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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 ...
Incision and drainage of the abscess may be necessary, as well as systemic antibiotics; placement of local antimicrobial delivery systems within the periodontal pocket to reduce localized infections may also be considered. It is classified as supra bony and infra bony based on its depth in relation to alveolar bone. [4]
The calculus of the oral cavity is the result of mineralization of and around dead microorganisms; this calculus can then be colonized by living bacteria. Dental calculus can be present on supragingival and subgingival surfaces. [8]
Together with periodontal curettes, periodontal scalers are used to remove calculus from teeth. While curettes are often universal in that they can be used on both supra- and sub-gingival calculus removals, scalers are restricted to supra-gingival use. [1] Use of a scaler below the gum line is likely to damage the gingiva (gums). [2]
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.
Gingivectomy is the primary treatment method available in reducing the pocket depths of patients with periodontitis and suprabony pockets. [4] [5] In a retrospective comparison between different treatment approach to periodontitis management based on the initial and final gingival health, conventional gingivectomy was proven to be more successful in reducing pocket depths and inflammation ...