Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
Clinical Oral Investigations
Published in: Clinical Oral Investigations 1/2021

Open Access 01-01-2021 | Original Article

Evaluation of a systematic digitized training program on the effectivity of subgingival instrumentation with curettes and sonic scalers in vitro

Authors: Christian Graetz, Paula Fecke, Miriam Seidel, Anne Sophie Engel, Susanne Schorr, Johanna Sentker, Christof E. Dörfer, Sonja Sälzer

Published in: Clinical Oral Investigations | Issue 1/2021

Login to get access

Abstract

Objectives

Whereas the key role of subgingival instrumentation in periodontal therapy is well known, the influence of operators’ experience/training with different devices on treatment results is yet uncertain. Therefore, we assessed untrained undergraduate students, working on manikins, as to how effectively they learn to use curettes (GRA) and sonic scalers (AIR); hypothesizing that AIR will result in higher relative cleaning efficacy (RCE) than GRA.

Material and methods

Before baseline evaluation (T0), 30 operators (9 males, 21 females) received a 2-h theoretical lesson for both instruments, followed by a 12-week period with a weekly digitized training program for 45 min. During three sessions (T1–T3), the operators had to instrument six equivalent test teeth with GRA and AIR. At T0–T3, treatment time, proportion of removed simulated biofilm (RCE-b), and hard deposits (RCE-d) were measured.

Results

At T0, RCE-b was in mean(SD) 64.18(25.74) % for GRA, 62.25(26.69) % for AIR; (p = 0.172) and RCE-d 85.48(12.32) %/ 65.71(15.27) % (p < 0.001). At T3, operators reached highest RCE-b in both groups (GRA/AIR 71.54(23.90) %/71.75(23.05)%; p = 0.864); RCE-d GRA/AIR: 84.68(16.84) %/77.85(13.98) %; p < 0.001). Both groups achieved shorter treatment times after training. At T3, using curettes was faster (GRA/AIR 16.67(3.31) min/19.80(4.52) min; p < 0.001).

Conclusions

After systematic digitized training, untrained operators were able to clean 70% of the root surfaces with curettes and sonic scalers.

Clinical relevance

It can be concluded that a systematic digitized and interactive training program in manikin heads is helpful in the training of root surface debridement.
Literature
1.
Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H, Herrera D, Kao RT, Kebschull M, Kinane DF, Kirkwood KL, Kocher T, Kornman KS, Kumar PS, Loos BG, Machtei E, Meng H, Mombelli A, Needleman I, Offenbacher S, Seymour GJ, Teles R, Tonetti MS (2018) Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol 45(Suppl 20):S162–S170PubMed
2.
Petersilka GJ, Ehmke B, Flemmig TF (2000) Antimicrobial effects of mechanical debridement. Periodontol 2002(28):56–71
3.
Westfelt E (1996) Rationale of mechanical plaque control. J Clin Periodontol 23(3 Pt 2):263–267PubMed
4.
Lowenberg B, Thibault J, Lawrence C, Sodek J (1986) The influence of chemically-induced modifications of root surfaces on cell migration, attachment, and orientation. J Dent Res 65(7):1010–1015PubMed
5.
Frantz B, Polson A (1988) Tissue interactions with dentin specimens after demineralization using tetracycline. J Periodontol 59(11):714–721PubMed
6.
Babay N (2000) Comparative SEM study on the effect of root conditioning with EDTA or tetracycline Hcl on periodontally involved root surfaces. Indian J Dent Res 11(2):53–57PubMed
7.
Khosravi M, Bahrami ZS, Atabaki MSJ, Shokrgozar MA, Shokri F (2004) Comparative effectiveness of hand and ultrasonic instrumentations in root surface planing in vitro. J Clin Periodontol 31(3):160–165PubMed
8.
Badersten A, Nilveus R, Egelberg J (1984) Effect of nonsurgical periodontal therapy. II. Severely advanced periodontitis. J Clin Periodontol 11(1):63–76PubMed
9.
Badersten A, Nilveus R, Egelberg J (1981) Effect of nonsurgical periodontal therapy. I. Moderately advanced periodontitis. J Clin Periodontol 8(1):57–72PubMed
10.
Laleman I et al (2017) Subgingival debridement: end point, methods and how often? Periodontol 75(1):189–204
11.
Van der Weijden GAF, Dekkers GJ, Slot DE (2019) Success of non-surgical periodontal therapy in adult periodontitis patients: a retrospective analysis. Int J Dent Hyg 17(4):309–317PubMedPubMedCentral
12.
Rühling A et al (2002) Learning root debridement with curettes and power-driven instruments. Part I: a training program to increase effectivity. J Clin Periodontol 29(7):622–629PubMed
13.
Sanz M, Meyle J (2010) Scope, competences, learning outcomes and methods of periodontal education within the undergraduate dental curriculum: a consensus report of the 1st European Workshop on Periodontal Education--position paper 2 and consensus view 2. Eur J Dent Educ 14(Suppl 1):25–33PubMed
14.
Rühling A et al (2003) Learning root debridement with curettes and power-driven instruments. Part II: Clinical results following mechanical, nonsurgical therapy. J Clin Periodontol 30(7):611–615PubMed
15.
Graetz C, Plaumann A, Rauschenbach S, Bielfeldt J, Dörfer CE, Schwendicke F (2016) Removal of simulated biofilm: a preclinical ergonomic comparison of instruments and operators. Clin Oral Investig 20(6):1193–1201PubMed
16.
Graetz C, Schwendicke F, Plaumann A, Rauschenbach S, Springer C, Kahl M, Sälzer S, Dörfer CE (2015) Subgingival instrumentation to remove simulated plaque in vitro: influence of operators' experience and type of instrument. Clin Oral Investig 19(5):987–995PubMed
17.
Tunkel J, Heinecke A, Flemmig TF (2002) A systematic review of efficacy of machine-driven and manual subgingival debridement in the treatment of chronic periodontitis. J Clin Periodontol 29(Suppl 3):72–81 discussion 90-1PubMed
18.
Flemmig TF, Petersilka GJ, Mehl A, Rüdiger S, Hickel R, Klaiber B (1997) Working parameters of a sonic scaler influencing root substance removal in vitro. Clin Oral Investig 1(2):55–60PubMed
19.
Flemmig TF, Petersilka GJ, Mehl A, Hickel R, Klaiber B (1998) The effect of working parameters on root substance removal using a piezoelectric ultrasonic scaler in vitro. J Clin Periodontol 25(2):158–163PubMed
20.
Asadoorian J, Botbyl D, Goulding MJ (2015) Dental hygienists' perception of preparation and use for ultrasonic instrumentation. Int J Dent Hyg 13(1):30–41PubMed
21.
König J, Rühling A, Schlemme H, Kocher T, Schwahn C, Plagmann HC (2002) Learning root debridement with curettes and power-driven instruments in vitro: the role of operator motivation and self-assessment. Eur J Dent Educ 6(4):169–175PubMed
22.
Eichenberger M, Perrin P, Neuhaus KW, Bringolf U, Lussi A (2011) Influence of loupes and age on the near visual acuity of practicing dentists. J Biomed Opt 16(3):035003PubMed
23.
Dadwal A, Kaur R, Jindal V, Jain A, Mahajan A, Goel A (2018) Comparative evaluation of manual scaling and root planing with or without magnification loupes using scanning electron microscope: a pilot study. J Indian Soc Periodontol 22(4):317–321PubMedPubMedCentral
24.
Corbella S, Taschieri S, Cavalli N, Francetti L (2018) Comparative evaluation of the use of magnification loupes in supragingival scaling procedures. J Investig Clin Dent 9(2):e12315PubMed
25.
Sunell S, Rucker L (2004) Surgical magnification in dental hygiene practice. Int J Dent Hyg 2(1):26–35PubMed
26.
Hayes MJ, Taylor JA, Smith DR (2016) Introducing loupes to clinical practice: dental hygienists experiences and opinions. Int J Dent Hyg 14(3):226–230PubMed
27.
Graetz C, Schorr S, Christofzik D, Dörfer CE, Sälzer S (2020) How to train periodontal endoscopy? Results of a pilot study removing simulated hard deposits in vitro. Clin Oral Investig 24(2):607–617PubMed
28.
Graetz C, Plaumann A, Wittich R, Springer C, Kahl M, Dörfer CE, el-Sayed KF (2017) Removal of simulated biofilm: an evaluation of the effect on root surfaces roughness after scaling. Clin Oral Investig 21(4):1021–1028PubMed
29.
Kocher T, Ruhling A, Momsen H, Plagmann HC (1997) Effectiveness of subgingival instrumentation with power-driven instruments in the hands of experienced and inexperienced operators. A study on manikins. J Clin Periodontol 24(7):498–504PubMed
30.
Auplish G, Needleman IG, Moles DR, Newman HN (2000) Diamond-coated sonic tips are more efficient for open debridement of molar furcations. A comparative manikin study. J Clin Periodontol 27(5):302–307PubMed
31.
Kumar P, Das SJ, Sonowal ST, Chawla J (2015) Comparison of root surface roughness produced by hand instruments and ultrasonic scalers: an invitro study. J Clin Diagn Res 9(11):ZC56–ZC60PubMedPubMedCentral
32.
Aspriello SD, Piemontese M, Levrini L, Sauro S (2011) Ultramorphology of the root surface subsequent to hand-ultrasonic simultaneous instrumentation during non-surgical periodontal treatments: an in vitro study. J Appl Oral Sci 19(1):74–81PubMed
33.
Zappa U, Smith B, Simona C, Graf H, Case D, Kim W (1991) Root substance removal by scaling and root planing. J Periodontol 62(12):750–754PubMed
34.
Flemmig TF, Petersilka GJ, Mehl A, Hickel R, Klaiber B (1998) Working parameters of a magnetostrictive ultrasonic scaler influencing root substance removal in vitro. J Periodontol 69(5):547–553PubMed
35.
Gankerseer EJ, Walmsley AD (1987) Preliminary investigation into the performance of a sonic scaler. J Periodontol 58(11):780–784PubMed
36.
Sugaya T, Kawanami M, Kato H (2002) Accessibility of an ultrasonic furcation tip to furcation areas of mandibular first and second molars. J Int Acad Periodontol 4(4):132–137PubMed
37.
Canakci V et al (2004) Effect of handedness on learning subgingival scaling with curettes: a study on manikins. Int J Neurosci 114(11):1463–1482PubMed
Metadata
Title
Evaluation of a systematic digitized training program on the effectivity of subgingival instrumentation with curettes and sonic scalers in vitro
Authors
Christian Graetz
Paula Fecke
Miriam Seidel
Anne Sophie Engel
Susanne Schorr
Johanna Sentker
Christof E. Dörfer
Sonja Sälzer
Publication date
01-01-2021
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 1/2021
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-020-03356-8

Other articles of this Issue 1/2021

Clinical Oral Investigations 1/2021 Go to the issue

Original Article

Material selection for tooth-supported single crowns—a survey among dentists in Germany

Review

Effects of competitive sports on temporomandibular dysfunction: a literature review

Original Article

Association between condylar position changes and functional outcomes after condylar reconstruction by free fibular flap

Original Article

Comparison of cyclic fatigue resistance of Rotate instrument with reciprocating and continuous rotary nickel–titanium instruments at body temperature in relation to their transformation temperatures

Letter to the Editor

Letter to the Editor about the article published in Clinical Oral Investigations titled “Effect of hyperextension of the neck (rose position) on cerebral blood oxygenation in patients who underwent cleft palate reconstructive surgery: prospective cohort study using near-infrared spectroscopy” (Smarius BJA, Breugem CC, Boasson MP, Alikhil J, van Norden S, Mink van der Molen AB, de Graaff JG. Clin Oral Invest, https://doi.org/10.1007/s00784-019-03157-8)

Original Article

Treatment outcomes after uncomplicated and complicated crown fractures in permanent teeth