Tooth polishing - A mouthful of history

Abstract

Tooth polishing continues to be an integral part of clinical practice since the concept of selective polishing was introduced in the 1980s. Polishing essenitiates the removal of stains and plaque bio-film and provides a method for applying various medicaments to the teeth such as desensitizing agents .With passage of time emergence of more efficient and effective devices like jet abrasives have been introduced . Still the role of rubber cups with prophy angles cannot be overlooked as they are still being widely used and provide an economical alternative. A traditional polishing method, i.e. a rubber–cup with prophylaxis paste, has been shown to remove thefluoride–rich outer layer of the enamel thus causing significant loss of cementum and dentin over time. So alternative tooth polishing methods were developed with evidence to support alternative tooth polishing methods, dentists should familiarize themselves with contemporary methods including air polishing. The purpose of this review is to provide a comprehensive overview of recent advancements in air polishing. Clinical Relevance Scientific Rationale of Polishing:Polishing cause the abrasion of tooth surfaces. American dental hygienists association strongly recommends, do polishing of the tooth surfaces, when a dental hygienist or dentist determines a specific need for it. One should understand patient’s expectations they simply like the look and feel of teeth along with the taste and smell are next important factors. Principal findings:Polishing has been evolved from finely ground coral, eggs, shells, ginger or salt. After that various other polishing powders like flour of pumice and calcium carbonate, aluminum oxide (alumina), silicon carbide, aluminum silicate, silicon dioxide, carbide compounds, garnet, feldspar, zirconium silicate, zirconium oxide, and boron. Because of the particle size they were considered to be more abrasive. Practical Implications:With new advances finer abrasive agents with fine pa