DOCSLIB.ORG

Comparative Evaluation of Immediate Effect of Root Instrumentation With

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Comparative Evaluation of Immediate Effect of Root Instrumentation With F.Sarlati,et al . J Res Dentomaxillofac Sci http://www.jrdms.dentaliau.ac.ir e(ISSN): 2383 -2754 Journal of Research in Dental and Maxillofacial Sciences Comparative Evaluation of Immediate Effect of Root Instrumentation with Curettes and Mini-Insert Ultrasonic Scalers on Clinical Attachment Level Sarlati F1, Simdar N2, Razzaghi Sh3, Shariatmadarahmadi R4, Shabahangfar MR4 1Associate Professor of Periodontology, Dental Branch of Tehran, Islamic Azad University, Tehran, Iran 2Assistant Professor of Endodontics, School of Dentistry, Babol University of Medical Sciences, Babol, Iran 3 Assistant Professor of Periodontology, School of Dentistry, Kurdistan University of Medical Sciences, Sanandaj, Iran 4Assistant Professor of Periodontology, Dental Branch of Tehran, Islamic Azad University, Tehran, Iran ARTICLE INFO ABSTRACT Background and Aim: Micro-ultrasonic tips are similar to hand instruments in their Article Type Orginal Article clinical application of subgingival scaling. In spite of their favorable results, exces- sive penetration of mini-insert ultrasonic scalers to the bottom of gingival pocket may Article History Received: March 2016 cause harmful effects. The aim of this study was to evaluate the immediate effect of Accepted: August 2016 root instrumentation with Gracey curettes and Mini-insert ultrasonic scalers on clini- ePublished: July 2016 cal attachment level. Keywords: Methods and Materials: In this single-blind split mouth study, fifteen patients with Dental Scaling; moderate chronic periodontitis and at least five periodontal pockets around incisors Periodontal Attachment Loss; and canines with clinical attachment level ranging from 2 to 4 mm were randomly Root Planing allocated to one of the following groups: Curette scaling (CS) and Ultrasonic scal- ing (US).The Teeth were probed with a pressure sensitive probe using an occlusal stent. Immediately after scaling and root planing, the teeth were probed again. The difference in Relative Attachment Level (RAL) immediately before and after instru- mentation was considered trauma from instrumentation. The mean values recorded before and after root instrumentation were compared by student’s paired t-test and the differences in RAL measurements between the groups were compared by student’s non-paired t-test. Results: There were statistically significant differences between the two groups re- garding RAL before and after scaling and root planing (0.43±0.65 mm for US and 0.47±0.6 mm for CS) (P<0.001). However, no statistically significant difference was observed in RAL changes between the two groups (P=0.77). Conclusion: Within the limitations of this study, it seems that use of thin tip ultrasonic scaler for periodontal nonsurgical treatment will result in immediate attachment loss at a level equal to hand instruments. Please cite this paper as: Sarlati F, Simdar N, Razzaghi Sh, Shariatmadarahmadi R, Shabahangfar MR. Comparative Evaluation of Immediate Effect of Root Instrumentation with Curettes and Mini-Insert Ultrasonic Scalers on Clinical Attachment Level. J Res Dentomaxillofac Sci.2016;1(3):38-43. *Corresponding author: Sarlati38 F Journal of Research in Dental and Maxillofacial Sciences, Vol 1,No 3, Summer 2016 http://www.jrdms.dentaliau.ac.ir Email: [email protected] Comparative evaluation of immediate effect of root instrumentation Introduction: et al have reported a higher immediate clinical Periodontal treatment must include suprag- attachment loss with tin tip rather than traditional ingival plaque control and subgingival scaling. tip.(14) There are no data comparing the attach- Subgingival scaling is a mechanical treatment ment loss occurring after subgingival scaling aimed at removing plaque, calculus and food de- performed with hand instruments and thin tip ul- bris, whether inside pockets, free or on root sur- trasonic scaler. The objective of this single-blind face.(1) Subgingival scaling may be accomplished split mouth study was to compare the immediate with different instruments such as hand and ul- attachment loss caused by instrumentation using trasonic instruments. Manual scaling and root Gracey curettes and Mini-insert ultrasonic scal- planing can often be difficult and time-consum- ers. ing due to complex and unfavorable root mor- phology when working blindly at deep pocket Materials and Methods: sites.(2) Study design: Many clinical studies have reported equal This single-blind split mouth clinical trial in- clinical outcomes of root debridement with hand cluded 15 subjects, 30-44 years old with moder- instruments, ultrasonic and sonic scalers (3-5), even ate chronic periodontitis that referred to the De- in smokers, although less favorable results have partment of Periodontics, Dental Branch, Islamic been achieved compared with those of nonsmok- Azad University. They presented at least five ers. 6 One major advantage of power-driven scal- periodontal pockets around incisors and canines ers is better access to difficult areas, such as deep (upper and /or lower) with clinical attachment narrow defects, root grooves and furcations, us- levels ranging from 2 to 4 mm. All the subjects ing newly designed micro-ultrasonic tips, which were chosen based on specific selection crite- are smaller in diameter and able to penetrate the ria: good general health, at least 30 years of age, pocket approximately 1 mm farther than hand in- presence of at least 5 periodontal pockets around struments.(7,8) These new mini-inserts were first lower and/or upper incisors. Exclusion criteria introduced in 1992.(9) Since then many manufac- included: use of antibiotics within 3 months prior turers have offered a wide variety of these fine to or during the study, use of any drugs interfer- inserts. Although longitudinal follow-up stud- ing with tissue metabolism such as Niphedipine, ies have reported favorable results following Verapamil, and Phenytoin. Patients undergo- subgingival scaling, with both hand and ultra- ing orthodontic therapy and patients with any sonic instruments , excessive penetration of the systemic diseases were also excluded from the periodontal scaler to the bottom of gingival pock- study. All the subjects signed an informed con- et causes harmful effects . However, clinical data sent. The study protocol has been approved by relating to the immediate attachment loss after the ethical committee of Dental Branch, Islamic ultrasonic scaling with these newly designed tips Azad University. are scarce. (10,11) Claffey et al reported an average Initial preparation: attachment loss of 0.5-0.6 mm immediately af- On the first visit, all the subjects received oral ter a single session of ultrasonic instrumentation hygiene instructions and were subjected to su- with conventional ultrasonic tips.(12) pragingival scaling with an ultrasonic scaler. In- Alves et al in 2004 reported a mean attach- dividual acrylic occlusal stents were made from ment loss of 0.76-1.06 mm after scaling and root plaster casts to standardize Relative Attachment planing with hand instruments.(13) In 2005, Alves Level measurements. et al reported a mean immediate attachment loss Relative attachment level (RAL) measure- of 0.75 mm after scaling and root planing with ment: either curettes or conventional ultrasonic scal- One week later, the patients were probed by a ers.(3) To our knowledge, there is only one study calibrated examiner. Calibration was performed measuring the immediate attachment loss after prior to the study and on the basis of duplicate scaling caused by thin ultrasonic tips.(14) Casarin http://www.jrdms.dentaliau.ac.ir Journal of Research in Dental and Maxillofacial Sciences,Vol 1,No 3, Summer 2016 39 F.Sarlati,et al . clinical recordings in 3 patients. This procedure Intra-examiner repeatability was suitable was done with a pressure sensitive probe (Aes- (Spearman correlation coefficient equal to 0.892, culap DB764R, UNC 15, Meslungen, Germany) P<0.001). with defined probing force of 0.2 N (20 g). RAL As shown in table 1, in US group mean RAL was measured by the probe from a groove at the was 13.6± 1.4 mm immediately before scaling occlusal stent to the bottom of the pocket at four and 14± 1.4 mm immediately after instrumenta- sites per tooth (mesiobuccal, midbuccal, disto- tion. The mean difference in RAL for this group buccal & midlingual). The attachment loss due was 0.43±0.65 mm and this difference was sta- to trauma from instrumentation was calculated tistically significant (P<0.0001). In CS group, by the difference between RAL measurements mean RAL was 13.6± 1.7 mm immediately be- registered immediately before and after scaling fore scaling and 14.1±1.7mm immediately after it. The mean difference in RAL was 0.47± 0.6 and root planing.(14) mm and this difference was statistically signifi- Scaling and root planing: cant (P<0.0001). No statistically significant dif- After the probing, the selected anterior teeth ference was observed in RAL changes between were anesthetized and were randomly assigned the two groups. (P=0.77) to one of the two groups: Curette scaling (CS) The percentage of sites that showed immedi- and Ultrasonic scaling (US). The selected anteri- ate attachment loss between 0.1 and 1.0 mm was or teeth of CS group were scaled and root planed 95% for both US and CS groups. The percentage with Gracey 5-6 conventional curettes (Hufriedy, of sites that showed immediate attachment loss Chicago, IL, USA). The curettes were sharpened of over 1mm was 5% for both groups. whenever necessary. The selected anterior teeth Table 2 shows the mean RAL immediately of US group were scaled and root planed with an before and after instrumentation in each group ultrasonic scaler (#100 thin tip, UI30SF100 Hu- at each measurement site (mesiobuccal, mid- friedy, Chicago, IL, USA). For US group, each buccal, distobuccal and midlingual). The mean selected site was scaled by 30 movements. Simi- difference in each area was statistically signifi- larly, each site received 30 strokes in CS group. cant. (mesiobuccal; P=0.041 for CS group and Scaling and root planing in this study was done P=0.048 for US group, midbuccal; P=0.14 for by one clinician other than the one who meas- CS group and P=0.007 for US group, distobuc- cal; P=0.014 for CS group and P=0.041 for US ured the RAL.
Load more

Recommended publications
  • Haptics-Based Virtual Reality Periodontal Training Simulator
    Virtual Reality DOI 10.1007/s10055-009-0112-7 ORIGINAL ARTICLE Haptics-based virtual reality periodontal training simulator Cristian Luciano Æ Pat Banerjee Æ Thomas DeFanti Received: 10 November 2006 / Accepted: 13 January 2009 Ó Springer-Verlag London Limited 2009 Abstract This paper focuses upon the research and 1 Introduction development of a prototype dental simulator for training of periodontal procedures. By the use of virtual reality and The use of medical simulators has proved to increase haptics technology, the periodontal simulator allows patient safety and reduce risk associated with human errors trainees to learn performing diagnosis and treatment of in hospitals by allowing medical students to develop skills periodontal diseases by visualizing a three-dimensional more efficiently in a shorter period of time. Even though virtual human mouth and feeling real tactile sensations medical simulators are currently being developed by a while touching the surface of teeth, gingiva, and calculi large number of universities and medical companies, the with virtual dental instruments. Since periodontics requires field of dental simulation has not been well exploited yet. dentists to depend primarily on tactile sensations to per- This article focuses on the research and development of a form diagnostic and surgical procedures, the use of haptics haptics-based dental simulator specially designed for is unquestionably crucial for a realistic periodontal simu- training and performance evaluation of dental and hygiene lator. The haptics-based
    [Show full text]
  • Journal of Periovision
    CHHATRAPATI SHAHU MAHARAJ SHIKSHAN SANSTHA’S DENTAL COLLEGE & HOSPITAL, KANCHANWADI, PAITHAN ROAD, AURANGABAD OF PERIOVISION JOURNAL OF PERIOVISION OUR INSPIRATION Hon. Shri. Padmakarji Mulay, Hon. Secretary, CSMSS Sanstha MESSAGE FROM THE HON. PRESIDENT Chhatrapati Shahu Maharaj Shikshan Sanstha is one of the leading educational society in the State of Maharashtra. It has been the vanguard of continuous development in professional education since its inception. A thought that has been enduring in mind when it becomes real; is truly an interesting and exciting experience. The 'Periovision' Journal Issue-I will definitely inspire all of us for a new beginning enlightened with hope, confidence and faith in each other o n the road ahead. It will serve to reinforce and allow increased awareness, improved interaction and integration among all of us. I congratulate all the students and faculty members of Dental College & Hospital for taking initiatives and bringing this noble task in reality. Ranjeet P. Mulay Hon. President, CSMSS Sanstha MESSAGE FROM THE HON. TRUSTEE I am delighted that Chhatrapati Shahu Maharaj Shikshan Sanstha’s Dental College & Hospital is bringing out 'Periovision' Journal. It is extremely elite to see that the print edition of 'Periovision' Journal Issue-1 is being published. The journal is now going to be indexed and will be an ideal platform for our researchers to publish their studies especially, Post-Graduate students and faculty of Dental College & Hospital. I wish all success for the Endeavour. Sameer P. Mulay Hon. Trustee, CSMSS Sanstha MESSAGE FROM THE ADMINISTRATIVE OFFICER Chhatrapati Shahu Maharaj Shikshan Sanstha is established in 1986, and the dental college under this sanstha was established in 1991.
    [Show full text]
  • Surgery – Exodontia
    Dr. Matteo Mezzera Dental Clinic Corso Martiri della Liberazione, 31 – 23900 LC – Tel. 0341.288598 F.C. MZZMTT76A31E507Q – VAT 02715030132 Description of the procedure of the dental services for: Surgery – Exodontia These protocols are taken from the Quality Handbook according to UNI EN ISO 9001:2000 The Quality Handbook belongs to the Dr. Mezzera Dental Clinic The copy of the handbook, both full and partial, is forbidden SURGERY – EXODONTIA 1.1 PRE-SURGICAL AND POST-SURGICAL PROTOCOL 1. Antibiotic prophylaxis 2cpr 1 hour before the operation, then 1 cpr every 12 hours for 6 days 2. Painkiller Sinflex 1cpr at the end of the operation, then when needed 3. Rinses with 0,2% chlorhexidine mouthwash 4. Ice THE PRE-SURGICAL EXAMINATION: General pre-operative evaluation X-ray evaluation Radicular anatomy Tooth mobility Close anatomic structures Tooth crown situation Position of the tooth to be extracted Mineralization of the surrounding alveolar bone Presence of periapical diseases 1.2 SIMPE EXOS BASIC EQUIPMENT: 1. Anaesthesia material (Carboplyna or Alfacaina SP 1/100.000) 2. Surgical pliers General (TP 50709 3. Needle holder DR Simion (NH5024) 4. Curved scissor (s16) 5. Periodontal scaler (13k6) 6. Courette (SPR1/2) 7. Periosteal elevator Prichard (PP5590) 8. Lip retractor 9. Periodontal probe (PCPUNC156) 10.Stripper holder 11. Surgical stripper (Swann-Morton 15C) 12.Dispensable suction cannula 13.Straight and angular elevators 14.Extracting forceps 15.Suture 4/0 silk (Sweden & Martina) SURGICAL TECHNIQUE: 1. Local-regional anaesthesia 2. Syndesmotomy 3. Papilla décollement 4. Tooth luxation by means of a straight elevator 5. Tooth grasp, tooth luxation and, alveolo expansion by means of extracting forceps 6.
    [Show full text]
  • Morphometric Analysis of Furcation Areas of Multirooted Teeth in a Tunisian Population
    Hindawi International Journal of Dentistry Volume 2020, Article ID 8846273, 6 pages https://doi.org/10.1155/2020/8846273 Research Article Morphometric Analysis of Furcation Areas of Multirooted Teeth in a Tunisian Population Rym Mabrouk ,1 Chiraz Baccouche,2 and Nadia Frih1 1Dental Medicine Department, Hospital of Charles Nicolle, Tunis, Tunisia 2Department of Dental Anatomy, Faculty of Dental Medicine, University of Monastir, Hospital of Taher Sfar Mahdia, Monastir, Tunisia Correspondence should be addressed to Rym Mabrouk; [email protected] Received 22 June 2020; Revised 6 September 2020; Accepted 8 September 2020; Published 15 September 2020 Academic Editor: Andrea Scribante Copyright © 2020 Rym Mabrouk et al. %is is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Aims. %e aim of the study was to evaluate the morphological characteristics of furcation of permanent molars in Tunisian population. Materials and Methods. One hundred and four extracted maxillary and mandibular permanent molars were included in this study; comprising 34 maxillary first molars, 18 maxillary second molars, 33 mandibular first molars, and 19 mandibular second molars. For each tooth, the vertical dimension of the root trunk, root length, and interradicular space width were assessed with a micrometer caliber. Different types of root trunk in maxillary and mandibular molars were also analyzed. Statistical analysis was performed using a t-test. Results. Root length decreased from the first to the second molars. %is decrease seems to be pronounced at mandibular molars. %e most observed root trunk type was type B, with a prevalence of 67.30% in maxillary molars and 51.92% in mandibular molars.
    [Show full text]
  • Dextran-Coated Iron Oxide Nanoparticles As Biomimetic Catalysts for Biofilm Disruption and Caries Prevention
    University of Pennsylvania ScholarlyCommons Dental Theses Penn Dental Medicine Winter 10-28-2019 Dextran-coated Iron Oxide Nanoparticles as Biomimetic Catalysts for Biofilm Disruption and Caries Prevention Yuan Liu [email protected] Follow this and additional works at: https://repository.upenn.edu/dental_theses Part of the Nanotechnology Commons, Oral Biology and Oral Pathology Commons, and the Pediatric Dentistry and Pedodontics Commons Recommended Citation Liu, Yuan, "Dextran-coated Iron Oxide Nanoparticles as Biomimetic Catalysts for Biofilm Disruption and Caries Prevention" (2019). Dental Theses. 47. https://repository.upenn.edu/dental_theses/47 This paper is posted at ScholarlyCommons. https://repository.upenn.edu/dental_theses/47 For more information, please contact [email protected]. Dextran-coated Iron Oxide Nanoparticles as Biomimetic Catalysts for Biofilm Disruption and Caries Prevention Abstract Biofilms are surface-attached bacterial communities embedded within an extracellular matrix that create localized and protected microenvironments. Acidogenic oral biofilms can demineralize the enamel-apatite on teeth, causing dental caries (tooth decay). Current antimicrobials have low efficacy and do not target the protective matrix and acidic pH within the biofilm. Recently, catalytic nanoparticles were shown to disrupt biofilms but lacked a stabilizing coating required for clinical applications. Here, we report dextran- coated iron oxide nanoparticles termed nanozymes (Dex-NZM) that display strong catalytic (peroxidase- like) activity at acidic pH values, target biofilms with high specificity, and prevent severe caries without impacting surrounding oral tissues in vivo. Nanoparticle formulations were synthesized with dextran coatings (molecular weights from 1.5 to 40 kDa were used), and their catalytic performance and bioactivity were assessed. We found that 10 kDa dextran coating provided maximal catalytic activity, biofilm uptake, and antibiofilm properties.
    [Show full text]
  • PIEZOSURGERY® Insert Brochure
    → MECTRON PIEZOSURGERY® INSERTS → PIEZOSURGERY® → INDEX 4 Insert quality 29 Insert P2-3 SP 52 Insert EL1 / Insert EL2 6 Indications 30 Insert MDI 1.9 / Insert MDI 2.2 53 Insert EL3 / Insert SLS → THE ORIGINAL 8 Basic Kit / Osteotomy Kit 31 Insert MDI 2.5 54 Insert SLE1 / Insert SLE2 PIEZOELECTRIC 9 Osteoplasty Kit / Retro Surgical Kit 32 Insert OT1 / Insert OT1A 55 Insert PR1 / Insert PR2 10 Sinus Lift Lateral Kit / Piezo Lift Kit 33 Insert OT2 / Insert OT3 56 Insert EN1 / Insert EN2 BONE SURGERY – 11 Piezo Lift Kit / Mini implant prep Kit 34 Insert OT4 / Insert OT5 57 Insert EN3 / Insert EN4 EVIDENCE-BASED! 12 Implant Prep Kit Starter / Implant Prep Kit 35 Insert OT5A / OT5B 58 Insert EN5R / Insert EN5L 13 Implant Prep Kit Pro 36 Insert OT6 / Insert OT7 59 Insert EN6R / Insert EN6L 14 Extraction Kit / Explantation Kit 37 Insert OT7A / Insert OT7-20 60 Insert EX1 / Insert EX2 15 Periodontal Surgery Kit / Resective Perio Kit 38 Insert OT7S-4 / Insert OT7S-3 / 61 Insert EX3 16 Bone Expander Kits 39 Insert OT8R / Insert OT8L 62 Insert EXP3-R / Insert EXP3-L 17 Sinus Physiolift® II Kits 40 Insert OT9 / Insert OT11 63 Insert EXP4-R / Insert EXP4-L 18 Insert IM1S / PINS IM1, IM1S, 2-2.4, 2-3 41 Insert OT12 / Insert OT12S 64 Insert PS1 / Insert PP1 19 Insert IM1 AL / PINS IM1 AL, 2-2.4 AL, 2-3 AL 42 Insert OT13 / Insert OT14 65 Insert PS2 / Insert PS6 20 Insert IM2A / Insert IM2P 43 Insert SLO-H 66 Insert PP10 / Insert PP11 21 Insert IM2A-15 / Insert IM2P-15 44 Insert PL1 / Insert PL2 67 Insert PP12 22 Insert IM2.8A / Insert IM2.8P 45 Insert
    [Show full text]
  • UC San Diego UC San Diego Electronic Theses and Dissertations
    UC San Diego UC San Diego Electronic Theses and Dissertations Title Oral Polymicrobial Communities and Impact on Human Health / Permalink https://escholarship.org/uc/item/3t10n5q7 Author Schwarzberg, Karen Publication Date 2013 Peer reviewed|Thesis/dissertation eScholarship.org Powered by the California Digital Library University of California UNIVERSITY OF CALIFORNIA, SAN DIEGO SAN DIEGO STATE UNIVERSITY Oral Polymicrobial Communities and Impact on Human Health A dissertation submitted in partial satisfaction of the requirements for the degree Doctor of Philosophy in Biology by Karen Schwarzberg Committee in charge: University of California, San Diego Professor Douglas Bartlett Professor Joseph Pogliano San Diego State University Professor Scott T. Kelley, Chair Professor Kelly Doran Professor David Lipson 2013 The Dissertation of Karen Schwarzberg is approved, and it is acceptable in quality and form for publication on microfilm and electronically: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Chair University of California, San Diego San Diego State University 2013 iii DEDICATION I dedicate this dissertation to my family who has supported me throughout this process: my sister Yael Rosen, my brother-in-law David Rosen, my two nephews Benjamin Rosen and Jacob Rosen,
    [Show full text]
  • December Issue
    December 2019 Veneer Restorations Bleaching Systems Orthodontic Treatment Osteonecrosis Circadian Behaviors JournaCALIFORNIA DENTAL ASSOCIATION Spotlight on Dental Student Research Alice Goodwin, DDS, PhD, and Kyle Jones, DDS, PhD Vol 47 N o 9 SAVE MORE ON DENTAL SUPPLIES THAN YOU PAY IN DUES There’s no better time to be an association member! Your benefits now include negotiated discounts and free shipping through The Dentists Supply Company. See how tdsc.com can help you save more on dental supplies than you pay in annual association dues. SHOP ONLINE AND START SAVING TODAY Dec. 2019 CDA JOURNAL, VOL 47, Nº12 XXX First line DEPARTMENTS 757 The Editor/Earworms and Merciful Acts 761 Letter to the Editor 763 Thank You to the 2019 Reviewers 765 Impressions 811 RM Matters/Reduce Risk, Increase Productivity With Cellphone Policies 815 Regulatory Compliance/HIPAA Myths Explained 765 819 Ethics/How To Handle a Difficult Situation 822 Tech Trends FEATURES 769 Spotlight on Dental Student Research An introduction to the issue. Alice Goodwin, DDS, PhD, and Kyle Jones, DDS, PhD 771 Minimally Invasive Veneer Restorations: Effect of Restorative Material on Traumatic Impact Strength This article discusses how modern restorative materials and adhesive techniques are capable of restoring traumatized teeth to the impact strength of natural intact teeth. Michelle Yang, BS; Erik Balinghassay, BS; Johnny Huynh, BS; Xuehui Liu, DDS; Chunling Ge, DDS PhD; and Shane Newport White, BDentSc, MS, MA, PhD 777 Titanium-Oxide Nanoparticles and Nanofibers Used Alone or With UV Light Activation This study evaluated the change in oxidation potential of synthesized TiO2 nanofibers (NFs) compared to commercial TiO2 nanoparticles (NPs).
    [Show full text]
  • Periodontics
    129 Test 91.1 PERIODONTICS Placing Dental Implants and/or Natural Tooth Restorations in the Aesthetic Zone Achieving Proper Gingival Contours key goal of aesthetic/cosmetic den- tistry is the fabrication of maintain- A able, aesthetic, and functional pros- theses that preserve the health of the teeth and soft tissues.1,2 Advances in restorative dentistry have significantly improved the clinician’s ability to deliver predictable treat- ment. When implants are indicated, osseoin- Lee H. tegration is an added factor that is essential Silverstein, DDS, for success.3 It is universally accepted that MS implant dentistry is a restorative-driven treatment with a surgical component.4 Whether implants and/or natural tooth- supported restorations are to be placed in Figure 1. Position of the implant platform if positioned Figure 2. APE, illustrating position of implant if the soft- the aesthetic zone, the following factors must at the free gingival margin (FGM) when APE is present, tissue correction is not accomplished either before or at be considered in order to achieve the de- placing it too coronal for proper aesthetic development implant placement. of the restoration. sired result: • diagnosis of smile design • site development, including soft- and Gregori M. hard-tissue grafting to correct unaesthetic Kurtzman, DDS or functionally compromising anatomic David Kurtzman, abnormalities DDS • proper biologic width • gingival contours Peter C. Shatz, DDS • the removal of excessive alveolar bone and gingival tissue for the correction of a Richard “gummy” smile. Szikman, DDS All of these factors need to be considered during treatment planning and addressed prior to placement of dental implants5 or nat- ural tooth-supported restorations.6 Crown Figure 3.
    [Show full text]
  • Piezo Inserts 2018
    PIEZOSURGERY® INSERTS CLINICAL VIDEOS piezosurgery.mectron.com s.pa.a. b Supra and subgingival scaling and air polishing - Dr. Roncati PIEZOSURGERY® INSERTS PIEZOSURGEY white 세계 최고의 TIP 전문 개발 회사 mecton! 100종 이상의 다양한 INSERTS를 제공합니다. 1 INSERT QUALITY PRECISION 모든 팁은 5차원 CNC 장비에서 최대 0.1 ㎛ 의 정확도로 밀링 공정이 진행됩니다. MATERIAL 모든 초음파 팁은 의료용 등급의 고품질 스테인리스 스틸로 제작되었습니다. DIAMOND COATING TITANIUM NITRIDE COATING 종류에 따라 입도가 다른 다이아몬드 포면 경도 향상, 표면 부식 방지, 코팅 표면처리로 성능 향상 팁의 수명 향상 2 INDICATIONS SINUS LIFT TECHNIQUE SINUS LIFT IMPLANT SITE PREPARATION MINI DENTAL RIDGE PERIOSTEUM EXTRACTIONS CRESTAL APPROACH TECHNIQUE IMPLANT SITE EXPANSION PREPARATION LATERAL PREPARATION APPROACH PIEZO-LIFT SINUS PHYSIOLIFT STANDARD STANDARD OPTIONAL STANDARD STANDARD STANDARD STANDARD PL1 IM1 SP SLC IM1S IM1 AL IM1S OT7 PR1 EX1 PL2 IM2 SP SLO-H IM2A IM2A-15 MDI 1.9 OT4 PR2 EX2 PL3 P2-3 SP SLS IM3A IM2.8A MDI 2.2 OP5 EX3 OT9 SLE1 IM4A IM3A-15 MDI 2.5 OPTIONAL PS2 CS1 SLE2 IM2P IM3.4A OT2 CS2 OP3 IM3P IM2P-15 OT7A PIN IM1 OT1 IM4P IM2.8P OT7S-4 PIN 2-2.4 EL1 OT4 IM3P-15 OT7S-3 PROBE SP OPTIONAL P2-3 IM3.4P OT7-20 OT1A P3-4 OT12 OT5 OT12S OT5A BONE EXPANDERS OT5B EL2 EL3 3 medical technology EXPLANTATION BONE BLOCK BONE CHIP ENDODONTICS OSTEOTOMY CORTICOTOMY PERIODONTAL SURGERY CROWN GRAFTING GRAFTING/ CLOSE TO TECHNIQUE PREPARATION BONE NERVES MODELING STANDARD STANDARD STANDARD STANDARD STANDARD STANDARD STANDARD OPTIONAL STANDARD EXP3-R OT7 OP3 OT7 OT1 OT7S-4 OP5A PS1 DB2 EXP3-L OP5 OP1 PS2 OT5 OT7S-3 OP8 PS6 CROWN PREP TIP EXP4-R OT8L OPTIONAL EN1 OPTIONAL OP9 PP10 TA12D90*
    [Show full text]
  • TIP BOOK Multi-Function Ultrasonic Tips for All Applications
    TIP BOOK Multi-function ultrasonic tips for all applications SCALING TIPS Scaling is precise work. Proper instrument selection is essential to achieving complete periodontal cleaning. Our wide variety of tips give you the freedom to choose the exact instrument for the situation. PERIODONTIC TIPS Perio tips are thin and designed for root planing and maintenance to provide the best access to furcation and curved roots. ENDODONTICS Xpedent tips can be used in many areas in endodontics. They are excellent for the removal of posts, removing dentin in pulp chambers, finding and widening orifices, preparing canals, removing broken instruments and cleaning prepared canals. CAVITY PREPARATION These tips are diamond coated and can be used to prepare a cavity in the tooth before carrying out further dental work. SURGERY TIPS These tips are designed for a wide range of bone surgery applications, including sinus lifting and implantation procedures. EMS EMS EMS SATELEC SAT SAT NSK NSK NSK MECTRON MEC MEC SIRONA SIR SIR KAVO SONICFLEX KAVO KAVO AMDENT AMDENT AMDENT EMS SAT SIR MEC NSK SCALING Used to remove light and medium Flat edge is used to remove heavy supragingival calculus and bacterial supragingival calculus. plaque. G1 GS1 GN1 G2 GS2 GN2 GD1 GM1 GD2 7 Used to remove calculus and bacterial Used to remove all supragingival plaque from supragingival interdental calculus and bacterial plaque. areas. G3 GS3 GN3 G4 GS4 GN4 GD3 GM3 GD4 GM4 Used to remove all supragingival Used to remove heavy supragingival calculus and bacterial plaque. calculus. G5 GS5 GN5 G6 GS6 GN6 GD5 GM5 GD6 GM6 EMS SAT SIR MEC NSK Used to remove bridges, crowns and Used to remove bridges, crowns and posts by fracturing the cement.
    [Show full text]
  • Systemic Use of Metronidazole in the Treatment of Chronic Periodontitis
    Braz Oral Res Periodontics 2004;18(2):121-7 Systemic use of metronidazole in the treatment of chronic periodontitis: a pilot study using clinical, microbiological, and enzymatic evaluation Utilização sistêmica do metronidazol no tratamento da doença periodontal crônica: estudo piloto sobre avaliação clínica, microbiológica e enzimática Solange Alonso Vergani* Emílio Barbosa e Silva* Adriana Helena Vinholis* Rosemary Adriana Chiérici Marcantonio** ABSTRACT: The aim of the present parallel, double-blind investigation was to evaluate the effect of using systemic metronidazole alone or associated to scaling and root planing on adult chronic periodontal disease, monitored at baseline, 30, 60 and 90 days. Twelve subjects were divided into three groups: the first group (Group I - 22 sites) was submitted to scaling and root planing (SRP) alone; the second group (Group II - 30 sites) received SRP and 250 mg of metronidazole (3 times a day for 10 days), and the third group (Group III - 31 sites) was treated with metronidazole alone. The clinical parameters evaluated were probing depth (PD), clinical attachment level (CAL), plaque index (PlI), gingival index (GI) and bleeding upon probing (BP). Microbiological (BANA test) and enzymatic (Pocket Watch) tests were also performed. All three proposed treatments produced significant improvements in clinical conditions of subjects, from baseline, 30, 60 and 90-day period, except for clinical attachment level. The results obtained by microbiological and enzymatic tests did not show statistical differences among the groups for the 90-day period (r = 0.7924 and r = 0.7757, respectively). In relation to clinical parameters, statistical differences among groups were observed only for the gingival index (p = 0.0261) between Groups I and II, and probing depth (p = 0.0124) between Group I and the others.
    [Show full text]