrumentation"? Secondary aim was to update knowledge base of power-driven instrumentation post Tunkel et al. In addition, side-effects such as unintentional root substance removal and patient discomfort have been assessed. The impact of tooth and site characteristics, such as probing depths, tooth type, tooth surfaces and furcation areas, has also been evaluated. Possible differences in efficacy between hand tools and power-driven instruments or lasers have been investigated. They also evaluated the importance of operator experience in the effectiveness of calculus removal. These studies aimed to determine whether complete removal of subgingival calculus by root surface debridement is possible. Over the past 50 years, a large number of clinical and laboratory studies have been performed to determine the efficacy of calculus removal from diseased root surfaces by various methods. Therefore, causerelated anti-infective therapy aims to eliminate the microbial biofilm and calcified deposits from the diseased root surfaces by means of root surface debridement. Although the rough calculus surface may not in itself induce inflammation in the adjacent periodontal tissues, dental calculus serves as an ideal substrate for subgingival microbial colonization. Periodontal treatment, because of the chronic nature of periodontitis, is a lifelong commitment to intricate oral-hygiene techniques, which, when properly implemented, will minimize the risk of disease initiation and progression.read more read lessĪbstract: Periodontitis is strongly associated with the presence of dental calculus on root surfaces. No single treatment option has shown superiority, and virtually all types of mechanical periodontal treatment benefit from adjunctive antimicrobial chemotherapy. Therapeutic intervention includes introduction of techniques to change behavior, such as: individually tailored oral-hygiene instructions a smoking-cessation program dietary adjustment subgingival instrumentation to remove plaque and calculus local and systemic pharmacotherapy and various types of surgery. ![]() Ĭonclusion: Within the limits of the present study, it was concluded that (i) OS improved the outcome of treatment in comparison with CNS and (ii) ERL seemed to be more suitable to promote re-osseointegration than PCM and VUS.read more read lessĪbstract: Treatment of periodontitis aims at preventing further disease progression with the intentions to reduce the risk of tooth loss, minimize symptoms and perception of the disease, possibly restore lost periodontal tissue and provide information on maintaining a healthy periodontium. Histomorphometrical analysis revealed that all CNS implants exhibited comparable low amounts of new BIC (1.0–1.2%), while mean BIC was statistically significant higher in the respective OS groups. Radiological improvements were merely observed at OS implants. Results: All treatment procedures resulted in statistically significant improvements of all clinical parameters at both CNS and OS implants. new bone-to-implant contact (BIC)) parameters were assessed. Clinical, radiological and histological (e.g. The animals were sacrificed after 3 months. The defects were randomly and equally allocated in a split-mouth design to either closed treatment+non-submerged healing (CNS), or open treatment+submerged healing (OS) using an Er:YAG laser (ERL), an ultrasonic device (VUS), or plastic curettes+local application of metronidazole gel (PCM), respectively. Material and Methods: Peri-implantitis was induced by ligature placement in five beagle dogs (n=30 implants). Abstract: Objective: The aim of the present study was to evaluate non-submerged and submerged healing of ligature induced peri-implantitis in dogs. ![]()
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