Year 2022,
Volume: 12 Issue: 2, 310 - 314, 30.06.2022
Ebru Özkan Karaca
,
Ogül Leman Tunar
References
- [1] Kishida M, Sato S, Ito K. Comparison of the effects of various
periodontal rotary instruments on surface characteristics of
root surface. J Oral Sci 2004;46(1):1-8.
- [2] O’Leary TJ. The impact of research on scaling and root planing.
J Periodontol 1986;57(2):69-75.
- [3] Lindhe J, Westfelt E, Nyman S, Socransky SS, Heijl L, Bratthall
G. Healing following surgical/non-surgical treatment of
periodontal disease. A clinical study. J Clin Periodontol
1982;9(2):115-128.
- [4] Chan YK, Needleman IG, Clifford LR. Comparison of four
methods of assessing root surface debridement. J Periodontol
2000;71(3):385-393.
- [5] Santos FA, Pochapski MT, Leal PC, Gimenes-Sakima PP,
Marcantonio E, Jr. Comparative study on the effect of
ultrasonic instruments on the root surface in vivo. Clin Oral
Investig 2008;12(2):143-150.
- [6] Dwivedi S, Verma SJ. Comparison of the effects of periodontal
rotary instruments and Gracey curettes on root surface
characteristics: an in vivo SEM study. Quintessence Int
2012;43(10):e135-140.
- [7] Krishna R, De Stefano JA. Ultrasonic vs. hand instrumentation
in periodontal therapy: clinical outcomes. Periodontol 2000
2016;71(1):113-127.
- [8] Kawashima H, Sato S, Kishida M, Ito K. A comparison
of root surface instrumentation using two piezoelectric
ultrasonic scalers and a hand scaler in vivo. J Periodontal Res
2007;42(1):90-95.
- [9] Jepsen S, Ayna M, Hedderich J, Eberhard J. Significant
influence of scaler tip design on root substance loss resulting
from ultrasonic scaling: a laserprofilometric in vitro study. J
Clin Periodontol 2004;31(11):1003-1006.
- [10] Dragoo MR. A clinical evaluation of hand and ultrasonic
instruments on subgingival debridement. 1. With unmodified
and modified ultrasonic inserts. Int J Periodontal Res
1992;12(4):310-323.
- [11] Flemmig TF, Petersilka GJ, Mehl A, Hickel R, Klaiber B. Working
parameters of a magnetostrictive ultrasonic scaler influencing
root substance removal in vitro. J Periodontol. 1998;69(5):547-
553.
- [12] Marda P, Prakash S, Devaraj CG, Vastardis S. A comparison of
root surface instrumentation using manual, ultrasonic and
rotary instruments: an in vitro study using scanning electron
microscopy. Indian J Dent Res 2012;23(2):164-170.
- [13] Silva D, Martins O, Matos S, Lopes P, Rolo T, Baptista I.
Histological and profilometric evaluation of the root surface
after instrumentation with a new piezoelectric device–ex vivo
study. Int J Dent Hyg 2015;13(2):138-144.
- [14] Claffey N, Polyzois I, Ziaka P. An overview of nonsurgical and
surgical therapy. Periodontol 2000. 2004;36(1):35-44.
- [15] Tal H, Panno JM, Vaidyanathan T. Scanning electron microscope
evaluation of wear of dental curettes during standardized root
planing. J Periodontol 1985;56(9):532-536.
- [16] Coldiron NB, Yukna RA, Weir J, Caudill RF. A quantitative study
of cementum removal with hand curettes. J Periodontol
1990;61(5):293-299.
- [17] Guentsch A, Preshaw PM. The use of a linear oscillating
device in periodontal treatment: a review. J Clin Periodontol
2008;35(6):514-24.
- [18] Braun A, Krause F, Nolden R, Frentzen M. Subjective intensity
of pain during the treatment of periodontal lesions with the
VectorTM-system. J Periodontal Res 2003;38(2):135-140.
- [19] Hoffman A, Marshall R, Bartold P. Use of the VectorTM scaling
unit in supportive periodontal therapy: a subjective patient
evaluation. J Clin Periodontol 2005;32(10):1089-1093.
- [20] Kahl M, Haase E, Kocher T, Rühling A. Clinical effects after
subgingival polishing with a non-aggressive ultrasonic device
in initial therapy. J Clin Periodontol 2007;34(4):318-24.
- [21] Sculean A, Schwarz F, Berakdar M, Romanos GE, Brecx M,
Willershausen B, Becker J. Non-surgical periodontal treatment
with a new ultrasonic device (VectorTM-ultrasonic system) or
hand instruments: A prospective, controlled clinical study. J
Clin Periodontol 2004;31(6):428-433.
- [22] Hahn R. Therapy and prevention of periodontitis using the Vector-
method. Das Deutsche Zahnaerzteblatt. 2000;109:642-645.
- [23] Schwarz F, Bieling K, Venghaus S, Sculean A, Jepsen S,
Becker J. Influence of fluorescence-controlled Er: YAG laser
radiation, the VectorTM system and hand instruments on
periodontally diseased root surfaces in vivo. J Clin Periodontol
2006;33(3):200-208.
- [24] Braun A, Krause F, Frentzen M, Jepsen S. Efficiency of
subgingival calculus removal with the VectorTM-system
compared to ultrasonic scaling and hand instrumentation in
vitro. J Periodontal Res 2005;40(1):48-52.
- [25] Kumar P, Das SJ, Sonowal ST, Chawla J. Comparison of
root surface roughness produced by hand instruments
and ultrasonic scalers: An invitro study. J Clin Diagn Res
2015;9(11):ZC56-60.
- [26] Tunar OL, Gürsoy H, Çakar G, Kuru B, Ipci SD, Yılmaz S.
Evaluation of the effects of Er: YAG laser and desensitizing
paste containing 8% arginine and calcium carbonate, and their
combinations on human dentine tubules: a scanning electron
microscopic analysis. Photobiomodul Photomed Laser Surg
2014;32(10):540-545.
- [27] Gürsoy H, Tunar OL, Ince Kuka G, Ozkan Karaca E, Kocabaş
H, Kuru BE. Profilometric Analysis of Periodontally Diseased
Root Surfaces After Application of Different Instrumentation
Tools: An In Vitro Study. Photobiomodul Photomed Laser Surg
2020;38(3):181-185.
- [28] Braun A, Krause F, Hartschen V, Falk W, Jepsen S. Efficiency
of the VectorTM-system compared with conventional subgingival debridement in vitro and in vivo. J Clin Periodontol 2006;33(8):568-574.
- [29] Schmidlin P, Beuchat M, Busslinger A, Lehmann B, Lutz F. Tooth
substance loss resulting from mechanical, sonic and ultrasonic
root instrumentation assessed by liquid scintillation. J Clin
Periodontol 2001;28(11):1058-1066.
- [30] Flemming H-C, Wingender J. The biofilm matrix. Nature
reviews microbiology. 2010;8(9):623-633.
- [31] Quirynen M, Bollen CM. The influence of surface roughness
and surface-free energy on supra – and subgingival plaque
formation in man. A review of the literature. J Clin Periodontol
1995;22(1):1-14.
- [32] Jones WA, O’Leary TJ. The effectiveness of in vivo root planing
in removing bacterial endotoxin from the roots of periodontally
involved teeth. J Periodontol 1978;49(7):337-342.
- [33] Hughes F, Auger D, Smales F. Investigation of the
distribution of cementum-associated lipopolysaccharides
in periodontal disease by scanning electron microscope
immunohistochemistry. J Periodontal Res 1988;23(2):100-106.
- [34] Hughes TP, Caffesse RG. Gingival changes following scaling,
root planing and oral hygiene—a biometric evaluation. J
Periodontol 1978;49(5):245-252.
- [35] Leknes KN, Lie T, Wikesjö UM, Bogle GC, Selvig KA. Influence
of tooth instrumentation roughness on subgingival microbial
colonization. J Periodontol 1994;65(4):303-308.
- [36] Busslinger A, Lampe K, Beuchat M, Lehmann B. A comparative in
vitro study of a magnetostrictive and a piezoelectric ultrasonic
scaling instrument. J Clin Periodontol 2001;28(7):642-649.
- [37] Folwaczny M, Merkel U, Mehl A, Hickel R. Influence of
parameters on root surface roughness following treatment
with a magnetostrictive ultrasonic scaler: an in vitro study. J
Periodontol 2004;75(9):1221-1226.
- [38] Leknes KN, Lie T. Influence of polishing procedures on sonic
scaling root surface roughness. J Periodontol 1991;62(11):659-
662.
In Vitro Evaluation of Root Surface Roughness in The Use of an Ultrasonic Device with Different Tips Having Different Mechanism of Action: A Profilometric Study
Year 2022,
Volume: 12 Issue: 2, 310 - 314, 30.06.2022
Ebru Özkan Karaca
,
Ogül Leman Tunar
Abstract
Objective: The aim of this study was the profilometric evaluation of the changes in root surface roughness created by different types of ultrasonic tips and mechanism of action.
Methods: Thirty root dentine samples obtained from 15 maxillary premolars, extracted for orthodontic reasons, were included in the study. The sample surfaces were embedded into acrylic blocks, polished, and divided into 3 study groups as linear oscillating device (LOD) with straight tip (ST); LOD with perio-curette tip (PCT); conventional ultrasonic scaler tip (CUST). A calibrated clinician instrumented all surfaces in each group. The root surfaces were evaluated before and after instrumentations with a profilometer device.
Results: There were no statistical differences between the initial roughness values of the groups (p<0.05). Multiple comparisons of after- treatment values and differences before and after instrumentations revealed statistical significances (p=0.041; p=0.016, respectively). CUST group showed the highest surface roughness in comparison with the LOD groups. LOD with ST revealed the smoothest surface followed by LOD with PCT and CUST.
Conclusion: Within the limits of this study, it may be concluded that fine and delicate tips with linear oscillating movement may be considered as the choice of insert for subgingival instrumentation due to the gentler mechanism of action than the conventional ultrasonic scalers.
References
- [1] Kishida M, Sato S, Ito K. Comparison of the effects of various
periodontal rotary instruments on surface characteristics of
root surface. J Oral Sci 2004;46(1):1-8.
- [2] O’Leary TJ. The impact of research on scaling and root planing.
J Periodontol 1986;57(2):69-75.
- [3] Lindhe J, Westfelt E, Nyman S, Socransky SS, Heijl L, Bratthall
G. Healing following surgical/non-surgical treatment of
periodontal disease. A clinical study. J Clin Periodontol
1982;9(2):115-128.
- [4] Chan YK, Needleman IG, Clifford LR. Comparison of four
methods of assessing root surface debridement. J Periodontol
2000;71(3):385-393.
- [5] Santos FA, Pochapski MT, Leal PC, Gimenes-Sakima PP,
Marcantonio E, Jr. Comparative study on the effect of
ultrasonic instruments on the root surface in vivo. Clin Oral
Investig 2008;12(2):143-150.
- [6] Dwivedi S, Verma SJ. Comparison of the effects of periodontal
rotary instruments and Gracey curettes on root surface
characteristics: an in vivo SEM study. Quintessence Int
2012;43(10):e135-140.
- [7] Krishna R, De Stefano JA. Ultrasonic vs. hand instrumentation
in periodontal therapy: clinical outcomes. Periodontol 2000
2016;71(1):113-127.
- [8] Kawashima H, Sato S, Kishida M, Ito K. A comparison
of root surface instrumentation using two piezoelectric
ultrasonic scalers and a hand scaler in vivo. J Periodontal Res
2007;42(1):90-95.
- [9] Jepsen S, Ayna M, Hedderich J, Eberhard J. Significant
influence of scaler tip design on root substance loss resulting
from ultrasonic scaling: a laserprofilometric in vitro study. J
Clin Periodontol 2004;31(11):1003-1006.
- [10] Dragoo MR. A clinical evaluation of hand and ultrasonic
instruments on subgingival debridement. 1. With unmodified
and modified ultrasonic inserts. Int J Periodontal Res
1992;12(4):310-323.
- [11] Flemmig TF, Petersilka GJ, Mehl A, Hickel R, Klaiber B. Working
parameters of a magnetostrictive ultrasonic scaler influencing
root substance removal in vitro. J Periodontol. 1998;69(5):547-
553.
- [12] Marda P, Prakash S, Devaraj CG, Vastardis S. A comparison of
root surface instrumentation using manual, ultrasonic and
rotary instruments: an in vitro study using scanning electron
microscopy. Indian J Dent Res 2012;23(2):164-170.
- [13] Silva D, Martins O, Matos S, Lopes P, Rolo T, Baptista I.
Histological and profilometric evaluation of the root surface
after instrumentation with a new piezoelectric device–ex vivo
study. Int J Dent Hyg 2015;13(2):138-144.
- [14] Claffey N, Polyzois I, Ziaka P. An overview of nonsurgical and
surgical therapy. Periodontol 2000. 2004;36(1):35-44.
- [15] Tal H, Panno JM, Vaidyanathan T. Scanning electron microscope
evaluation of wear of dental curettes during standardized root
planing. J Periodontol 1985;56(9):532-536.
- [16] Coldiron NB, Yukna RA, Weir J, Caudill RF. A quantitative study
of cementum removal with hand curettes. J Periodontol
1990;61(5):293-299.
- [17] Guentsch A, Preshaw PM. The use of a linear oscillating
device in periodontal treatment: a review. J Clin Periodontol
2008;35(6):514-24.
- [18] Braun A, Krause F, Nolden R, Frentzen M. Subjective intensity
of pain during the treatment of periodontal lesions with the
VectorTM-system. J Periodontal Res 2003;38(2):135-140.
- [19] Hoffman A, Marshall R, Bartold P. Use of the VectorTM scaling
unit in supportive periodontal therapy: a subjective patient
evaluation. J Clin Periodontol 2005;32(10):1089-1093.
- [20] Kahl M, Haase E, Kocher T, Rühling A. Clinical effects after
subgingival polishing with a non-aggressive ultrasonic device
in initial therapy. J Clin Periodontol 2007;34(4):318-24.
- [21] Sculean A, Schwarz F, Berakdar M, Romanos GE, Brecx M,
Willershausen B, Becker J. Non-surgical periodontal treatment
with a new ultrasonic device (VectorTM-ultrasonic system) or
hand instruments: A prospective, controlled clinical study. J
Clin Periodontol 2004;31(6):428-433.
- [22] Hahn R. Therapy and prevention of periodontitis using the Vector-
method. Das Deutsche Zahnaerzteblatt. 2000;109:642-645.
- [23] Schwarz F, Bieling K, Venghaus S, Sculean A, Jepsen S,
Becker J. Influence of fluorescence-controlled Er: YAG laser
radiation, the VectorTM system and hand instruments on
periodontally diseased root surfaces in vivo. J Clin Periodontol
2006;33(3):200-208.
- [24] Braun A, Krause F, Frentzen M, Jepsen S. Efficiency of
subgingival calculus removal with the VectorTM-system
compared to ultrasonic scaling and hand instrumentation in
vitro. J Periodontal Res 2005;40(1):48-52.
- [25] Kumar P, Das SJ, Sonowal ST, Chawla J. Comparison of
root surface roughness produced by hand instruments
and ultrasonic scalers: An invitro study. J Clin Diagn Res
2015;9(11):ZC56-60.
- [26] Tunar OL, Gürsoy H, Çakar G, Kuru B, Ipci SD, Yılmaz S.
Evaluation of the effects of Er: YAG laser and desensitizing
paste containing 8% arginine and calcium carbonate, and their
combinations on human dentine tubules: a scanning electron
microscopic analysis. Photobiomodul Photomed Laser Surg
2014;32(10):540-545.
- [27] Gürsoy H, Tunar OL, Ince Kuka G, Ozkan Karaca E, Kocabaş
H, Kuru BE. Profilometric Analysis of Periodontally Diseased
Root Surfaces After Application of Different Instrumentation
Tools: An In Vitro Study. Photobiomodul Photomed Laser Surg
2020;38(3):181-185.
- [28] Braun A, Krause F, Hartschen V, Falk W, Jepsen S. Efficiency
of the VectorTM-system compared with conventional subgingival debridement in vitro and in vivo. J Clin Periodontol 2006;33(8):568-574.
- [29] Schmidlin P, Beuchat M, Busslinger A, Lehmann B, Lutz F. Tooth
substance loss resulting from mechanical, sonic and ultrasonic
root instrumentation assessed by liquid scintillation. J Clin
Periodontol 2001;28(11):1058-1066.
- [30] Flemming H-C, Wingender J. The biofilm matrix. Nature
reviews microbiology. 2010;8(9):623-633.
- [31] Quirynen M, Bollen CM. The influence of surface roughness
and surface-free energy on supra – and subgingival plaque
formation in man. A review of the literature. J Clin Periodontol
1995;22(1):1-14.
- [32] Jones WA, O’Leary TJ. The effectiveness of in vivo root planing
in removing bacterial endotoxin from the roots of periodontally
involved teeth. J Periodontol 1978;49(7):337-342.
- [33] Hughes F, Auger D, Smales F. Investigation of the
distribution of cementum-associated lipopolysaccharides
in periodontal disease by scanning electron microscope
immunohistochemistry. J Periodontal Res 1988;23(2):100-106.
- [34] Hughes TP, Caffesse RG. Gingival changes following scaling,
root planing and oral hygiene—a biometric evaluation. J
Periodontol 1978;49(5):245-252.
- [35] Leknes KN, Lie T, Wikesjö UM, Bogle GC, Selvig KA. Influence
of tooth instrumentation roughness on subgingival microbial
colonization. J Periodontol 1994;65(4):303-308.
- [36] Busslinger A, Lampe K, Beuchat M, Lehmann B. A comparative in
vitro study of a magnetostrictive and a piezoelectric ultrasonic
scaling instrument. J Clin Periodontol 2001;28(7):642-649.
- [37] Folwaczny M, Merkel U, Mehl A, Hickel R. Influence of
parameters on root surface roughness following treatment
with a magnetostrictive ultrasonic scaler: an in vitro study. J
Periodontol 2004;75(9):1221-1226.
- [38] Leknes KN, Lie T. Influence of polishing procedures on sonic
scaling root surface roughness. J Periodontol 1991;62(11):659-
662.