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Comparison of the effects of periodontal rotary instruments and Gracey curettes on root surface characteristics: an in vivo SEM study.

Authors: Shivani, Dwivedi; Sharmila J, Verma;

Comparison of the effects of periodontal rotary instruments and Gracey curettes on root surface characteristics: an in vivo SEM study.

Abstract

Preparing the root surface by planing is an important procedure in the treatment and prevention of periodontal disease. The present study was designed to compare root surface characteristics following root planing with hand and power-driven instruments.In the present study, 40 single-rooted teeth indicated for extraction were selected and divided into two groups according to whether hand or rotary instruments were used (group I or II, respectively). Teeth were randomly selected. Scaling was performed with ultrasonic instruments. A mucoperiosteal flap was raised to the level of the alveolar crest, and root planing was done with hand instruments for the teeth in group I and with a rotary bur for the teeth in group II. Subsequently, the instrumented teeth were extracted, and the resulting surfaces were evaluated under a scanning electron microscope.In group I, deep scratches and striae were present. Considerable loss of tooth substance was observed, with a mean value of 1.57 ± 0.45. In group II, the root surface appeared flat and smooth, with fewer signs of gouging or scratching, with a mean value of 0.68 ± 0.49. The results were highly significant when both groups were compared (P = .001).In the present study, although both instruments used were found to be effective in removing deposits from the root surfaces, the results favored the use of rotary instruments over hand instruments for root planing to achieve a smooth, clean root surface.

Keywords

Dental Instruments, Ultrasonic Therapy, Microscopy, Electron, Scanning, Humans, Equipment Design, Tooth Root, Dental High-Speed Equipment, Root Planing

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
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