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PubMed · 2100237

[Root surface instrumentation].

T Kocher
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Abstract

The present status of root surface debridement is reviewed. Recently it was shown that the influence of root surface roughness and endotoxin-contaminated cementum was overestimated. The method of instrumentation (i.e., hand instrument, sonic or ultrasonic scaler) does not influence wound healing after periodontal surgery. The operator's technique is of utmost importance.

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Dental ScalingEndotoxinsHumansSubgingival CurettageSurface PropertiesTooth RootUltrasonicsEnglish AbstractJournal Article

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T Kocher. 1990. [Root surface instrumentation].. https://pubmed.ncbi.nlm.nih.gov/2100237/

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Ultrasound in the kHz frequency range is used widely in clinical dentistry. The most common uses are in the fields of periodontology and endodontics. The ultrasonic scaler works by the vibratory chipping action of the oscillating tip and is assisted by the presence of cavitational activity in the associated cooling water. When assessing clinical studies it is often difficult to interpret results from different workers due to the lack of standardization of the ultrasonic scaler. Operators should be aware of the oscillatory pattern of different instruments. Endosonics utilizes an ultrasonically oscillating endodontic file to clean and shape the root canal prior to obturation. The cleaning ability of such files is assisted by the occurrence of acoustic microstreaming forces. The endosonic file is prone to constraint when it contacts the canal wall which alters its oscillatory pattern. Clinical techniques should be modified to reduce this problem.

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