Clinical comparison of instrumentation systems for periodontal debridement: a randomized clinical trial
Author
Puglisi, Rosario
Santos, Antonio
Pujol, Angels
Ferrari, Marco
Nart Molina, José
Pascual La Rocca, Andres Matteo
Publication date
2021-05ISSN
1601-5029
Abstract
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.
Document Type
Article
Document version
Accepted version
Language
English
Subject (CDU)
616.3 - Pathology of the digestive system. Complaints of the alimentary canal
Keywords
Teràpia periodontal no quirúrgica
Descamació
Desbridament subgingival
Curetes periodontals
Ultrasons
Piezoquirurgia
Terapia periodontal no quirúrgica
Raspado
Desbridamiento subgingival
Curetas periodontales
Ultrasonidos
Piezocirugía
Non-surgical periodontal therapy
Scaling
Subgingival debridement
Periodontal curettes
Ultrasonic
Piezosurgery
Pages
34
Publisher
John Wiley & Sons
Is part of
International Journal of Dental Hygiene
Citation
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
This item appears in the following Collection(s)
- Odontologia [245]
Rights
© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.