Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Root Planing”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources
PubMed1990

[Friction sound as an objective sign of completion of root planing].

Root planing is one of the most important procedures in periodontal treatment. However, there are no objective clinical signs to indicate completion of this procedure. The purpose of this study was to examine the friction sound produced by curettes and root surfaces during root planing and to test the possibility of utilizing the sound changes as an objective parameter for evaluating completion of the procedure. The study consisted of a clinical and laboratory experiment. Seven periodontally diseased teeth were utilized in the clinical trial. During scaling and root planing with the Gracey curette, the friction sound was clinically analyzed with a sound spectrograph. The root surface, in situ, was observed by scanning electron microscopy (SEM) with the replica technique. Twenty-one periodontally diseased teeth were used in the laboratory study. Root planed surfaces were classified as pre-root planed and post-root planed according to their friction sounds during root planing. Each surface was examined by the following methods: 1) measuring root surface roughness 2) SEM observations 3) determination of number of adherent cells by the cultured fibroblast technique. As a result, post-root planed surfaces were well root planed as evaluated by SEM observations and the profilometer. Similarly, adherent cell counts were increased on post-root planed surfaces. These results indicated the possible usefulness of friction sound analysis to judge the completion of root planing.

Cell Adhesion↗
PubMed1985

Scanning electron microscope evaluation of wear of dental curettes during standardized root planing.

Root planing relies upon the quality of instrument cutting edges. This study evaluated the sharpness and wear of some dental curettes available in the market following standardized root planing procedures. Nine working edges of nine Gracey No. 1/2 DE curettes, three each from three different manufacturers, were used as controls. These unused factory-sharpened edges were examined by scanning electron microscope (SEM). Eighteen edges of nine curettes of the same brands were likewise examined after root planing procedures. Root planing was carried out on extracted one-rooted teeth mounted in natural positions in manikin jaws. Working areas measuring 3 X 5 mm were marked on root surfaces previously exposed by periodontitis. Root planing procedures included 15 vertical strokes done by either Side 1 or Side 2 of each instrument in relation to a single working area of a tooth, and the same procedure repeated 3 times using the opposite side of the curette. All working edges were examined at points 1 and 2 mm from the tip under 500 times magnification. Edge deformation increased significantly from the control group to the "15-stroke" group and from the "15-stroke" group to the "45-stroke" group. Factory-sharpened curettes (control) were sharp, with functional wire edges present on 55% of the specimens. After 15 strokes, nonfunctional wire edges and narrow edge deformations with bevels measuring less than 15 mu were present. After 45 strokes eight cutting edges (88.9%) showed bevels wider than 15 mu. The difference between the three brands was not significant in any group (i.e., controls, 15 strokes, 45 strokes). Further study is indicated to evaluate the relationships between bevel dimensions and root planing effectiveness.

Curettage↗
PubMed1997

Tetracycline fibers plus scaling and root planing versus scaling and root planing alone: similar results after 5 years.

This paper presents 5-year data pertaining to a subgroup of patients from a previous investigation who were treated with scaling and root planing plus tetracycline fibers. The parent study demonstrated that 6 months after therapy, scaling and root planing plus tetracycline fiber therapy was significantly better at reducing probing depth and gaining clinical attachment than scaling and root planing alone. However, the long-term data presented here show a regression from the original gains in clinical attachment levels in the fiber group. Ultimately, the use of fibers provided no significant advantage with regards to probing depth reduction or clinical attachment gain. Within the power of this study, which would have required 1.78 mm of change in clinical attachment to show a difference, there was no significant difference between the treatments at 5 years. This study underscores the need for additional long-term evaluation of this mode of therapy.

Analysis of Variance↗
PubMed1995

Effect of ND:YAG laser irradiation and root planing on the root surface: structural and thermal effects.

Effects of ND:YAG laser irradiation on untreated and root planed tooth roots were investigated to determine whether a cleaning effect and/or removal of smear layer could be achieved without concomitant microstructural or thermal damage. Sixty (60) healthy extracted teeth were either untreated, irradiated only, root planed only, or irradiated and root planed. Intra-pulpal and surface temperatures were monitored during irradiation, then SEM was performed. Smear layer elimination was achieved without inducing hard tissue microstructural damage at 5W, using pulse durations and intervals of 0.1 s, a fluence of 0.77 J/cm2, and a total energy density of approximately 700 J/cm2. However, these results were not consistent in all samples. At these parameters, intra-pulpal temperature increases of 9 to 22 degrees C and surface temperature increases of 18 to 36 degrees C were recorded. Thus, despite their effectiveness for smear layer removal, these parameters may not be appropriate for clinical use as an adjunct to conventional periodontal therapy.

Body Temperature↗
PubMed1993

The clinical effectiveness of open versus closed scaling and root planing on multi-rooted teeth.

Scaling and root planing are the most common techniques utilized to achieve a biologically-acceptable root surface. Thorough root debridement is a demanding task, with residual deposits of plaque and calculus a not uncommon finding after instrumentation. This study evaluated the effectiveness of scaling and root planing via a closed versus an open flap approach. Sixty multi-rooted teeth were assigned to one of three groups: untreated controls, closed scaling/root planing, and open flap scaling/root planing. Following debridement, teeth were extracted, immersed in methylene blue, and examined for the percent surface area having stainable residual deposits. The mean percent stained surface area covered by residual plaque and calculus was 54.3% in the closed root planing group compared to 33.0% in the open flap root planing group. The untreated control teeth had 91.0% of the root surface covered with stainable deposits. Within-group comparisons showed no significant difference in the percent stained residual plaque and calculus in shallow areas of the pocket (< or = 3 mm apical to the gingival margin) compared to deeper areas (> 3 mm subgingival). Examination of furcation regions demonstrated heavy residual stainable deposits for both treatment methods, with no significant differences between techniques. There was no correlation between the time spent in root debridement and the percent residual deposit area. The results demonstrate that hand instrumentation alone is inadequate for thorough debridement of furcations and suggest that new approaches are needed to provide a root surface which is compatible with formation of new periodontal attachment. High frequency ultrasonic instruments, rotary burs, and chemical agents may assist in debridement of such surfaces.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1992

Factors determining the outcome of scaling and root planing.

Scaling and root planing are the predominant and recognized forms of periodontal therapy. They have been known for centuries, and have been investigated with increasing intensity since the turn of the century. Scaling and root planing aim at therapeutic changes of the "hard tissue lesion" at the root surface, in order to render it biologically acceptable to cells capable of attaching to it. Two major components of these root surface alterations are calculus and cementum alterations. Numerous studies have shown that scaling and root planing effectively removes subgingival deposits, and that this removal is seldom complete in deeper pockets. Even though beneficial clinical effects of scaling and root planing have been shown, it is unlikely that the full potential of healing is utilized today due to technical shortcomings. Several studies have shown that the design and dimensions of curets as used today are not optimal. These instruments are for many situations too big, subject to rapid dulling, and produce a smear layer. Chemical agents have been used to remove this layer with limited success. The therapist is a virtually unknown factor in the system of delivering scaling and root planing. A recent study showed that scaling and root planing forces used by different therapists on similar root surfaces varied by factors greater than 10. In addition, higher forces were shown to remove significantly more root substance. Apparently there is a large subjective component included in the delivery of scaling and root planing therapy. Even though scaling and root planing have been shown to be effective therapeutic procedures, many aspects require more research.

Clinical Competence↗
PubMed1980

Root planing and curettage.

Root planing and curettage are at least as satisfactory as other surgical techniques for the gain and maintenance of attachment in most periodontal pockets. Reduction of pocket depth and root exposure are less following subgingival curettage than after other modalities of surgery. It is not known if soft tissue curettage adds anything to the results of scaling and root planing. Curettage is demanding with regards to technical skill and time, and may be impractical in many instances compared to flap surgery.

Dental Instruments↗
PubMed1978

The effectiveness of in vivo root planing in removing bacterial endotoxin from the roots of periodontally involved teeth.

In this study, scaling alone resulted in endotoxin values considerably greater than the values for healthy root surfaces. However, the root-planed Samples contained only about 1 ng more of endotoxin than did the healthy root surfaces. This small difference can be accounted for by the presence of small flecks of calculus left after root planing. Considering that out of a total sample size of 48 surfaces there was only 1 ng difference in the amount of endotoxin between planed teeth and uninvolved teeth, the basic conclusion must be that root planing, as performed in this study, was able to render diseased root surfaces approximately as free of detectable endotoxin as were uninvolved, healthy root surfaces of unerupted teeth.

Adult↗
PubMed1980

Postsurgical bone loss following root planing by ultrasonic and hard instruments.

The ultrasonic scaler is currently used to plane the roots in periodontal surgery. The purpose of this study was to provide experimental evidence in support of, or against, the use of the ultrasonic scaler for root planning in periodontal surgical procedures. A notch was made through the enamel of each canine of nine adult cats. Full thickness mucoperiosteal flaps were elevated on each canine. Using hand curettes, soft tissue tags were removed from each tooth. At the maxillary right canines and mandibular left canines the roots were planed using the ultrasonic scaler, while at the maxillary left canines and mandibular right canines the roots were planed using hand curettes. A caliper was used to measure the distance from the notch to the crest of the alveolar process at each tooth. The mucoperiosteal flaps were repositioned and secured with cyanoacrylate cement. Three months postoperatively all 36 sites were reoperated and the distance from the notch of each canine to the crest of its alveolar process was measured using the caliper. The same caliper was used for all sites and the same investigator made all the measurements. Analysis of the results showed that all canines lost alveolar bone as a result of the surgical procedure, however, there was no statistical significance between the amount of bone lost on the canines where root planing was carried out by the ultrasonic scaler and the canines where the roots were planed with hand curettes. These findings support the use of the ultrasonic scaler for the planing of roots following elevation of mucoperisteal flaps and confirm its value in the practice of periodontal surgical procedures.

Alveolar Process↗
PubMed1997

An in vitro study of various instruments for root planing.

Rotating instruments are becoming increasingly significant in the scaling and planing of the root surface. The objective of this in vitro study was to test various root-planing instruments on extracted teeth and then to compare the treated surfaces using scanning electron microscopy. Two manual instruments (scaler and curette) and five mechanically rotating instruments (Desmo-Clean; Perio-Set; Viking-Set; and 40-microns and 15-microns diamond finishers) were investigated. From a total of 42 teeth, six root surfaces were treated with each instrument. The results confirm the clear superiority of the manual instruments (especially the curette). The manual instruments permit good root planing with minimum ablation from the root surface and only a thin smear layer (a compound of grinding dust, dentinal fluid, and water). The best planing results by rotating instruments were achieved with the Desmo-Clean and the 15-microns diamond finisher, whose performance was almost equal to that of the manual instruments. The rotating instruments, however, were associated with higher ablation and a marked smear layer. Manual instruments remain the media of choice on easily accessible root surfaces; however, rotating instruments are of advantage in inaccessible areas (eg, furcations) because of their handling properties.

Bicuspid↗
PubMed1989

Endodontic effects of root planing in humans.

Although the deliberate removal of cementum by root planing remains part of periodontal therapy, its scientific basis is under challenge. A potentially harmful effect of root planing is the exposure of dentinal tubules to the oral environment; this study investigated the short-term endodontic effects of root planing in humans. Ten teeth with significant loss of periodontal attachment had one proximal surface root planed; the other proximal surface was not root planed. After 10-14 days, the teeth were extracted and processed for light microscopic and SEM examination. Hypersensitivity to thermal stimuli was reported by 4 subjects after root planing. Chronic pulpitis was found in 3 pulps adjacent to the area of root planing. Bacterial penetration of dentin was observed, although the depth of penetration was less than reported by others. The results indicated that previous perceptions of the beneficial role of root planing in periodontal therapy require reconsideration.

Dental Prophylaxis↗
PubMed1991

Root substance removal by scaling and root planing.

The amount of root substance removed by scaling and root planing is largely unknown. The present study evaluated in vitro the root substance loss caused by a defined number of working strokes at known forces. Forty extracted teeth with loss of connective tissue attachment into the middle third of the roots were washed and embedded in plaster, leaving one entire corono-apical tooth aspect exposed. The teeth were reproducibly repositioned in a bench-vise, where a profilometer repeatedly measured root surface levels at the same location. In a standard area of the roots a total of 40 working strokes were applied. Low forces were used in 30 teeth and high forces in 10 teeth. The forces were recorded using a piezo-electric receiver built into the upper shank of the curet. Root substance loss was measured after 5, 10, 20, and 40 working strokes. The results showed that the mean low force used per working stroke across all 40 strokes was 3.04 Newtons for the low forces, and 8.48 Newtons for the high forces. Mean cumulative loss of root substance across 40 strokes was 148.7 microns at low forces, and 343.3 microns at high forces. The mean force per stroke increased slightly across the 40 strokes, while substance removal per stroke decreased. Substance removal per stroke during strokes 1 to 5 was 6.8 microns using low forces and 20.6 microns using high forces. During strokes 21 to 40 mean removal per stroke was 2.3 microns at low forces, and 5.6 microns at high forces. These results suggest that high forces remove more root substance, and loss per stroke becomes less with increasing numbers of strokes.

Dental Scaling↗
PubMed1992

The effectiveness of the air-powder abrasive device for root planing during periodontal surgery.

The efficacy of the air-powder abrasive device (APAD) in root planing during flap surgery was assessed in vitro and in vivo. Two teeth on which full-thickness flaps were raised underwent root planing by hand-scaling alone and hand-scaling combined with APAD. One tooth extracted prior to surgery underwent unrestricted hand-scaling under a binocular microscope (control). The two teeth root planed in situ and the tooth root planed in vitro were observed by scanning electron microscopy (SEM). Then, 10 patients with periodontitis requiring flap surgery were selected for a clinical study. After raising full-thickness flaps, 29 sites from five patients underwent root planing using hand-scaling combined with APAD, whereas 22 sites from six patients underwent root planing by hand scalers only. SEM revealed that root surfaces planed in situ by hand-scaling combined with APAD were smoother than those root-planed using hand scalers alone. The control tooth surface was as smooth as those submitted to combined root planing. The clinical study showed that sites submitted to combined root planing displayed enhanced attachment level gain and pocket reduction. These results, associated with the shortened instrumentation time, suggest APAD as a useful instrument for root planing during flap surgery.

Air↗
PubMed1991

In vivo scaling and root planing forces.

The purpose of the present study was to assess the scaling and root planing forces exerted in vivo. Ten dentists and 10 dental hygienists scaled and root planed one aspect of an incisor in an adult patient with untreated advanced periodontitis. During scaling and root planing forces were recorded using a piezo-electric receiver, an electronic transducer, and an analogous writer. The forces were recorded in mA and converted into Newtons (N). The results showed that the mean scaling force applied by dentists was 5.70 N and ranged between 1.01 to 10.35 N. The corresponding values for dental hygienists were a mean of 5.38 N, and a range of 1.52 to 15.73 N. The root planing forces in dentists reached a mean of 4.62 N, and ranged between 0.86 to 8.88 N. For hygienists, these values were 4.58 N with a range of 1.56 to 10.59 N. Negative forces impacting on the periodontal soft tissues were also recorded. They were not present in all therapists, but consistently at work within specific therapists. During scaling these forces reached a mean of -0.40 N in dentists and -0.47 N in dental hygienists. During root planing, these forces were mean -0.59 N in dentists, and -0.81 N in hygienists. There were no statistically significant differences between scaling forces and root planing forces, nor between forces used by dentists and hygienists (P greater than 0.05). However, there were significant differences between the force levels of the individual therapists for all positive forces (P = 0.0001), and for negative forces during root planing (P = 0.0001). The technology and information provided by this investigation may enable studies evaluating clinical effectiveness of scaling and root planing doses.

Adult↗
PubMed1997

Root planing following short-term pocket distention.

This study evaluated the effectiveness of root planing following short-term pocket distention. Seventy-five single-rooted teeth with probing depths > or = 5 mm and < or = 10 mm were selected. The teeth were randomly divided into three treatment groups. In groups 1 and 2 a gingival retraction cord (aluminum sulfate-impregnated in group 1 and non-impregnated cord in group 2) was packed subgingivally for 30 minutes. Following removal of the cord, the teeth were scaled and root planed. In group 3 the teeth were root planed only. Following instrumentation, the teeth were extracted and examined under a stereomicroscope. The residual calculus on the root surface of each tooth was measured using a computerized image analysis system. The quantities were compared using a two-way ANOVA and Chi-square test. The results showed that 46.3% of all root surfaces had detectable residual calculus and that the mean percentage of residual calculus per root surface was 4.41% following root planing. Forty percent of the root surfaces in group 1 had residual calculus, 38.0% in group 2, and 61.0% in group 3. There was a statistically significant difference (P < 0.01) between groups 1 and 2 compared to group 3. The mean calculus per root surface for groups 1, 2, and 3 was 3.03%, 3.04%, and 7.15%, respectively. Significant differences (P < 0.005) were found between groups 1 and 2 compared to group 3. These results indicate that subgingival calculus removal in deep pockets is enhanced with short-term pocket distention, and that there is no added benefit to having aluminum sulfate present in the retraction cord.

Administration, Topical↗
PubMed1987

The concentration of lipopolysaccharide on individual root surfaces at varying times following in vivo root planing.

Material with endotoxin activity has been detected in extracts prepared from pooled, periodontally involved teeth, and it has been shown that root planing in vivo reduces the level of such material. However, questions concerning the concentration of endotoxin on the diseased surfaces of individual teeth and questions concerning how rapidly individual root planed tooth surfaces retoxify in vivo have not been addressed previously. Citric acid extracts were prepared from individual, periodontally diseased teeth that had been extracted either from the oral cavity without prior root planing or at varying times up to 12 weeks following root planing. Using a chromogenic Limulus Amebocyte Lysate (LAL) assay, we were able to quantitate the amount of endotoxin associated with diseased root surfaces of individual teeth. We concluded that the extracted material contained endotoxin since it activated LAL and since the LAL-activation was heat-stable, acid-stable and neutralizeable by polymyxin B. The levels of endotoxin found on the root surfaces of these individual, periodontally involved teeth at varying times following in vivo root planing support the following conclusions: the concentration of endotoxin present on diseased root surfaces is markedly reduced, but not eliminated, by in vivo root planing, significant retoxification of root planed surfaces occurs within a relatively short time period after root planing and biological responses to such toxification conceivably may lead to subsequent phases having reduced levels of endotoxin.

Adult↗
PubMed1993

Effect of periodontal root planing on dentin permeability.

The purpose of this study was to quantitate the effects of root planing on the permeability of human root dentin in vitro. Unerupted 3rd molars were used. The crowns were removed and longitudinal slices made of the root. The hydraulic conductance of the root dentin was measured before and after root planing, acid etching and potassium oxalate application using a fluid filtration method. The results showed that root planing creates a smear layer that reduces the permeability of the underlying dentin. However, this smear layer is acid labile. Thus, root planing may ultimately cause increased dentin permeability and the associated sequelae of sensitive dentin, bacterial invasion of tubules, reduced periodontal reattachment and pulpal irritation.

Acid Etching, Dental↗
PubMed1992

The effect of Nd:YAG laser exposure on root surfaces when used as an adjunct to root planing: an in vitro study.

The purpose of this study was to evaluate the effects of Nd:YAG laser treatment on root surfaces in vitro when used alone or in combination with conventional scaling and root planing. The study population consisted of 18 unerupted third molars, each with a 3 mm diameter treatment site outlined on the root surface. Three specimens were randomly assigned to each of 6 different treatment groups: 1) untreated control; 2) root planed only; 3) laser treated only using 1.25 W of energy; 4) laser treated only using 1.50 W of energy; 5) laser treated with 1.25 W of energy followed by root planing; and 6) laser treated with 1.50 W of energy followed by root planing. Following their respective treatment, all specimens were prepared for evaluation by scanning electron microscopy. Specimens from Group 2, root planed only, exhibited a smear layer of scale-like texture with parallel instrument tracks resulting from curet use. Specimens treated by laser only, Groups 3 and 4, featured various surface changes not observed in controls such as charring and carbonization of the cementum surface, randomly distributed pitting and crater formation, and melting of the root mineral phase with subsequent resolidification as porous globules. Those specimens treated by laser followed by root planing, Groups 5 and 6, exhibited surface characteristics similar to those noted in Group 2 specimens. Further, there were areas of exposed dentinal tubules resulting from a "peeling" of the cementum layer. The results of this in vitro study suggest that laser use during root preparation, even at relatively low energy levels, will result in physical changes to the root surface.(ABSTRACT TRUNCATED AT 250 WORDS)

Aluminum Silicates↗