Comparative Evaluation of Manual and Ultrasonic Scaling and Root Planing (SRP) with and without Calculus Softening Agent Using Scanning Electron Microscope (SEM): An In-vitro Study
Monika Patil*, Mala Dixit Baburaj and Sandeep Pimpale
Department of Periodontics, Nair Hospital Dental College, India
*Corresponding Author: Monika Patil, Postgraduate Student, Department of Periodontics, Nair Hospital Dental College, India.
Received:
January 06, 2025; Published: January 24, 2025
Abstract
Background: Periodontal therapy often involves scaling and root planing (SRP) to remove plaque and calculus and mitigate periodontitis progression. While ultrasonic and manual methods are widely used, they vary in efficacy, particularly in terms of calculus removal and potential damage to tooth surfaces.
Objective: To compare the effectiveness of manual and ultrasonic SRP with and without a calculus softening agent, assessed through Scanning Electron Microscopy (SEM).
Methods: A total of 68 extracted human teeth were categorized into four treatment groups, each treated with a combination of SRP methods. SEM evaluated post-treatment calculus residue, cleanliness, and loss of tooth substance.
Results: Ultrasonic scaling with a softening agent significantly reduced remaining calculus while minimizing tooth surface damage, indicating a promising adjunctive strategy.
Conclusion: Incorporating a calculus softening agent in ultrasonic SRP may improve periodontal outcomes by enhancing calculus removal and preserving tooth structure.
Keywords: Calculus Softening Agent; Hand Scaling; Ultrasonic Scaling; Scanning Electron Microscope
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