Advances in power driven pocket/root instrumentation

Research output: Contribution to journalReview article

Colleges, School and Institutes

Abstract

OBJECTIVES: The primary aim was: "Does power-driven pocket/root instrumentation offer a clinical advantage over hand instrumentation"? Secondary aim was to update knowledge base of power-driven instrumentation post Tunkel et al. (2002). MATERIAL AND METHODS: A literature search of power-driven instruments (in vitro, in vivo and controlled clinical trials) was performed from April 2001 using similar criteria to Tunkel et al. (2002). Primary outcome was whether power-driven instruments offered an advantage over hand instrumentation; secondary outcomes were effect on root surface, effectiveness of new instrument designs, and role of biophysical effects such as cavitation. RESULTS: From a total of 41 studies, 14 studies involved comparison of power-driven devices with hand instrumentation for non-surgical therapy. These were subdivided into new designs of power instrumentation, full-mouth debridement and irrigation and patient acceptance. Use of power-driven instrumentation provides similar clinical outcomes compared with hand instrumentation. Difficulty of pooling studies continues to hinder the drawing of definitive conclusions. CONCLUSION: Newer designs of powered instruments have not shown any benefit when compared with other ultrasonic devices in non-surgical periodontal therapy. New in vitro research shows there is variation in the performance of different tip designs and generators, but its clinical relevance remains unknown.

Details

Original languageEnglish
Pages (from-to)22-28
Number of pages7
JournalJournal of Clinical Periodontology
Volume35
Issue number8 Suppl
Publication statusPublished - 1 Sep 2008

Keywords

  • power driven instrumentation, scaling and root planing, periodontal therapy/non surgical, systematic review