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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 ...
In dentistry, debridement refers to the removal by dental cleaning of accumulations of plaque and calculus (tartar) in order to maintain dental health. [1] Debridement may be performed using ultrasonic instruments, which fracture the calculus, thereby facilitating its removal, as well as hand tools, including periodontal scaler and curettes, or through the use of chemicals such as hydrogen ...
The periodontal curette is considered a treatment instrument and is classified into two main categories: universal curettes and Gracey curettes. [1] Periodontal curettes have one face, one or two cutting edges and a rounded back and rounded toe. [1] They are typically the instrument of choice for subgingival calculus removal. [1]
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 ...
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]
Chronic periodontitis is initiated by Gram-negative tooth-associated microbial biofilms that elicit a host response, which results in bone and soft tissue destruction. In response to endotoxin derived from periodontal pathogens, several osteoclast-related mediators target the destruction of alveolar bone and supporting connective tissue such as the periodontal ligament.
1) Enamel 2) Dentin 3) Junctional epithelium 4) Connective tissue 5) Alveolar bone 6) Gingival margin 7) Sulcular epithelium 8) Gingival epithelium 9) Cementum The dentogingival tissues consist of many constituents, such as the enamel or cementum of the tooth and the connective tissue supporting epithelia like the junctional epithelium, the gingival epithelium and the sulcular epithelium.
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 ...