DİŞTAŞLARI TEMİZLİĞİ, KÖK YÜZEYİ DÜZLEŞTİRMESİ VE POLİSAJDA GÜNCEL KAVRAMLAR: DERLEME

Abstract

Dental scaling and root planing (SRP) is the one of the most common treatment modality for periodontal diseases which was indicated well known in the literature. In SRP procedure, not only the dental calculus eliminated but also the microbial endotoxins which infiltrated into the cementum subside together. Nowadays, it was indicated that the gingival curettage of the pocket wall is not necessary in the classical sense as a treatment modality. During SRP, manual and ultrasonic instruments and lasers are used. The effectiveness of conventional mechanical debridement with curettes depends on the dentist's individual skills and access to some areas (i.e. furcation, concavities, grooves and distal sites of molars) is limited. Ultrasonic devices allow less time consuming and they are easy to use, but they create noise and vibration which can be uncomfortable to the patient. Lasers can achieve excellent tissue ablation, bactericidal and detoxification effects or help with an alternative to the traditional methods of SRP began to stand out as. However, the non-surgical laser treatment there is no sufficient evidence that it is technically superior. Lasers can achieve excellent tissue ablation with bactericidal and detoxification effects and laser was assested as monotherapy and as an adjunct to SRP. However, no evidence exists that the laser is superior to traditional modalities of periodontal therapy Polishing is the following step after the SRP which eliminates most of the scratch to result the plaque retention after SRP procedure. During procedure, if polishing can perform into the subgingival area, the biofilm after SRP can also be eliminated from and has a positive impact on the healing. However, it should be noted that the rubber cup cannot able to enter this area inept which leads to be a disadvantage for the procedure. After starting to use the air polishing device in this area, this negative effect was eliminated. After comparison of pros and cons of air polishing; glycine in subgingival area, and sodium bicarbonate in supra demineralized enamel tissue was widely accepted to use for the procedure which the effect and reliability of the material were evaluated by many studies in the literature