Publications (18)38.71 Total impact
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Article: Laser fluorescence of dentin caries covered with a novel nano-filled sealant.
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ABSTRACT: The aim of the present study was to assess the possibility to measure caries-induced laser fluorescence underneath a novel nano-filled fissure sealant. Sixty freshly extracted human teeth with occlusal dentine carious lesions were horizontally divided, exposing the respective lesion. Teeth were randomly assigned to three groups: (I) white fissure sealant with filler particles (Fissurit F, Voco), (II) clear fissure sealant without filler particles (Fissurit, Voco) and (III) novel experimental fissure sealant with nano-filler particles (Voco). Starting with a sealant thickness of 3 mm, laser fluorescence measurements (DIAGNOdent, KaVo) were performed after finishing the sealant surfaces with polishing papers, reducing the material at intervals of 0.5 mm until the sealant was removed completely. Evaluating a thickness of 0.5 mm, both the clear (83 % of the baseline fluorescence after fine grit polishing) and the white sealant (25 %) did not allow to measure baseline fluorescence (p < 0.05) with no fluorescence reduction in the experimental sealant group (p > 0.05). With increasing sealer thickness, fluorescence was influenced even by the experimental material (89 % of the baseline value at 1 mm). However, by using the experimental material, statistically significant higher fluorescence values than those for the other materials under study (p < 0.05) were obtained. Thicker sealant layers and coarse grit polishing caused a decrease of laser fluorescence in all groups (p < 0.05). Employing the experimental nano-filled sealant, laser fluorescence measurements for caries detection can be performed through thicker sealant layers compared to conventional sealant materials. Thus, it might be possible to use this material to assess a caries progression underneath the sealant and administer an appropriate therapy in due time.Lasers in Medical Science 03/2012; · 2.00 Impact Factor -
Article: Spectrophotometric evaluation of a novel aesthetic composite resin with respect to different backgrounds in vitro.
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ABSTRACT: Tooth colour matching of composite materials is often a common problem caused by a dark background from the oral cavity. Therefore, the aim of the study was to evaluate a novel aesthetic composite material and to assess the influence of white and black backgrounds. Tooth shades of 30 freshly extracted upper front teeth were determined using a spectrophotometer (SpectroShade™) both against a white and a black background. Two class IV cavities in each tooth were prepared and restored using three different composite resins: Arabesk™ (AB), Synergy™ (SE) and the novel material Amaris™ (AM). After water storage for 1 week, differences in hue, saturation and lightness were measured to assess changes from baseline. After thermocycling, teeth were evaluated once more to assess the reliability of the treatment outcomes. Compared to baseline, differences in hue were not statistically different for all restoration materials (p > 0.05) with respect to the white or black background. Delta values for saturation were not different in the AB and AM groups (p > 0.05) with higher values for SE (p < 0.05). Regarding lightness, values in the AB group were statistically higher (p < 0.05) than values for AM with no difference between AB and SE and with no difference between the AM and SE groups (p > 0.05). Employing the novel aesthetic composite resin, a minor impact of white and black backgrounds could be observed compared to conventional composites. Therefore, it might effectively mask the dark background from the oral cavity.Odontology 12/2011; · 1.22 Impact Factor -
Article: The impact of antimicrobial photodynamic therapy in an artificial biofilm model.
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ABSTRACT: The susceptibility of bacterial cultures in biofilm formations is important for a variety of clinical treatment procedures. Therefore, the aim of the study was to assess the impact of laser-induced antimicrobial photodynamic therapy on the viability of Streptococcus mutans cells employing an artificial biofilm model. Using sterile chambered coverglasses, a salivary pellicle layer was formed in 40 chambers. Streptococcus mutans cells were inoculated in a sterile culture medium. Employing a live/dead bacterial viability kit, bacteria with intact cell membranes stained fluorescent green. Each pellicle-coated test chamber was filled with 0.7 ml of the bacterial suspension and analysed using a confocal laser scanning microscope within a layer of 10 μm at intervals of 1 μm from the pellicle layer. Phenothiazine chloride was used as a photosensitizer in all 40 test chambers. A diode laser (wavelength 660 nm, output power 100 mW) was used to irradiated 20 chambers for 2 min. Fluorescence values in the test chambers after laser irradiation (median 2.1 U, range 0.4-3.4 U) were significantly lower than baseline values after adding the photosensitizer (median 3.6 U, range 1.1-9.0; p < 0.05). The non-irradiated control chambers showed no change in fluorescence at the end of an additional photosensitizer residence time of 2 min without laser irradiation (median 1.9 U, range 0.7-3.6; median 1.9 U, range 0.8-6.0, respectively; p > 0.05). The present study indicated that laser irradiation is an essential part of antimicrobial photodynamic therapy to reduce bacteria within a layer of 10 μm. Further studies are needed to evaluate the maximum biofilm thickness that still allows a toxic effect on microorganisms.Lasers in Medical Science 10/2011; 27(3):615-20. · 2.00 Impact Factor -
Article: Short-term clinical effects of adjunctive antimicrobial photodynamic therapy in periodontal treatment: a randomized clinical trial.
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ABSTRACT: The aim of this study was to assess the effect of adjunctive antimicrobial photodynamic therapy (aPDT) in chronic periodontitis. Twenty patients with untreated chronic periodontitis were included. All teeth received periodontal treatment comprising scaling and root planing. Using a split-mouth design, two quadrants (test group) were additionally treated with aPDT. Sulcus fluid flow rate (SFFR) and bleeding on probing (BOP) were assessed at baseline, 1 week and 3 months after treatment. Relative attachment level (RAL), probing depths (PDs) and gingival recession (GR) were evaluated at baseline and 3 months after treatment. Baseline median values for PD, GR and RAL were not different in the test group and control group. Values for RAL, PD, SFFR and BOP decreased significantly 3 months after treatment in the control group (median delta RAL: -0.35 mm, inter-quartile range: 0.21 mm), with a higher impact on the sites treated with adjunctive aPDT (median delta RAL: -0.67 mm, inter-quartile range: 0.36 mm, p<0.05). GR increased 3 months after treatment with and without adjunctive aPDT (p<0.05), with no difference between the groups (p>0.05). In patients with chronic periodontitis, clinical outcomes of conventional subgingival debridement can be improved by adjunctive aPDT.Journal Of Clinical Periodontology 08/2008; 35(10):877-84. · 3.00 Impact Factor -
Article: Effects of composite fissure sealants on IR laser fluorescence measurements.
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ABSTRACT: The influence of composite fissure sealants on caries detection with IR laser fluorescence measurements should be assessed. Thirty-five extracted human teeth with 105 initial carious lesions were included. Six groups containing 15 lesions each were sealed with either a clear or a white version of three sealants. Group 7 was sealed with an experimental nanofilled material. Occlusal surfaces were irradiated by a diode laser (<1 mW, 655 nm). Fluorescence was measured before and after acid etching, directly and 1 week after application of the sealants. Values significantly increased after etching (p < 0.05). Compared to initial measurements, values decreased after sealing with the white materials (p < 0.05). There was no difference between values before and after sealing with the clear and the experimental materials (p > 0.05). All values were reproducible. The study indicates that it might be possible to monitor caries activity under clear or nanofilled fissure sealants by means of laser fluorescence.Lasers in Medical Science 05/2008; 23(2):133-9. · 2.00 Impact Factor -
Article: Fluorescence-controlled Er:YAG laser for caries removal in permanent teeth: a randomized clinical trial.
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ABSTRACT: The aim of this randomized clinical study was to compare the efficacy of a fluorescence-controlled erbium-loaded yttrium aluminum garnet (Er:YAG) laser with conventional bur treatment for caries therapy in adults. Twenty-six patients with 102 carious lesions were treated using either the Er:YAG laser, at threshold levels of 7, 8, 9, and 10 [U], or rotary burs. Both techniques were applied to each lesion at separate locations. After treatment, dentine samples were obtained using a carbide bur. The viable counts of Streptococcus mutans (SM) and lactobacilli (LB) [expressed as colony-forming units (log10 CFUs)], treatment time, pain, vibration, and sound intensity were determined. The median numbers of CFUs for SM and LB were not statistically different between laser and bur treatment at threshold levels 7 and 8 [U]. At threshold levels 9 and 10 [U], the median number of CFUs for LB [1.11 (range: 0.00-2.04)] were significantly higher following laser treatment than following bur treatment [0.30 (range: 0.00-0.60)]. The results indicate that treatment with a fluorescence-controlled Er:YAG laser at threshold levels of 7 and 8 removed caries to a level similar to that achieved using conventional bur treatment, with clinically irrelevant amounts of remaining bacteria. Although more time consuming, laser treatment provided higher patient comfort than bur treatment.European Journal Of Oral Sciences 05/2008; 116(2):170-6. · 1.88 Impact Factor -
Article: Subjective intensities of pain and contentment with treatment outcomes during tray bleaching of vital teeth employing different carbamide peroxide concentrations.
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ABSTRACT: It has been suggested that tooth whitening might cause considerable pain. The aim of this study was to evaluate subjective intensities of pain during bleaching of vital teeth and to assess the patients' contentment with the treatment outcome. Thirty patients were treated for 1 week in a double-blind study design. Employing gels containing 17%, 10%, or 0% (control group) carbamide peroxide, patients wore bleaching trays for 2 hours per day and described subjective intensities of pain while wearing the trays by means of a visual analog scale. The patients' subjective contentment with the bleaching outcome was measured with an intermodal intensity comparison. For the 17% gel, a median value of 3.5 U (max: 10; min: 1) for pain intensity was observed; this was statistically different from the value seen with the 10% group (2.0 U; max: 7; min: 0) (P < .05). Both test groups differed significantly from the control group, which had a median value of 0.0 U (max: 3; min: 0) (P < .05). Patients' contentment with the treatment outcome did not differ between the test groups (P > .05), although statistical differences were observed between the control and the test groups (P < .05) after bleaching for 1 week. Application of carbamide peroxide-containing bleaching agents to vital teeth causes pain correlated with the agent's concentration. Since both highly and less concentrated gels might result in a similar contentment with the treatment outcome, the use of highly concentrated agents appears not to be justified to improve vital tooth color.Quintessence international (Berlin, Germany: 1985) 03/2008; 39(3):203-9. · 0.64 Impact Factor -
Article: Evaluation of selective caries removal in deciduous teeth by a fluorescence feedback-controlled Er:YAG laser in vivo.
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ABSTRACT: This study investigated the ability and efficacy of an Er:YAG laser with a fluorescence feedback system for caries removal in deciduous teeth. Seventy-nine carious lesions were excavated using a fluorescence-controlled Er:YAG laser. Endpoint of treatment was defined by emission of fluorescence from the dentine surface below the pre-selected threshold level of 7 units and the subsequent termination of Er:YAG laser radiation. Dentine samples were obtained from the cavity floor, and viable counts of both Streptococcus mutans and Lactobacilli, expressed as colony forming units (log CFU), were evaluated. Preparation time was recorded to assess efficacy of the treatment procedure. S. mutans and/or Lactobacilli were found in 25 out of 79 lesions. Regarding the counts for S. mutans and Lactobacilli, the median log CFU was 0 (min, 0; max, 5.5) and 0 (min, 0; max, 6), respectively, with 2.4% of all samples yielding more than 100 CFU S. mutans and 4.8% yielding more than 100 CFU Lactobacilli. In 8 out of 79 cases, laser excavated cavities were not judged being caries-free using the conventional tactile criterion for assessing caries tissue. Focussing on these teeth, the median log CFU was 0 (min, 0; max, 0.5) for S. mutans and 0 (min, 0; max, 1.6) for Lactobacilli. The mean time for treatment was 2.3+/-1.2 min. Of the children, 93.8% rated the laser treatment to be comfortable. The study indicates that the fluorescence feedback-controlled Er:YAG laser might be an appropriate device for caries removal in children using the suggested threshold level of 7 units.Clinical Oral Investigations 02/2008; 12(3):209-15. · 2.36 Impact Factor -
Article: Root surfaces after ultrasonic instrumentation with a polishing fluid.
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ABSTRACT: The recently introduced Vector system is recommended to be used in conjunction with a polishing fluid containing hydroxylapatite granules (<10 Microm). The aim of the present study was to assess morphologic alterations of the root surface after ultrasonic treatment with the polishing fluid. Cementum of 30 freshly extracted human teeth was removed to a level of 4 mm below the cementoenamel junction. Surfaces were root-planed and conditioned with citric acid to remove the smear layer. Teeth were divided into 5 groups, with group 1 as the untreated control. Group 2 was solely treated with the ultrasonic system. In group 3, the ultrasonic system was used in conjunction with the polishing fluid. Group 4 was treated with a medium-hard toothbrush and the polishing fluid. Group 5 was treated only with the toothbrush. Specimens were evaluated by both light and scanning electron microscopy. Dentinal tubules were not covered by a smear layer in the control group, whereas in group 2, a smear layer could be observed in some specimens. In group 3 dentinal tubules were always covered by a layer consisting of granules of about 2 Microm. In group 4 all samples showed a layer containing granules of about 5 Microm, and in group 5 a thin smear layer could be observed. The use of a polishing fluid containing hydroxylapatite granules during treatment of the root surface results in a granular layer covering the dentinal tubules. This layer may reduce hypersensitivity after ultrasonic subgingival scaling.Quintessence international (Berlin, Germany: 1985) 09/2007; 38(8):e490-6. · 0.64 Impact Factor -
Article: Subjective intensity of pain during ultrasonic supragingival calculus removal.
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ABSTRACT: To assess subjective intensities of pain during supragingival calculus removal employing ultrasonic scaler tips of two different shapes. Twenty patients were treated using a piezoelectric ultrasonic device (Sirosonic L) and two different scaler tips representing a conventional (Instrument No. 3) and a slim-line style (Perio Pro Line Instrument SI-11) in a split-mouth design. Pain was recorded during calculus removal at intervals of 0.5 s employing an inter-modal intensity comparison. Additionally, a visual analogue scale was used for evaluation directly after the treatment procedure. Treatment time was recorded to assess the efficiency of calculus removal. Pain assessment during treatment showed that the slim-line scaler tip (median pain score: 1.4 [U], maximum: 3.5 [U], minimum: 0 [U]) caused less pain than the conventional device (median pain score: 7.8 [U], maximum: 14.7 [U], minimum: 0 [U]) (p<0.05). These results could be confirmed by the visual analogue scale. Treatment with the slim-line tip took significantly longer than treatment with the conventional tip (p<0.05). Using slim-line-styled ultrasonic scaler tips for supragingival calculus removal, painful sensations can be reduced compared with conventional ultrasonic devices. Thus, it might be possible to increase the patient's compliance during dental treatment with oscillating instruments.Journal Of Clinical Periodontology 09/2007; 34(8):668-72. · 3.00 Impact Factor -
Article: Comparison of two laser fluorescence devices for the detection of occlusal caries in vivo.
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ABSTRACT: Laser fluorescence measurements have been shown to be well suited for caries diagnosis. The aim of this study was to compare two laser fluorescence devices and to correlate the respective values with the visual and radiographic assessment and with the extent of the carious lesion. Ninety-four clinically non-cavitated occlusal carious lesions in the premolars and molars of 82 patients were examined. Laser fluorescence values on the surface were measured with a conventional laser fluorescence system and a novel laser fluorescence pen device. When operative intervention at a site was indicated, the extent of caries was determined after its removal. Readings obtained with both systems were significantly different with an interdevice factor of 0.64. Sensitivity and specificity for operative care were 92.6% and 53.7%, respectively, for the conventional, and 88.9% and 53.7%, respectively, for the pen device. For both devices, a correlation between laser fluorescence values and the visual and radiographic assessment and with the extent of the lesion was shown. The study indicates that the novel laser fluorescence device seems to be suitable for occlusal caries diagnosis. However, proposed guidelines for the clinical use of laser fluorescence readings of the conventional device cannot be transferred to the novel pen system.European Journal Of Oral Sciences 09/2007; 115(4):252-6. · 1.88 Impact Factor -
Article: Spectrophotometric and visual evaluation of vital tooth bleaching employing different carbamide peroxide concentrations.
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ABSTRACT: The aim of the present study was to assess the hypothesis that the efficiency of vital tooth bleaching depends on the concentration of carbamide peroxide agents. The front teeth of 30 subjects were bleached at home with 10%, 17% or 0% (control) carbamide peroxide for 1 week in a double-blind study design. Tooth shades were determined in the LCH color space employing a visual shade matching system and a spectrophotometer. Differences in lightness (Deltal), chroma (Deltac) and hue (Deltah) were measured to assess the treatment process. After 2 weeks of no treatment, tooth shades were evaluated again to assess stability of the resultant shade. First-time changes of shade values could be observed after 3 days in the 17% group and after 7 days in the 10% group. After 1 week, in both the 17% group (Deltal: 2.80, Deltac: -3.33, Deltah: 0.60) and the 10% group (Deltal: 2.61, Deltac: -2.54, Deltah: 0.09), values for lightness and chroma were significantly different from the control (Deltal: 0.13, Deltac: 0.14, Deltah: 0.21, p<0.05) with no difference between the test groups (p>0.05). Two weeks after treatment, a rebound of shade values could be observed in the test groups (p<0.05). The study indicates that higher concentration bleaching agents might whiten teeth faster with major changes in lightness and chroma. However, by bleaching daily for 1 week, similar effects can be achieved with both a high and a low concentration agent. After treatment, a regression of the resultant shade has to be expected.Dental Materials 03/2007; 23(2):165-9. · 3.13 Impact Factor -
Article: Evaluation of selective calculus removal by a fluorescence feedback-controlled Er:YAG laser in vitro.
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ABSTRACT: To evaluate the removal of subgingival calculus and dental hard tissues depending on the threshold level of a fluorescence feedback-controlled Er:YAG laser. Twenty teeth with calculus on the root surface were treated with an Er:YAG laser. Laser settings were 140 mJ and 10 Hz. The initial fluorescence threshold level of 5 [U] was reduced at intervals of 1 [U] for every laser treatment. Areas of residual calculus (RC) were evaluated using a surface analysis software. Loss of dental hard tissues was assessed by histomorphometric analysis of undecalcified ground sections. Using a threshold value of 5 [U], the median amount of RC was 11% (0-78%). By lowering the threshold levels, the amount of RC decreased [level 1 [U]: 0% (0-26%)]. The laser-treated root surfaces revealed a statistically significant reduction of the cementum thickness [median: 80 microm (0-250)] compared with the non-treated opposite side [median: 90 microm (30-250)] (p<0.05). The amount of RC following laser irradiation depends on the fluorescence threshold level for a feedback-controlled Er:YAG laser. It might be suggested that this laser system may be used with a threshold level even lower than 5 [U] without removing a clinically relevant amount of root cementum.Journal Of Clinical Periodontology 02/2007; 34(1):66-71. · 3.00 Impact Factor -
Article: Efficiency of the Vector -system compared with conventional subgingival debridement in vitro and in vivo.
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ABSTRACT: To assess the efficacy of the novel ultrasonic Vector -system system for subgingival debridement and to compare the results with conventional periodontal instrumentation in vitro and in vivo. Forty extracted human teeth were treated in vitro: Vector -system with polishing (VP) and abrasive fluid (VA), conventional ultrasonic system (U) and hand instrument (H). At intervals of 40 s, calculus removal was assessed using a 3D laser scanning device. Eight single-rooted teeth were treated in vivo with the Vector -system or hand instruments. Subgingival plaque samples were obtained for microbiological evaluation. After extraction, residual calculus was assessed by means of digitized planimetry. In vitro efficiency of hand instruments was statistically higher compared with the conventional ultrasonic system (p < 0.05) and the Vector -system with no difference between U and VA (p > 0.05) and VA and VP (p > 0.05). Residual calculus following in vivo instrumentation was not different in the Vector and the hand instrument group (p > 0.05) but treatment time with the Vector -system was statistically higher (p < 0.05). A similar reduction of periopathogenic bacteria could be observed in both groups. Using the Vector -system, root surfaces can be debrided as thoroughly as with conventional instruments. However, treatment is more time consuming than conventional debridement.Journal Of Clinical Periodontology 08/2006; 33(8):568-74. · 3.00 Impact Factor -
Article: Detection of subgingival calculus with a novel LED-based optical probe.
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ABSTRACT: A recently introduced detection device is designed for objective subgingival calculus diagnosis. The aim of the present study was to assess the possibility of detecting subgingival calculus with this novel LED-based optical probe in vitro. Twenty extracted human teeth with calculus on the root surface were fixed on a translation stage. Measurements on the root surface were carried out in increments of 0.25 mm with an angulation of 0 to 10 degrees , 45 degrees , or 90 degrees to the optical fiber. Teeth were covered either with sodium chloride (NaCl) or blood in order to determine the influence of ambient fluids. Successional areas of positive measurements were defined as "length of positive values" (LPV). The results were compared to the clinical and histological findings. Clinically and histologically apparent calculus on the root surface was accompanied by positive measurement values. A reduction of the angulation between probe and root surface resulted in shorter LPV when measurements were performed in blood (P <0.05) and longer LPV employing NaCl as the ambient fluid (P <0.05). For both blood and NaCl, sensitivity and/or specificity values decreased when using lower angulations. The optical probe offers the possibility of subgingival calculus detection and may, therefore, be suited to determine the endpoint of root surface instrumentation during non-surgical periodontal therapy.Journal of Periodontology 07/2005; 76(7):1202-6. · 2.60 Impact Factor -
Article: Efficiency of subgingival calculus removal with the Vector-system compared to ultrasonic scaling and hand instrumentation in vitro.
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ABSTRACT: The recently introduced Vector-system (Duerr Dental, Bietigheim-Bissingen, Germany) is recommended to be used in conjunction with different insert tips and irrigation fluids. The aim of the study was to assess subgingival calculus removal depending on the mode of operation and to compare the results to conventional methods for root debridement. Sixty extracted human teeth with calculus on the root surface were treated in an artificial periodontal pocket model using six methods: Vector-system with metal probe insert (VPP) or metal curette insert (VPC), both used with polishing fluid, Vector-system with metal probe insert (VAP) or metal curette insert (VAC), both used with abrasive fluid, EMS-ultrasonic system (U) and hand instrument (Gracey curette). Photographs of the root surface were taken at intervals of 10 s and calculus removal was assessed using a surface analysis software until the root surfaces were cleaned completely. Analysis of variances (ANOVA) of the ranks with subsequent comparison of mean ranks and calculation of homogeneous groups (Scheffe) were used for statistical analysis. Employing the hand instrument, highest efficiency could be observed (0.340 mm2/s). Calculus removal with the Vector-system and metal probe insert (VPP: 0.036 mm2/s; VAP: 0.067 mm2/s) was less effective (p < 0.05) than using the system with metal curette inserts (VPC: 0.122 mm2/s; VAC: 0.209 mm2/s). Employing the abrasive fluid, removal of deposits with the metal curette insert was as efficient as with the conventional ultrasonic system (U: 0.199 mm2/s, p > 0.05). The present in vitro study indicates that the efficiency of calculus removal with the Vector-system is significantly dependent on the selection of inserts and irrigation fluids.Journal of Periodontal Research 03/2005; 40(1):48-52. · 1.69 Impact Factor -
Article: Removal of root substance with the Vector-system compared with conventional debridement in vitro.
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ABSTRACT: The aim of the present study was to assess the removal of root substance with the Vector-system depending on different irrigation fluids and to compare the results with conventional methods for root debridement. Forty extracted human teeth were treated using four different methods: Vector-system with polishing fluid and metal curette (VP), Vector-system with abrasive fluid and metal curette (VA), conventional ultrasonic system (U) with insert tip "P" and hand instrument. Treatment of the calculus-free root surfaces was carried out for a total of 12 min. using an artificial periodontal pocket. At intervals of 120 s, the removal of dental hard tissues was assessed using a three-dimensional (3D) laser scanning device and the Match 3D software with an accuracy of 0.00001 mm(3). No difference in the removal of root substance with the hand instrument (0.0055 mm(3)/s) and the Vector-system using the abrasive fluid (0.0044 mm(3)/s) could be observed (p=0.51). Using these two systems, a larger amount of root substance (p<0.05) was removed compared with the other methods (U: 0.0023 mm(3)/s, VP: 0.0022 mm(3)/s), which did not differ from each other (p=0.76). The present study indicates that the Vector-system in combination with polishing fluid or conventional ultrasonics might be used for root debridement without extensive root substance removal.Journal Of Clinical Periodontology 02/2005; 32(2):153-7. · 3.00 Impact Factor -
Article: Subjective intensity of pain during the treatment of periodontal lesions with the Vector-system.
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ABSTRACT: The aim of this study was to measure subjective intensities of pain during the treatment of periodontal lesions with the Vector-system when compared to pain occurring during the treatment with conventional methods. Twenty patients, each of whom had three teeth with comparable periodontal pocket depths, were treated using three different methods: (i) scaling and root planing with hand instruments, (ii) cleaning with a conventional ultrasonic instrument (Siroson S) and (iii) cleaning with the Vector-system. The subjective intensities of pain during the treatment were measured with an intermodal intensity comparison. A visual analog scale was used for the evaluation after the treatment. The results of the intermodal intensity comparison during treatment showed that the use of the Vector-system caused less pain than the cleaning with hand instruments or the conventional ultrasonic system (P < 0.05). The intermodal intensity comparisons of cleaning with hand instruments and cleaning with the conventional ultrasonic system were not significantly different (P > 0.05). These results could be confirmed by the visual analog scale. Using the Vector-system for cleaning periodontal lesions it is possible to reduce pain sensations compared to conventional methods. Using cleaning methods that cause less discomfort and pain, it might be possible to increase the patient's compliance during non-surgical periodontal therapy and recall.Journal of Periodontal Research 04/2003; 38(2):135-40. · 1.69 Impact Factor
Top co-authors
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Institutions
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2011–2012
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Philipps-Universität Marburg
Marburg an der Lahn, Hesse, Germany
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2003–2011
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Rheinische Friedrich-Wilhelms-Universität Bonn
Bonn, North Rhine-Westphalia, Germany
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