Please activate JavaScript!
Please install Adobe Flash Player, click here for download

prevention International magazine for oral health No. 1, 2017

prevention | title biofilm management. In professional manual biofilm management, we have a range of tools available, including manual debridement with handheld instruments and classic surface polishing, as well as debridement with sonic and ultrasound instruments, such as air polishing sys- tems. Most dental practices still clean the surface of the teeth with manual tools. In initial therapy, after the use of Piezon, we sometimes still use manual tools, though never for maintenance therapy. The cor- rect use of these manual tools is tech- nically challenging and requires a good tactile feel and extensive training. The treatment itself is very time-consuming and tiring for the practitioner, but indis- pensable for deep pockets of periodontitis that are not being treated surgically. The procedure often leads to oversensitive roots and aesthetically displeasing and noticeable recessions. Manual tools are not well received by patients either and often cause dental practitioners’ hand and arm ligaments to tire. These reasons have led to the need for new tools to be used at regular intervals. …Or modern? Axelsson and Lindhe have begun to use ultrasound tools in their maintenance therapy. This technology broke through in the 1980s as bulky ultrasound tips were replaced with fine tips based on periodontal probes. I can still remember the introduction of gentler piezo-ceramic ultrasound devices—a real scientific and technological innovation. Only this ultrasound technology allowed linear, low-pain movements. A consensus paper on this topic, published during the EuroPerio 2012 Congress in Vienna, can be summarised as follows: (cid:273)(cid:3) (cid:51)(cid:76)(cid:72)(cid:93)(cid:82)(cid:16)(cid:70)(cid:72)(cid:85)(cid:68)(cid:80)(cid:76)(cid:70)(cid:3) (cid:87)(cid:72)(cid:70)(cid:75)(cid:81)(cid:82)(cid:79)(cid:82)(cid:74)(cid:76)(cid:72)(cid:86)(cid:3) (cid:75)(cid:68)(cid:89)(cid:72)(cid:3) proven effective for manually remov- ing build-up (cid:273)(cid:3)(cid:55)(cid:75)(cid:72)(cid:92)(cid:3)(cid:70)(cid:68)(cid:81)(cid:3)(cid:69)(cid:72)(cid:3)(cid:88)(cid:86)(cid:72)(cid:71)(cid:3)(cid:88)(cid:81)(cid:76)(cid:89)(cid:72)(cid:85)(cid:86)(cid:68)(cid:79)(cid:79)(cid:92)(cid:3)(cid:11)(cid:69)(cid:82)(cid:87)(cid:75)(cid:3) sub- and supragingival) to remove mineralised build-up and bacterial biofilm (cid:273)(cid:3)(cid:55)(cid:75)(cid:72)(cid:92)(cid:3)(cid:68)(cid:85)(cid:72)(cid:3)(cid:74)(cid:72)(cid:81)(cid:87)(cid:79)(cid:72)(cid:3)(cid:82)(cid:81)(cid:3)(cid:86)(cid:82)(cid:427)(cid:3)(cid:87)(cid:76)(cid:86)(cid:86)(cid:88)(cid:72) (cid:273)(cid:3) (cid:55)(cid:75)(cid:72)(cid:92)(cid:3) (cid:68)(cid:79)(cid:79)(cid:82)(cid:90)(cid:3) (cid:73)(cid:82)(cid:85)(cid:3) (cid:86)(cid:75)(cid:82)(cid:85)(cid:87)(cid:72)(cid:85)(cid:3) (cid:87)(cid:85)(cid:72)(cid:68)(cid:87)(cid:80)(cid:72)(cid:81)(cid:87)(cid:3) times (cid:273)(cid:3)(cid:55)(cid:75)(cid:72)(cid:92)(cid:3)(cid:70)(cid:68)(cid:88)(cid:86)(cid:72)(cid:3)(cid:79)(cid:72)(cid:86)(cid:86)(cid:3)(cid:83)(cid:68)(cid:76)(cid:81)(cid:3)(cid:73)(cid:82)(cid:85)(cid:3)(cid:87)(cid:75)(cid:72)(cid:3)(cid:83)(cid:68)(cid:87)(cid:76)(cid:72)(cid:81)(cid:87) (cid:273)(cid:3)(cid:55)(cid:75)(cid:72)(cid:92)(cid:3)(cid:70)(cid:68)(cid:81)(cid:3)(cid:69)(cid:72)(cid:3)(cid:88)(cid:86)(cid:72)(cid:71)(cid:3)(cid:68)(cid:427)(cid:72)(cid:85)(cid:3)(cid:68)(cid:3)(cid:86)(cid:75)(cid:82)(cid:85)(cid:87)(cid:3)(cid:87)(cid:85)(cid:68)(cid:76)(cid:81)- ing period Today, we know even more. Powder jet devices can be used to clean sub- and supragingival biofilm and staining more efficiently and quickly. Low-abrasion pow- der based on glycine or erythritol and new subgingival nozzles perform excep- tionally well. The literature on powder and water jet technology with low-abrasion powders in biofilm management, com- pared with manual and ultrasound tools, highlights the benefits of this new tech- nology. Furthermore, air polishing with low-abrasion powder removes more bac- teria than manual and ultrasound tools. Many studies have shown that air polish- ing can remove supragingival build-up and stains much more effectively than classic polishing methods. This applies to soft tissue, hard tissue or restorative materials. Therefore, subgingival air pol- ishing with low-abrasion powder is gentle enough and therefore suitable for use on all dental tissue. A short guide to powder The most commonly used powders are sodium bicarbonate, glycine and erythritol. Sodium bicarbonate is a white, crystalline 52 issue #1

Pages Overview