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Dental debridement is a procedure by which plaque and calculus (tartar) that have accumulated on the teeth is removed. [1] Debridement may be performed in the process of personal or professional teeth cleaning. Professional debridement techniques include the use of ultrasonic instruments (which fracture the calculus, thereby facilitating its ...
Scaling and root planing, also known as conventional periodontal therapy, non-surgical periodontal therapy or deep cleaning, is a procedure involving removal of dental plaque and calculus (scaling or debridement) and then smoothing, or planing, of the (exposed) surfaces of the roots, removing cementum or dentine that is impregnated with calculus, toxins, or microorganisms, [1] the agents that ...
In dentistry, open flap debridement is a periodontal procedure in which the supporting alveolar bone and root surfaces of teeth are exposed by incising the gingiva to provide increased access for scaling and root planing.
This is vital to nonsurgical periodontal therapy because scaling and root planing reduces bacterial biofilms in the mouth that are associated with inflammation. [2] A research study suggests that periodontal root debridement is a key factor that influences the success of gaining periodontal attachment on previously infected root surfaces. [4]
This can be useful in smaller files (<20) but larger files have increased rigidity which can result in procedural errors. At smaller sizes the files can be pre-curved which is a major advantage for the debridement of roots with sharp curvatures. Their rigidity also has an advantage in calcified root canals in the initial stages of debridement.
Plaque and calculus deposits are a major etiological factor in the development and progression of oral disease. An important part of the scope of practice of a dental hygienist is the removal of plaque and calculus deposits. This is achieved through the use of specifically designed instruments for debridement of tooth surfaces.
Periodontal scalers are dental instruments used in the prophylactic and periodontal care of teeth (most often human teeth), including scaling and root planing. The working ends come in a variety of shapes and sizes, but they are always narrow at the tip, so as to allow for access to narrow embrasure spaces between teeth.
When a tooth has very deep periodontal pockets it may not be possible to fully remove the dental plaque/tartar/calculus from the tooth's root surface with scaling alone. In open flap debridement (OFD) the gum is peeled back to make it possible for the dentist to see and ensure full removal of tartar/calculus from these difficult to access areas ...
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