How to train periodontal endoscopy? Results of a pilot study removing simulated hard deposits in vitro

Graetz, Christian; Schorr, Susanne; Christofzik, David; Dörfer, Christof E.; Sälzer, Sonja

doi:10.1007/s00784-019-02913-0

Cited by 6 publications

(9 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Both investigators (C. G. and C. S.) participated in the same PE training program [ 11 ] and received both general instructions regarding the manufacturer's guidelines and practical sessions in vivo. Both operators were familiar with PE and had used it in routine clinical practice for more than one year.…”

Section: Methodsmentioning

confidence: 99%

“…Although the operators were trained in periodontitis treatment and were familiar with utilizing PE [ 11 ], timely categorization of the patients was performed to additionally reveal a possible operator learning curve that might have occurred as a result of frequently using PE during the study period. For this purpose, patients were divided into three groups based on the treatment order during the study's observation period.…”

Section: Methodsmentioning

confidence: 99%

“…The primary component of the periodontal endoscopic system is an imaging system with a fiber optic bundle, allowing for visualization of the submarginal area of the periodontium, the root surfaces, and the soft tissue lining [ 9 , 10 ]. The fiberoptic bundle is connected to a hand instrument (“explorer”), which after being inserted into the sulcus emits a beam of light for root surface illumination and subsequently transmits the images back to a display screen with a magnification up to 48x [ 11 ]. The entire fiber optic complex is protected by a sheath to prevent contamination and is linked to a water pump for flushing the periodontal working area during instrumentation [ 9 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…The fiberoptic bundle is connected to a hand instrument (“explorer”), which after being inserted into the sulcus emits a beam of light for root surface illumination and subsequently transmits the images back to a display screen with a magnification up to 48x [ 11 ]. The entire fiber optic complex is protected by a sheath to prevent contamination and is linked to a water pump for flushing the periodontal working area during instrumentation [ 9 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Still, successful removal of subgingival HDs with PE requires both time and training [ 11 , 12 ]. Recent clinical trials demonstrated a substantial therapeutic effect of PE in sites with a probing depth (PD) > 6 mm compared to conventional NSPT [ 8 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Effects of Periodontal Endoscopy-Assisted Nonsurgical Treatment of Periodontitis: Four-Month Results of a Randomized Controlled Split-Mouth Pilot Study

Graetz

Sentker

Cyris

et al. 2022

International Journal of Dentistry

Self Cite

View full text Add to dashboard Cite

Objective. Although the therapeutic effects of nonsurgical periodontal therapy (NSPT) are well established, the clinical benefits of the additional use of periodontal endoscopy (PE) remain controversial. Therefore, this randomized controlled split-mouth pilot study evaluated the effect of NSPT using PE versus NSPT without nPE on bleeding on probing (BOP) in sites with probing depth (PD)≥4 mm (primary outcome), PD, clinical attachment level (CAL), number of hard deposits (HDs), and treatment time per tooth (TrT). Methods. Two calibrated operators performed NSPT in twenty periodontitis patients, randomized into two quadrants for PE or nPE treatment. BOP, PD, and CAL were recorded at the first visit for NSPT (T0) and during reevaluation (T1: mean (SD) 119.7 (24.6) days after T0). The average TrT and the number of sites with HDs were documented at T0. Results. For BOP, no significant differences were found at the patient’s level (10/10 (male/female); aged 54.3 (10.9) years) neither within or between the groups. At tooth surface level, a lower number of surfaces with BOP p = 0.026 was observed in nPE. CAL and PD improved significantly during NSPT in both groups p ≤ 0.001 , with higher PD reduction p < 0.001 and CAL gain p < 0.001 in nPE. There are significantly longer TrT p < 0.001 and more surfaces with subgingival HDs evident in PE at T0 p = 0.001 . Conclusion. Whereas subgingival HDs can be visually detected with PE during NSPT, no additional clinical benefits regarding BOP, PD, or CAL were notable compared to conventional systematic periodontal instrumentation. Additionally, PE-assisted NSPT required a longer treatment time.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effects of Periodontal Endoscopy-Assisted Nonsurgical Treatment of Periodontitis: Four-Month Results of a Randomized Controlled Split-Mouth Pilot Study

Graetz

Sentker

Cyris

et al. 2022

International Journal of Dentistry

Self Cite

View full text Add to dashboard Cite

show abstract

Fundamentals of the Operating Microscope

Marron-Tarrazzi

2022

Microsurgery in Periodontal and Implant Dentistry

View full text Add to dashboard Cite

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

et al. 2020

Self Cite

View full text Add to dashboard Cite

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.

show abstract

How to train periodontal endoscopy? Results of a pilot study removing simulated hard deposits in vitro

Cited by 6 publications

References 43 publications

Effects of Periodontal Endoscopy-Assisted Nonsurgical Treatment of Periodontitis: Four-Month Results of a Randomized Controlled Split-Mouth Pilot Study

Effects of Periodontal Endoscopy-Assisted Nonsurgical Treatment of Periodontitis: Four-Month Results of a Randomized Controlled Split-Mouth Pilot Study

Fundamentals of the Operating Microscope

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

Contact Info

Product

Resources

About