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- Title
Efficacy of a Periodontal Endoscope on Calculus Removal in First Molar Furcations.
- Authors
Wang, Anne Marie; Rulli, Danielle; Kinney, Janet; Hsun-Liang Chan; Chiego Jr., Daniel
- Abstract
Purpose: Scaling and root planing (SRP) is a gold standard of nonsurgical periodontal therapy (NSPT), however its success may vary due to the lack of direct visualization and the limitations of tactile detection. Use of a periodontal endoscope during SRP, endoscope-guided SRP (EG-SRP) may improve the outcomes of SRP. The purpose of this bench study was to explore if EG-SRP resulted in better removal of calculus in furcation areas in vitro. Methods: A total of 50 furcations from 20 previously extracted maxillary and mandibular first molars were randomized and stratified to either the Tactile SRP Arm (Control Arm) or the EG-SRP Arm (Study Arm). All specimens were stained, scanned to obtain a pre-treatment image, and mounted in simulated gingiva. Both arms underwent SRP to the point of the root surfaces feeling smooth as evaluated tactilely by an ODU 11/12 explorer, and specimens in the Study Arm were also evaluated visually using a periodontal endoscope. After receiving treatment, the specimens were removed from the gingiva-like material to obtain a post-treatment scanned image. The areas of the furcation surface and remaining calculus deposits were calculated to obtain the amount of residual calculus. Results: Conventional SRP resulted in 22.5% more residual calculus as compared to EG-SRP (p=0.001). Conclusion: Within the limits of this in vivo study, EGSRP was more effective at calculus removal than conventional SRP in furcation areas and may be more effective as an adjunct modality in NSPT compared to conventional SRP alone.
- Publication
Journal of Dental Hygiene, 2022, Vol 96, Issue 5, p62
- ISSN
1043-254X
- Publication type
Academic Journal