Scaling and root planing
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Overview
The objective of scaling and root planing, otherwise known as conventional periodontal therapy or non-surgical periodontal therapy, is to remove or eliminate the etiologic agents which cause inflammation: dental plaque, its products and calculus,[1] thus helping to establish a periodontium that is free of disease.[1]
Periodontal scaling procedures "include the removal of plaque, calculus and stain from the crown and root surfaces of teeth, whereas root planing is a specific treatment that removes the roughened cementum and surface dentin that is impregnated with calculus, microorganisms and their toxins."[1]
Scaling and root planing are often referred to as deep cleaning, and may be performed using a number of dental tools, including ultrasonic instruments and hand instruments, such as periodontal scalers and curettes.
Removal of adherant plaque and calculus with hand instruments can also be performed on patients without periodontal disease. This treatment would then be referred to as a prophylaxis (a cleaning, although literally, it means "prevention"), or a prophy for short. Sometimes this device may be electric, known as an ultrasonic or sonic scaler. At present though, there is inadequate research evidence to claim that periodic pre-emptive scaling reduces the incidence of periodontal disease [1].
Sonic and ultrasonic scalers are powered by a system that causes the tip to vibrate. Sonic scalers are typically powered by an air-driven turbine. Ultrasonic scalers typically use either magnetostrictive or piezoelectric systems to create vibration. Magnetostrictive scalers use a stack of metal plates bonded to the tool tip. The stack is induced to vibrate by an external coil connected to an AC source. Many ultrasonic scalers also include a liquid output or lavage, which aids in cooling the tool during use. The lavage can also be used to deliver antimicrobial agents. There is some debate over whether there is an advantage to sonic or ultrasonic scaling over hand scaling and some issues arise from powered scalers. However, powered scalers tend to create aerosols, which can spread pathogens.
See also
References
External links
- What is Deep Cleaning (Scaling and Root Planing)?
- Dickson, Murray [November 1983] (July 1996). "Scaling Teeth", Where There Is No Dentist (pdf), 7th printing (in English), Palo Alto, CA: The Hesperian Foundation, 121-128. ISBN 0-942364-05-8. Retrieved on March 2006.
it:Ablazione del tartaro ja:スケーリング
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
