A-Comparative evaluation of root surface roughness after the use of gracey curettes and piezo-surgery-driven root planning tip on root surface: An in-vitro study
Journal Title: IP International Journal of Periodontology and Implantology - Year 2018, Vol 3, Issue 3
Abstract
Introduction and Objective The ideal instrument for initial periodontal therapy should enable the removal of all extraneous substances from the root surfaces without any iatrogenic effects Because of that the objective of this study is to analyses and to compare the root surface roughness after using Gracey curettes and a piezosurgery driven root planning tip using SEM scanning electron microscopyAim The aim of this study was to compare root surface characteristics following root planing with hand instrument and piezo surgery driven root planning tip instrumentsMaterial and Methods A2 mm 2 mm interproximal root area of 20 teeth n 40 surfaces was evaluated by scanning electron microscopy 50 to 1000 magnification Teeth were randomly assigned to the following two groups Gracey curettes with 20 vertical strokes and a piezosurgery ultrasonic scaler in mode ROOT with a power of two In each case the evaluation for root surface roughness before and after root planing and surface roughness using the Index t test p value was measuredResult SEM microscopy reviled the mean preoperative surface roughness was 3587 with a standard deviation of 0 466 The samples were root planed by curettes Gracey and the mean postoperative surface roughness was 2364 with a standard deviation of 0345 The results show that there was average surface roughness reduction in group A following root planing by curette instrument with t value of 6670 and p value of 00000129 The p value was more than 0 01ConclusionsOut of the two instruments namely Gracey curette and piezosurgery driven root planning tip were effective in mechanical debridement of the root surface The results favored the use of piezo surgery root planning tip to achieve a smooth clean root surface however the use of piezo surgery instrument tip was more time consuming which might limit its use in clinical practice Further clinical studies are neededKeywordsGracey curette Periodontal disease Root planning scaling Piezo root planning tips
Authors and Affiliations
Kiran Suradkar, Amit Chaudhari, Amita M Mali, Yogesh Khadtare, Prakash Vhatkar
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