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Calculus can form both along the gumline, where it is referred to as supragingival (' above the gum '), and within the narrow sulcus that exists between the teeth and the gingiva, where it is referred to as subgingival (' below the gum '). Calculus formation is associated with a number of clinical manifestations, including bad breath, receding ...
Gracey curettes are especially ideal for subgingival calculus removal because the design of the instrument allows for better adaptation to the anatomy of the roots. [ 3 ] While the blade of the universal curette is situated perpendicular to the edge of the terminal shank, the blade of the Gracey curette is only offset by 70 degrees, giving the ...
With regards to periodontal dentistry, magnesium whitlockite comprises one component of many of the inorganic content of calculus. It is found primarily in subgingival calculus (as opposed to supragingival calculus). It is also found more in posterior as opposed to anterior regions of the oral cavity.
Scaling and root planing, also known as conventional periodontal therapy, non-surgical periodontal therapy or deep cleaning, is a procedure involving removal of dental plaque and calculus (scaling or debridement) and then smoothing, or planing, of the (exposed) surfaces of the roots, removing cementum or dentine that is impregnated with calculus, toxins, or microorganisms, [1] the agents that ...
It requires a few appointments, depending on time and clinician skills, for effective removal of supragingival and subgingival calculus, when periodontal pockets are involved. It can assist in periodontal healing and reduce periodontal pocketing by changing the subgingival ecological environment. [45]
An 11/12 type explorer is a double-ended dental assessment instrument with mirror image working-ends. [4] The 11/12 dental explorer should be considered a dental hygienists most important instrument for the detection of subgingival and supragingival calculus.
A periodontal pocket contains dental plaque, bacteria and subgingival calculus. [6] Periodontal pathogens continually find their way into the soft tissues, but normally they are held in check by the immune system. [7] A periodontal abscess represents a change in this balance, related to decreased local or systemic resistance of the host. [8]
Score 2: Provide patient with Oral hygiene instruction (OHI) and remove plaque retentive factors, including all supra- and subgingival calculus and any restoration overhangs. Score 3: Provide patient with Oral hygiene instruction (OHI) and root surface debridement (RSD).