Comparison of root surface roughness produced by air polishing combined with hand instrumentation or ultrasonic instrumentation: an in vitro study. 2019

Rajendran Poornima, and Anand Kukkamalla Meena, and G Pratibha

The aim of this study was to examine the surface roughness produced by root debridement during periodontal maintenance therapy. The root surface roughness produced by hand scaling and subsequent glycine powder air polishing (GPAP) was compared with that produced by ultrasonic scaling and subsequent GPAP. Fifty extracted incisor and premolar teeth were collected and randomly allocated to the following 5 groups (n = 10 per group): 1, hand scaling followed by GPAP; 2, ultrasonic scaling followed by GPAP; 3, hand scaling alone; 4, ultrasonic scaling alone; and 5, no treatment. After the initial scaling procedure, specimens in groups 1 and 2 were incubated at 37°C for 3 days. The specimens then underwent GPAP for 5 seconds. All specimens were examined under a profilometer, and the root surface roughness was measured in micrometers. The specimens in groups 1 (hand scaling with GPAP) and 2 (ultrasonic scaling with GPAP) were studied in detail under a scanning electron microscope. The different protocols produced the following mean root surface roughness values: group 1, 2.31 µm; group 2, 4.33 µm; group 3, 5.84 µm; group 4, 6.32 µm; and group 5, 9.20 µm. The difference between groups 1 and 2 was statistically significant (P < 0.05). In this in vitro study, hand scaling with curettes produced smoother root surfaces than ultrasonic scaling. Adjunctive use of GPAP for 5 seconds along with hand scaling or ultrasonic scaling resulted in improved root surface smoothness during periodontal maintenance therapy.

UI MeSH Term Description Entries
D008855 Microscopy, Electron, Scanning Microscopy in which the object is examined directly by an electron beam scanning the specimen point-by-point. The image is constructed by detecting the products of specimen interactions that are projected above the plane of the sample, such as backscattered electrons. Although SCANNING TRANSMISSION ELECTRON MICROSCOPY also scans the specimen point by point with the electron beam, the image is constructed by detecting the electrons, or their interaction products that are transmitted through the sample plane, so that is a form of TRANSMISSION ELECTRON MICROSCOPY. Scanning Electron Microscopy,Electron Scanning Microscopy,Electron Microscopies, Scanning,Electron Microscopy, Scanning,Electron Scanning Microscopies,Microscopies, Electron Scanning,Microscopies, Scanning Electron,Microscopy, Electron Scanning,Microscopy, Scanning Electron,Scanning Electron Microscopies,Scanning Microscopies, Electron,Scanning Microscopy, Electron
D011208 Powders Substances made up of an aggregation of small particles, as that obtained by grinding or trituration of a solid drug. In pharmacy it is a form in which substances are administered. (From Dorland, 28th ed) Powder
D003646 Debridement The removal of foreign material and devitalized or contaminated tissue from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed. (Dorland, 27th ed) Debridements
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012534 Dental Scaling Removal of dental plaque and dental calculus from the surface of a tooth, from the surface of a tooth apical to the gingival margin accumulated in periodontal pockets, or from the surface coronal to the gingival margin. Root Scaling,Scaling, Dental,Scaling, Root,Scaling, Subgingival,Scaling, Supragingival,Root Scalings,Scalings, Root,Subgingival Scaling,Supragingival Scaling
D013499 Surface Properties Characteristics or attributes of the outer boundaries of objects, including molecules. Properties, Surface,Property, Surface,Surface Property
D014092 Tooth Root The part of a tooth from the neck to the apex, embedded in the alveolar process and covered with cementum. A root may be single or divided into several branches, usually identified by their relative position, e.g., lingual root or buccal root. Single-rooted teeth include mandibular first and second premolars and the maxillary second premolar teeth. The maxillary first premolar has two roots in most cases. Maxillary molars have three roots. (Jablonski, Dictionary of Dentistry, 1992, p690) Root, Tooth,Roots, Tooth,Tooth Roots
D014465 Ultrasonics A subfield of acoustics dealing in the radio frequency range higher than acoustic SOUND waves (approximately above 20 kilohertz). Ultrasonic radiation is used therapeutically (DIATHERMY and ULTRASONIC THERAPY) to generate HEAT and to selectively destroy tissues. It is also used in diagnostics, for example, ULTRASONOGRAPHY; ECHOENCEPHALOGRAPHY; and ECHOCARDIOGRAPHY, to visually display echoes received from irradiated tissues. Ultrasonic

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