Clinical comparison of instrumentation systems for periodontal debridement: a randomized clinical trial
Nart Molina, José
Pascual La Rocca, Andres Matteo
Objective: To compare clinical efficacy, chairside time, and post-treatment hypersensitivity of four instruments used for subgingival periodontal debridement. Materials & Methods: Seventeen patients with stage II and III periodontitis were enrolled in this randomized clinical trial using a split-mouth design. Quadrants were randomly divided into four treatment groups: Group A: Gracey curettes-Hu-Friedy®; Group B: piezoelectric ultrasonic (Satelec®) with No.1S insert; Group C: diamond burs 40µm (Intensiv Perioset®); and Group D: piezosurgery ultrasonic (Mectron®) with PP1 insert. Clinical outcomes, chairside time, and hypersensitivity were assessed at 1, 2, 4, and 8 weeks after treatment. The primary outcome variable was improvement in clinical attachment level. Results: At 8 weeks post-treatment, Gracey curettes, piezoelectric ultrasonic (Satelec®), and piezosurgery ultrasonic (Mectron®) were statistically more effective than diamond burs in increasing attachment level and reducing probing pocket depth. Comparison of piezoelectric ultrasonic (Satelec®) and piezosurgery ultrasonic (Mectron®) with the other instruments showed a statistical difference (p<0.001) in chairside time. Regarding post-treatment hypersensitivity, no statistical differences were observed in any of the groups. Conclusions: Gracey curettes, piezoelectric ultrasonic (Satelec®), and piezosurgery ultrasonic (Mectron®) were clinically more effective than diamond burs 40 µm. The ultrasonic instruments showed a significant reduction in chairside time.
616.3 - Patologia de l'aparell digestiu. Odontologia
Teràpia periodontal no quirúrgica
Terapia periodontal no quirúrgica
Non-surgical periodontal therapy
John Wiley & Sons
Is part of
International Journal of Dental Hygiene
Puglisi, Rosario; Santos, Antonio; Pujol, Angels [et al.]. Clinical comparison of instrumentation systems for periodontal debridement: a randomized clinical trial. International Journal of Dental Hygiene, 2021, [p. 1-34]. Disponible en: <https://onlinelibrary.wiley.com/doi/10.1111/idh.12520>. Fecha de acceso: 8 jun. 2021. DOI: 10.1111/idh.12520
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- Odontologia 
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