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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 ...
After supra-gingival oral hygiene cleaning, plaque biofilm will quickly develop at the gingival margin and will enter the gingival sulcus after some time. The junctional epithelium, which is at the base of the gingival sulcus, permits plaque bacteria and its toxin to enter the underlying gingival connective tissue via the large spaces between ...
Gracey curettes are area-specific periodontal curettes made from stainless steel used to remove supra and subgingival calculus. [3] [5] Along with universal curettes, Gracey curettes are one of the main instruments used for scaling and root planing. Gracey curettes are especially ideal for subgingival calculus removal because the design of the ...
Dental plaque is a biofilm that attaches to tooth surfaces, restorations and prosthetic appliances (including dentures and bridges) if left undisturbed.Understanding the formation, composition and characteristics of plaque helps in its control. [6]
Periodontology or periodontics (from Ancient Greek περί, perí – 'around'; and ὀδούς, odoús – 'tooth', genitive ὀδόντος, odóntos) is the specialty of dentistry that studies supporting structures of teeth, as well as diseases and conditions that affect them.
The composition of hand instruments is continuously evolving, which is why it may be a challenge to find the proper instrument for the right clinical situation. [3] With the broad variation of instrument designs and materials, it allows dental professionals to implement periodontal therapy with reduced strain and increased comfort levels for both the clinician and the patient. [3]
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.
The periodontal therapy carried out at this stage is of a non-surgical approach, which is aimed at the removal of supra- and sub-gingival plaque and calculus deposits, to decrease the microbial load, bacteria biofilm, and calculus from the periodontally involved sites. [50] Scale and Polish; Root Surface Debridement (RSD)