The effect of an air-powder abrasive system on in vitro root surfaces. 1984

D R Atkinson, and C M Cobb, and W J Killoy

An air-powder abrasive system, the Prophy-Jet model C-100, is now available for use by the dental community. However, its use has been restricted to cleaning enamel surfaces of stain and dental plaque. The purpose of this investigation was to ascertain the effects of this air-powder abrasive system on root surfaces of extracted human teeth. Thus, root surfaces of 20 teeth were covered with a template consisting of a metal band with a centrally located 2-mm diameter hole. The banded root surfaces, under controlled conditions, were exposed to the air-powder abrasive for 30 seconds. The resulting defects were measured by using a light microscope equipped with a graduated focus knob. Three teeth were randomly selected for examination by scanning electron microscopy and one was selected for histologic evaluation by light microscopy. Untreated extracted teeth were used as controls. In addition, one untreated tooth root was exposed to the air-powder abrasive without use of the template. In this instance, a brush stroke was used for approximately 1 minute, as might be done in a clinical situation. This tooth root was also examined by scanning electron microscopy. The Prophy-Jet air-powder abrasive system removed an average of 636.6 micrometers of root structure in 30 seconds of exposure time. The resulting surface was smooth, free of connective tissue fibers and debris, and all cementum was removed. Few open dentin tubules were observed since most appeared to have been obliterated. The powder crystals, as viewed by scanning electron microscopy, were sharp-pointed, somewhat elongated and of varying lengths. The Prophy-Jet air-powder abrasive system appears to have considerable potential for treatment of periodontally diseased root surfaces. However, its use should be tempered by the results of this and future research and sound clinical judgment.

UI MeSH Term Description Entries
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
D002130 Calcium Phosphates Calcium salts of phosphoric acid. These compounds are frequently used as calcium supplements. Phosphates, Calcium
D003739 Dental Cementum The bonelike rigid connective tissue covering the root of a tooth from the cementoenamel junction to the apex and lining the apex of the root canal, also assisting in tooth support by serving as attachment structures for the periodontal ligament. (Jablonski, Dictionary of Dentistry, 1992) Cementoblasts,Cementum,Cementoblast,Cementum, Dental
D003777 Dental Prophylaxis Treatment for the prevention of periodontal diseases or other dental diseases by the cleaning of the teeth in the dental office using the procedures of DENTAL SCALING and DENTAL POLISHING. The treatment may include plaque detection, removal of supra- and subgingival plaque and calculus, application of caries-preventing agents, checking of restorations and prostheses and correcting overhanging margins and proximal contours of restorations, and checking for signs of food impaction. Prophylaxis, Dental
D003804 Dentin The hard portion of the tooth surrounding the pulp, covered by enamel on the crown and cementum on the root, which is harder and denser than bone but softer than enamel, and is thus readily abraded when left unprotected. (From Jablonski, Dictionary of Dentistry, 1992) Dentine,Dentines,Dentins
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000388 Air The mixture of gases present in the earth's atmosphere consisting of oxygen, nitrogen, carbon dioxide, and small amounts of other gases.
D001639 Bicarbonates Inorganic salts that contain the -HCO3 radical. They are an important factor in determining the pH of the blood and the concentration of bicarbonate ions is regulated by the kidney. Levels in the blood are an index of the alkali reserve or buffering capacity. Bicarbonate,Bicarbonate Ions,Hydrogen Carbonates,Bicarbonate Ion,Carbonic Acid Ions,Hydrogen Carbonate,Carbonate, Hydrogen,Carbonates, Hydrogen,Ion, Bicarbonate,Ions, Bicarbonate,Ions, Carbonic Acid
D014072 Tooth Abrasion The pathologic wearing away of the tooth substance by brushing, bruxism, clenching, and other mechanical causes. It is differentiated from TOOTH ATTRITION in that this type of wearing away is the result of tooth-to-tooth contact, as in mastication, occurring only on the occlusal, incisal, and proximal surfaces. It differs also from TOOTH EROSION, the progressive loss of the hard substance of a tooth by chemical processes not involving bacterial action. (From Jablonski, Dictionary of Dentistry, 1992, p2) Dental Abrasion,Abrasion, Dental,Abrasion, Tooth
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

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