Diamond burs versus curettes in root planing: a randomized clinical trial

• Main Authors: Buduneli, E. (Author), Buduneli, N. (Author), Lappin, D.F (Author), Türk, T. (Author), Türktekin, F. (Author)
• Format: Article
• Language: English
• Published: Blackwell Publishing 2018
• Subjects: adult; Adult; Bacteria; bacterium; chemistry; chronic periodontitis; Chronic periodontitis; Chronic Periodontitis; controlled study; cytokine; Cytokines; dental plaque; Dental Plaque; Dental Plaque Index; dental scaling; Dental Scaling; devices; diamond; Diamond; female; Female; genetics; gingiva; Gingiva; Gingival Crevicular Fluid; gingivitis; human; Humans; isolation and purification; male; Male; metabolism; microbiology; Microscopy, Electron, Scanning; middle aged; Middle Aged; much more strongly than does KatGII; non-surgical periodontal debridement; periodontal pocket; Periodontal Pocket; plaque index; procedures; randomized controlled trial; RNA 16S; RNA, Ribosomal, 16S; root planing; Root Planing; root planing/instrumentation; scanning electron microscopy; tooth plaque
• Online Access: View Fulltext in Publisher

 Background: This study compares diamond burs and curettes by clinical, microbiological, biochemical and scanning electron microscopic parameters and treatment time data in the non-surgical periodontal treatment of patients with chronic periodontitis. Methods: Two quadrants of each of the 12 patients received root planing with diamond burs, whereas the other two quadrants were treated with curettes. Clinical periodontal measurements were recorded at baseline and then 1, 3 and 6 months after completion of non-surgical periodontal treatment. Subgingival plaque and gingival crevicular fluid samples were obtained at baseline and 1-month control. Twenty-one hopeless teeth received root planing with diamond burs or curettes or no treatment and then extracted for microscopic evaluations. Results: Clinical periodontal parameters improved similarly with both treatment modalities. Microbiological analyses revealed similar findings for the bacterial load (16S gene copy numbers) and ratio of each bacterium to the total bacterial count at baseline and 1-month control. Cytokine levels in the gingival crevicular fluid samples exhibited differences between the two treatments. Scanning electron microscopic analyses indicated that diamond burs were better in terms of calculus removal and loss of tooth substance indices but roughness index values were better for curettes. Conclusions: Diamond burs provide findings comparable with curettes in root planing. © 2018 Australian Dental Association