Atomic force microscopy and scanning electron microscopy evaluation of efficacy of scaling and root planing using magnification: A randomized controlled clinical study

Mohan, Ranjana; Agrawal, Sudhanshu; Gundappa, Mohan

doi:10.4103/0976-237x.118347

Cited by 8 publications

(5 citation statements)

References 16 publications

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“…Periodontitis is a multi-factorial disturbance in the homeostasis between dental bacterial biofilm and susceptible host (27,28). The established treatment strategy of scaling and root planning is considered to be the "gold standard" for non-surgical treatment of chronic periodontitis (29).Various studies have evaluated the efficacy of some of chemical and nonchemical agents like antibiotics and herbals as an adjunctive treatment in periodontitis management.…”

Section: Discussionmentioning

confidence: 99%

Adjunctive Treatment With Locally Delivered Aloe Vera Gel in Patients With Chronic Periodontitis (A Randomized, Controlled Trial)

Tayeb

Rashidy

Fahmy

et al. 2022

Alexandria Dental Journal

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INTRODUCTION:Aloe Vera (AV), is a plant widely used in pharmaceutical, medical, and cosmetic applications. It is known for its therapeutic benefits. The biological active components of AV include antibacterials and antioxidants. Aloe Vera also has anti-inflammatory and immunomodulatory effects which promote tissue regeneration. Aloe Vera gel have been demonstrated as an adjunctive treatment for several inflammatory diseases including periodontitis. OBJECTIVE: To evaluate the effect of AV gel as an adjunctive treatment to SRP in management of chronic periodontitis. MATERIALS AND METHODS:In a randomized, single-blinded study. Patients were divided into two groups, each included fifteen patients with mild to moderate chronic periodontitis having 1-4 mm attachment loss. Group 1 (test): treated with scaling and root planning followed by subgingival application of AV gel at day 1 and after 1 and 2 weeks, and group 2 (control): treated with scaling and root planning only. Probing depth, clinical attachment level and gingival index were measured at baseline and after 3, 6 and 9 months. RESULTS: Compared to baseline, the two groups showed an improvement in all parameters at 9 months follow up. In AV gel group changes from baseline to 9 months were significantly greater compared to control group regarding reduction of PD, GI and CAL gain, moreover, intergroup differences were statistically significant in favor of AV group. CONCLUSION: according to this study results, adjunctive use of AV gel might add advantages to SRP alone in management of chronic periodontitis.

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Section: Discussionmentioning

confidence: 99%

Adjunctive Treatment With Locally Delivered Aloe Vera Gel in Patients With Chronic Periodontitis (A Randomized, Controlled Trial)

Tayeb

Rashidy

Fahmy

et al. 2022

Alexandria Dental Journal

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“…Since antiquity, the key objective of periodontal therapy is the elimination of supra- and sub-gingival plaque, calculus, and reduction of gingival inflammation. [ 12 13 ] From the accrued data over the years, researchers from the field of periodontology strive for clean root surface as the ultimate goal of the scaling and root planing during both the surgical and nonsurgical periodontal therapy. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of manual scaling and root planing with or without magnification loupes using scanning electron microscope: A pilot study

Dadwal¹,

Kaur²,

Jindal³

et al. 2018

J Indian Soc Periodontol

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Aim:The aim of the present study is to compare the amount of remaining calculus, loss of tooth substance, and roughness of root surface after scaling and root planing with or without magnification loupes using scanning electron microscope.Materials and Methods:In the study, 30 teeth indicated for extractions due to severe chronic generalized periodontitis were included in the study. In test Group I, scaling and root planing was performed without magnification loupes, and in test Group II, scaling and root planing was performed with magnification loupes before extraction. In control Group III, no procedure was performed. After scaling and root planing, teeth were extracted followed by preparation of specimens. Specimens were then sent for scanning electron microscope study.Results:Statistically significant (P ≤ 0.05) differences were found among different test groups. Results showed that test Group II with magnification loupes had less remaining calculus and smoother surface with lesser amount of loss of cementum layer.Conclusion:From this, it was concluded that test Group II was more efficient in root debridement than test Group 1, so scaling and root planing done with magnification loupes will cause less damage to the tooth surface.

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“…Therefore, proving that use of an operating microscope is the best aid in removing debris from the tooth surface. 49…”

Section: Microsurgical Triadmentioning

confidence: 99%

Magnification in Periodontics: An Overview

Durgapal

Shetty

2022

Journal of Health and Allied Sciences NU

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A plethora of changes in the concept and the techniques in dental sciences and an increase in patient awareness have spawned demand in advanced dental treatment encompassing elimination of disease with more precision and less discomfort. The use of magnification systems like microscopes is widespread in the medical field, and now it has successfully spread its wings in dentistry. Visual enhancement by using loupes or surgical microscopes can render refinement in the basic surgical procedures. Magnification periodontics refers to the wide range of procedures performed by the use of magnification systems like loupes and microscopes that allow convergence of ideas and efforts, which can make a huge impact on patients. Periodontal procedures are being increasingly performed nowadays that have enabled enhanced outcomes, which were difficult to achieve with the macrosurgery procedures when wound healing and tissue trauma are in consideration. The surgical operating microscope works within the microsurgical triad that includes illumination increased precision and magnification. The incorporation of smaller instruments and sutures and better visualization of the operating site enhance the surgical skills of the clinician. In the past decade, various periodontal procedures from the removal of calculus to the placement of dental implants have been performed using the surgical microscope, which have invariably provided favorable results. It is a topic of interest in the future of periodontal therapy.

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Atomic force microscopy and scanning electron microscopy evaluation of efficacy of scaling and root planing using magnification: A randomized controlled clinical study

Cited by 8 publications

References 16 publications

Adjunctive Treatment With Locally Delivered Aloe Vera Gel in Patients With Chronic Periodontitis (A Randomized, Controlled Trial)

Adjunctive Treatment With Locally Delivered Aloe Vera Gel in Patients With Chronic Periodontitis (A Randomized, Controlled Trial)

Comparative evaluation of manual scaling and root planing with or without magnification loupes using scanning electron microscope: A pilot study

Magnification in Periodontics: An Overview

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