Analysis of Root Surface after Treatments with SRP through Periodontal Endoscope in Vitro

doi:10.13701/j.cnki.kqyxyj.2019.12.020

Abstract

Abstract: Objective: To evaluate the cementum thickness and the root morphology after SRP treatment with or without periodontal endoscope in vitro. Methods: Thirty single root teeth with mobility Ⅲ which need to be extracted were collected and divided into 4 groups randomly: no treatment, Ultra group, Ultra-Hand group, and Ultra-Endo group. Plaque Disclosing Agent was used to measure the residue calculus rate. SEM was applied to observe the surface of teeth. Histology method was taken to measure the thickness of cementum. Results: All three test groups had a much lower calculus residual rate than control group (P<0.05), and both Ultra group and Ultra-Hand group had more calculus residual than Ultra-Endo group (P<0.05). Ultra-Hand group showed a smooth surface with homogeneous patchy distribution and cobblestone appearance with debris. Ultra-Endo group and Ultra group showed roughness, and the cobblestone was the same as the surface of health teeth under EMS. The remaining cementum of Ultra-Endo group was more than those of Ultra group and Ultra-Hand group. Conclusions: Subgingival calculus can be removed more thoroughly and clearly and remain more cementum with the help of periodontal endoscope.

Key words: periodontitis, root surface, cementum thickness, periodontal endoscope

LUO Wenqiong, MIAO Lei, PAN Yaping. Analysis of Root Surface after Treatments with SRP through Periodontal Endoscope in Vitro[J]. Journal of Oral Science Research, 2019, 35(12): 1182-1186.

References

[1] Foster BL. On the discovery of cementum [J]. J Periodontal Res, 2017, 52(4): 666–685.
[2] Apatzidou DA, Kinane DF. Nonsurgical mechanical treatment strategies for periodontal disease [J]. Dent Clin North Am, 2010, 54(1): 1-12.
[3] Sgolastra F, Petrucci A, Gatto R, et al. Long-term efficacy of subantimicrobial-dose doxycycline as an adjunctive treatment to scaling and root planing: a systematic review and meta-analysis [J]. J Periodontol, 2011, 82(11): 1570-1581.
[4] Mohan R, Agrawal S, Gundappa M. Atomic force microscopy and scanning electron microscopy evaluation of efficacy of scaling and root planing using magnification: A randomized controlled clinical study [J]. Contemp Clin Dent, 2013, 4(3): 286-294.
[5] Nyman S, Westfelt E, Sarhed G, et al. Role of "diseased" root cementum in healing following treatment of periodontal disease. A clinical study [J]. J Clin Periodontol,1988,15(7):464-468.
[6] Biomiöl L, Friskopp J, Appelgren R. Influence of granulation tissue, dental calculus and contaminated root cementum on periodontal wound healing An experimental study in monkeys [J]. J Clin Periodontol, 1989, 16(1):27-32.
[7] Bozbay E, Dominici F, Gokbuget AY, et al. Preservation of root cementum: a comparative evaluation of power-driven versus hand instruments [J]. Int J Dent Hygiene, 2018, 16(2):202-209.
[8] Fine DH, Morris ML, Tabak L, et al. Preliminary characterization of material eluted from the roots of periodontally diseased teeth [J]. J Periodontal Res,1980,15:10-19.
[9] Moore J, Wilson M, Kieser JB. The distribution of bacterial lipopolysaccharide (endotoxin) in relation to periodontally involved root surfaces [J]. J Clin Periodontal,1986,13:748-751.
[10] Blomlöf L, Lindskog S, Appelgren R, et al. New attachment in monkeys with experimental periodontitis with and without removal of the cementum [J]. J Clin Periodontal, 1987, 14(3):136-143.
[11] Gonçalves PF, Gurgel BC, Pimentel SP, et al. Effect of two different approaches for root decontamination on new cementum formation following guided tissue regeneration: a histomorphometric study in dogs [J]. J Periodontal Res, 2006, 41(6): 535-540.
[12] 解用江,焦娇,阎雷,等.3种方法根面平整对牙根表面形态影响的扫描电镜观察[J].口腔医学研究, 2013, 29(12): 1168-1170.
[13] Kawashima H, Sato S, Kishida M, et al. A comparison of root surface instrumentation using two piezoelectric ultrasonic scalers and a hand scaler in vivo [J]. J Periodontal Res, 2007, 42(1): 90-95.
[14] Geisinger ML, Mealey BL, Schoolfield J, et al. The effectiveness of subgingival scaling and root planing: an evaluation of therapy with and without the use of the periodontal endoscope [J]. J Periodontol, 2007, 78(1): 22-28.
[15] 李胡锐,倪佳,黄雁红,等.牙周内窥镜下刮治与传统刮治对龈下牙石清除效果的比较[J].广东牙病防治, 2013, 21(5): 261-264.
[16] Osborn JB, Lenton PA, Lunos SA, et al. Endoscopic vs. tactile evaluation of subgingival calculus [J]. J Dent Hyg, 2014, 88(4): 229-236.
[17] Kuang Y, Hu B, Chen J, et al. Effects of periodontal endoscopy on the treatment of periodontitis: A systematic review and meta-analysis [J]. J Am Dent Assoc,2017, 148(10): 750-759.
[18] Liao YT, Liu Y, Jiang Y, et al. A clinical evaluation of periodontal treatment effect using periodontal endoscope for patients with periodontitis: a split-mouth controlled study [J]. Zhonghua Kou Qiang Yi Xue Za Zhi,2016,51 (12):722-727.
[19] Poppe K, Blue C. Christine.Subjective pain perception during calculus detection with use of a periodontal endoscope [J]. J Dent Hyg, 2014, 88(2): 114-123.