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Clinical comparison of instrumentation systems for periodontal debridement: A randomized clinical trial

Objective To compare clinical efficacy, chairside time and post‐treatment hypersensitivity of four instruments used for subgingival periodontal debridement. Materials & Methods Seventeen patients with stage II and III periodontitis were enrolled in this randomized clinical trial using a split‐mo...

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Bibliographic Details
Published in:International journal of dental hygiene 2022-05, Vol.20 (2), p.328-338
Main Authors: Puglisi, Rosario, Santos, Antonio, Pujol, Angels, Ferrari, Marco, Nart, José, Pascual, Andrés
Format: Article
Language:English
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Summary:Objective To compare clinical efficacy, chairside time and post‐treatment hypersensitivity of four instruments used for subgingival periodontal debridement. Materials & Methods Seventeen patients with stage II and III periodontitis were enrolled in this randomized clinical trial using a split‐mouth design. Quadrants were randomly divided into four treatment groups: Group A: Gracey curettes‐Hu‐Friedy®; Group B: piezoelectric ultrasonic (Satelec®) with No.1S insert; Group C: diamond burs 40 µm (Intensiv Perioset®); and Group D: piezosurgery ultrasonic (Mectron®) with PP1 insert. Clinical outcomes, chairside time and hypersensitivity were assessed at 1, 2, 4 and 8 weeks after treatment. The primary outcome variable was improvement in clinical attachment level. Results At 8 weeks post‐treatment, Gracey curettes, piezoelectric ultrasonic (Satelec®) and piezosurgery ultrasonic (Mectron®) were statistically more effective than diamond burs in increasing attachment level and reducing probing pocket depth. Comparison of piezoelectric ultrasonic (Satelec®) and piezosurgery ultrasonic (Mectron®) with the other instruments showed a statistical difference (p 
ISSN:1601-5029
1601-5037
DOI:10.1111/idh.12520