title: Root debridement of single-rooted teeth with a diamond-coated sonic scaler insert during flap surgery. A pilot study.
abstract: In our laboratory, we modified inserts of a sonic scaler to increase effectivity of root surface instrumentation during flap surgery. The present clinical study investigates whether use of this diamond-coated, thickened insert facilitates more rapid root debridement compared to hand instruments and whether clinical wound healing is influenced by the type of instrument used. In 13 patients with moderate to advanced periodontal destructions, flap surgery was carried out on single rooted teeth with probing depth of > or =6 mm. The mean amount of time saved by root debridement with the diamond-coated insert was 60% over curets. Regardless of the used instrumentation method probing depths and attachment level changes were altered and remained unchanged for 2 years after surgery. In conclusion the newly-developed, diamond-coated sonic scaler insert facilitates more rapid root debridement during flap surgery than hand instruments without disadvantageously affecting clinical healing.
authors.affiliation: Abteilung Parodontologie in der Poliklinik für Zahnerhaltung, Parodontologie und Kinderzahnheilkunde im Zentrum für Zahn-, Mund- und Kieferheilkunde, Greifswald, Germany. kocho@rz.unigreifswald.de
authors.forename: T
authors.initials: T
authors.lastname: Kocher
authors.forename: H C
authors.initials: HC
authors.lastname: Plagmann
mesh_terms: D000328:Adult; D016301:Alveolar Bone Loss / Q000601:surgery; D003774:Dental Plaque Index; D012534:Dental Scaling / Q000295:instrumentation* / Q000379:methods; D018130:Diamond; D004867:Equipment Design; D005500:Follow-Up Studies; D005884:Gingival Hemorrhage / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D017622:Periodontal Attachment Loss / Q000601:surgery; D010510:Periodontal Diseases / Q000601:surgery*; D010514:Periodontal Pocket / Q000601:surgery; D010865:Pilot Projects; D016745:Root Planing / Q000295:instrumentation* / Q000379:methods; D013357:Subgingival Curettage / Q000295:instrumentation; D013499:Surface Properties; D013524:Surgical Flaps; D013997:Time Factors; D014092:Tooth Root / Q000601:surgery*; D014945:Wound Healing
chemical_list: D018130:Diamond