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The Effect of Dental Ultrasonic Scaler on Dental Restorations
Abstract
The ultrasonic scalers are today becoming the most chosen form of dental polishing and cleaning. With the various researchers and lab tests done on them, it is steered clear of any side effects or invasive methodologies that might harm the patient in any manner. It works both on the soft and hard oral tissues have become the most widely used cleaning instruments among dental practitioners. Ultrasonic scalers use its vibrating power to eradicate different forms of dental plague and foreign components from the teeth. Through various on-field experiments and lab tests, it was made sure that these ultrasonic scalers work much better than any other primitive method for the same task. And that’s the major reason why it is so much in demand, ultrasonic scaling has become widely used for professional tooth cleaning. The aim of the systematic review is to assess the role of ultrasonic scaling on dental restoration. A computerized literature search was performed in following database including: Pubmed, the Cochrane Library, Google Scholar and Scopus databases from 1st January 2000 till January 2022. Studies determining the impact of ultrasonic scaling on dental restorations including randomized controlled trials, prospective and retrospective studies, and cross-sectional studies were included. After an initial search a total of 570 articles were identified. Then, 44 studies which were full-text articles were critically reviewed by independently for eligibility. Finally, 10 studies which met all the inclusion criteria were included in the review. The findings showed that out of all of the elements used, we can observe that the glass ionomers have had the chances of greater impacts. Further studies should assess the method of polishing for the removal of discolorations from ceramic restorations after ultrasonic scaling procedures and the possible side effects of polishing.
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Surface properties of composites such as roughness and color impact periodontal health and aesthetic outcomes. Novel bulk-fill composites with improved functionality are being introduced and, in light of the existing variety of finishing/polishing procedures, research of their surface properties is warranted. Sixty discs were prepared from bulk-fill composites (Filtek™ Bulk Fill Posterior Restorative and Fill-Up™) and incremental-fill Filtek™ Z250. They were further divided according to different polishing procedures (n = 5): three multi-step polishing procedures or finishing with a bur (control). Surface roughness (Ra) was measured using an atomic force microscope (The AFM Workshop TT-AFM). A spectrophotometer (Spectroshade Micro Optic) was used to determine color stability, after exposure to a coffee solution. Data were analyzed using two-way MANOVA (significance level of 5%). Resin composite type, polishing procedure, and their interaction had a statistically significant effect on surface roughness (p < 0.001) and color change (p < 0.001). Fill-Up™ exhibited the highest surface roughness and greatest color change. Differences in color change were statistically significant (p < 0.001). Filtek™ Bulk Fill registered the lowest surface roughness and color change, after the three-step polishing procedure. Both parameters were significantly correlated (ρ = 0.754, p < 0.001) and found to be material dependent and polishing-procedure dependent. Higher surface roughness relates to greater color changes.
The aim of the present study was to compare the root surface wear and roughness, resulted from the professional dental hygiene instruments, including ultrasonic dental scalers, rubber prophy cups, and nylon bristle brushes, on the extracted human mandibular incisor teeth. Teeth (n = 80) were randomly assigned into eight groups according to the applied scaler type (Ma = Magnetostrictive, Pi = Piezoelectric), degree of power (M = Medium, F = Full), and angulation (0° and 45°). In the second stage, the specimens (n = 40) were further divided into two groups according to the applied polishing device (nylon bristle brush or rubber prophy cup). Laser scanner and contact profilometer devices were used for the surface analysis. Both ultrasonic instruments tested in our study produced rougher surfaces when full power was used at a 0° angle (p < 0.01). The highest wear (0.82 ± 0.07 mm3) and roughness values (0.30 ± 0.01 µm) were detected in the PiF0 group. Polishing performed with a rubber prophy cup resulted in almost twice the wear as well as a smoother surface when compared to polishing performed with a nylon bristle brush (p < 0.001). Variations in the application parameters of ultrasonic scalers and the type of polishing instrument might lead to significantly different root-surface characteristics.
Esthetic restorations using highly translucent ceramics powered by chairside digital dentistry are becoming popular. The purpose of this in vitro study was to investigate the impact of ultrasonic scaling on the optical and surface properties of highly translucent ceramic materials for digital dentistry. A resin nanoceramic (Lava Ultimate; LU), dual-network ceramic (Vita Enamic; VE), feldspathic ceramic (Vitablocs Mark II; VM), lithium disilicate ceramic (IPS e.max CAD; EX), and high-translucency monolithic zirconia (Rainbow Shine-T; MZ) were evaluated. All specimens were subjected to ultrasonic scaling, and the following data were obtained before and after scaling: color change (ΔE 00 ), translucency parameter, surface gloss, surface roughness, and superficial topography. One-way analysis of variance (ANOVA), repeated-measures ANOVA, and two-way ANOVA were used for intergroup comparisons (all α = 0.05). The mean ΔE 00 values were 0.243, 0.48, 1.591, 0.143, and 4.466 for LU, VE, VM, EX, and MZ, respectively, with statistically significant differences among the materials. With regard to Commission Internationale de l'Éclairage (CIE) L*, a*, and b* values, VE, VM, and MZ showed significantly decreased L* values relative to the baseline values. Moreover, MZ showed a significantly increased a* value and a significantly decreased b* value after scaling. Ultrasonic scaling also resulted in significant changes in the surface gloss of the LU, VE, VM, and MZ specimens. Micrographs showed scrapes and surface deterioration after scaling. For all materials, the translucency parameter and the surface roughness showed no significant differences between specimens that were subjected to scaling and those that were not. These findings suggest that ultrasonic scaling MARKEDLY affects the optical properties and surface characteristics of highly translucent computer-aided design and computer-aided manufacturing (CAD/CAM) ceramics. The findings can aid restorative dentists in the selection of appropriate materials and motivate periodontists for performing scaling procedures with due consideration of restorations in esthetically demanding areas.
Zirconia (3Y-TZP) dental prostheses are widely used in clinical dentistry. However, the effect of ultrasonic scaling performed as a part of professional tooth cleaning on 3Y-TZP dental prostheses, especially in conjunction with low-temperature degradation (LTD), has not been fully investigated. The present study aimed to evaluate the influence of ultrasonic scaling and LTD on the surface properties of 3Y-TZP in relation to bacterial adhesion on the treated surface. 3Y-TZP specimens (4 × 4 × 2 mm) were polished and then subjected to autoclaving at 134°C for 100 h to induce LTD, followed by 10 rounds of ultrasonic scaling using a steel scaler tip for 1 min each. Surface roughness, crystalline structure, wettability, and hardness were analyzed by optical interferometry, X-ray diffraction analysis, contact angle measurement, and nano-indentation technique, respectively. Subsequently, bacterial adhesion onto the treated 3Y-TZP surface was evaluated using Streptococcus mitis and S. oralis. The results demonstrated that the combination of ultrasonic scaling and LTD significantly increased the Sa value (surface roughness parameter) of the polished 3Y-TZP surface from 1.6 nm to 117 nm. LTD affected the crystalline structure, causing phase transformation from the tetragonal to the monoclinic phase, and decreased both the contact angle and surface hardness. However, bacterial adhesion was not influenced by these changes in surface properties. The present study suggests that ultrasonic scaling may be acceptable for debridement of 3Y-TZP dental prostheses because it did not facilitate bacterial adhesion even in the combination with LTD, although it did cause slight roughening of the surface.
Purpose
Zirconia is a potential alternative to titanium for dental and orthopedic implants. Here we report the biological and bone integration capabilities of a new zirconia surface with distinct morphology at the meso-, micro-, and nano-scales.
Methods
Machine-smooth and roughened zirconia disks were prepared from yttria-stabilized tetragonal zirconia polycrystal (Y-TZP), with rough zirconia created by solid-state laser sculpting. Morphology of the surfaces was analyzed by three-dimensional imaging and profiling. Rat femur-derived bone marrow cells were cultured on zirconia disks. Zirconia implants were placed in rat femurs and the strength of osseointegration was evaluated by biomechanical push-in test.
Results
The rough zirconia surface was characterized by meso-scale (50 µm wide, 6–8 µm deep) grooves, micro-scale (1–10 µm wide, 0.1–3 µm deep) valleys, and nano-scale (10–400 nm wide, 10–300 nm high) nodules, whereas the machined surface was flat and uniform. The average roughness (Ra) of rough zirconia was five times greater than that of machined zirconia. The expression of bone-related genes such as collagen I, osteopontin, osteocalcin, and BMP-2 was 7–25 times upregulated in osteoblasts on rough zirconia at the early stage of culture. The number of attached cells and rate of proliferation were similar between machined and rough zirconia. The strength of osseointegration for rough zirconia was twice that of machined zirconia at weeks two and four of healing, with evidence of mineralized tissue persisting around rough zirconia implants as visualized by electron microscopy and elemental analysis.
Conclusion
This unique meso-/micro-/nano-scale rough zirconia showed a remarkable increase in osseointegration compared to machine-smooth zirconia associated with accelerated differentiation of osteoblasts. Cell attachment and proliferation were not compromised on rough zirconia unlike on rough titanium. This is the first report introducing a rough zirconia surface with distinct hierarchical morphology and providing an effective strategy to improve and develop zirconia implants.
The purpose of this study was to evaluate the adherence of biofilms to the surfaces of two indirect resin composites, Estenia C&B and Gradia. Slabs were prepared from the materials, and then either ground with 800-grit silicon carbide paper or polished with diamond pastes up to 1 microm. Artificial biofilms of Streptococcus mutans were grown on the composite slabs in an artificial mouth system for 20 hours. Thereafter, the amounts of retained biofilm on the surfaces were measured after sonication. Surface characteristics of the resins--such as surface roughness, amount of residual monomers, and distribution of filler particles--were examined. Two-way ANOVA revealed that the amount of retained biofilm varied (p<0.05) according to the composition and surface roughness of the material. In particular, biofilm adherence was lowest on Estenia C&B slabs when polished with diamond pastes up to 1 microm. It was thus concluded that the surface roughness and composition of a resin composite influenced biofilm adherence.
Purpose: Ultrasonic scaler is frequently used for temporary cement remnants removal from abutment teeth. A major concern is the alteration of the structural integrity of the abutment finishing line by the ultrasonic scaler. The current study evaluates the influence of ultrasonic scaling on the integrity of the finish line. The effect of finish line design (chamfer or feather edge), and its location (dentin or enamel) was also evaluated. Methods: Intact 22 human extracted molars were divided into 2 groups: finish line was prepared on enamel (n=11) and dentin (n=11), and further subdivided to finish line configuration groups (chamfer or knife-edge). Preparation of finish line was preformed following a standard repetitive procedure. 3D scans of the same tooth before and after ultrasonic instrumentation were performed. Pre and post scaling images were superimposed. The finish line alterations were evaluated and measured. The significance of the differences was evaluated using Students’ t-test. Results: The average alteration at the finish line area following ultrasonic scaling was 71.5 ± 24.6 μm. Higher alterations were found for enamel and for chamfer finish lines compared to dentin and knife edge, 134.4 ± 61.4 μm and 30.3 ±11.7 μm respectively. The highest change (228.6μm) was found for chamfer finish line located on enamel. The differences between groups were statistically significant (p<0.05). Conclusion: Ultrasonic scaling alters the topography of the finish line area of abutment teeth and thus may compromise marginal fit and integrity of the final restoration.
Objectives
The aim of this study was to evaluate enamel and root surface roughness on exracted human teeth by using different tecniques (ultrasonic scaler, hand instruments, polishing paste, pumice and air powder system).
Materials and methods
A total of 200 samples were divided into two groups (enamel and root) randomly with 100 samples for each enamel and root groups. The groups were divided into 5 subgroups: Group I: ultrasonic scaler, group II: hand instruments, group III: polishing paste, group IV: pumice, group V: air-powder. Surface roughness (Ra) was assessed with Mitutoyo SJ-410 device. The one-way analysis of variance (ANOVA) test along with the Tukey test was used for statistical analysis. P values less than 0.05 were considered statistically significant.
Results
The use of ultrasonic scalers caused the highest roughness increase on the enamel surface (0.935 ± 0.010), whereas the use of pumice was the least (0.896 ± 0.018) (p < 0.05). There was a significant difference between ultrasonic scalers and all the groups (hand instruments, polishing paste, pumice and air powder system) on enamel surface (p < 0.05). Maximum surface roughness increase was observed in the ultrasonic scalers on root surface. There was a significant difference between ultrasonic scalers and polishing paste, pumice and air powder on root surface, respectively (p < 0.05).
Conclusion
The use of ultrasonic scalers cause more rough enamel and root surfaces than hand instrumentation and polishing tecniques.
Clinical relevance
Uneven surfaces adversely affect the intended periodontal healing by creating a retention area of microbial dental plaque.
Objectives:
The number of dental nanomaterials has increased significantly over the past years. A variety of commercial dental nanomaterials are available and researched. Nevertheless, how these nanomaterials work, what makes them special and whether they are superior to traditional dental materials is not always clear to dentists and researchers. The objective of this review paper is, therefore, to give an overview of the principles of nanomaterials and basic research and applications of dental nanomaterials.
Methods:
The fundamentals of materials science of nanomaterials as well as their advantages and disadvantages are elaborated. The most important dental nanomaterials are discussed. This is mainly based on a survey of the literature and a review of the most frequently cited scientific papers in the international peer reviewed journal Dental Materials over the past five years. The developments of commercial dental nanomaterials as well as aspects of their clinical use are considered in this review.
Results:
Nanomaterials have unique structures and properties that distinguish them from other materials. The journal Dental Materials is the journal with the highest numbers of articles and citations on the subject of dental nanomaterials. The most frequently reported dental nanomaterials are nanocomposites, nanoparticles, antimicrobial nanomaterials and bio-mineralization systems. Hallmarks of dental nanomaterials include a set of unique properties and challenges in the preparation of these materials.
Significance:
By understanding the physical principles of dental nanomaterials, their strengths, limitations and their specific benefits will be better appreciated. Dental nanomaterials have potential for the future but currently do not always exhibit superior properties, for example in clinical situations.
The effects of sonic and ultrasonic scalings (USSs) on the surface roughness of nanohybrid, flowable, and polyacid-modified resin composites and conventional glass ionomer cement were examined, and the effectiveness of repolishing on the scaled material surfaces was determined.
The surface roughness of each sample was measured three times before and after each scaling and after repolishing, and the data were analyzed using repeated measuresanalysis of variance, Tukey's multiple comparisons, and paired t-tests by a statistical program.
Although sonic and USS both significantly increased the surface roughness of all the tooth-colored materials, USS roughened the surfaces of all the test materials more than SS did. Hence, USS may detrimentally affect tooth-colored restorative materials, especially conventional glass ionomers and compomers. Repolishing decreased the surface roughness of all the materials to near their baseline levels.
On the basis of these results, the repolishing of restoration surfaces is strongly recommended after dental scalings.
This paper presents the results of experiments conducted with extracted human and bovine teeth. The teeth were subjected to thermal cycling at temperatures between 140 and 90 F. The results offer conclusive evidence that thermal fracture may be induced by the thermal stresses caused by the temperature cycling. Less than 3,000 thermal cycles cause severe cracking or the propagation of cracks previously existing in the teeth, or both.
This study examined the effect of ultrasonic instrumentation on the bond strength of three types of luting material joined to a nickel-chromium alloy. Disk metal specimens were bonded together with zinc phosphate, glass ionomer, and adhesive resin luting agents. The bonded specimens were immersed in water, then vibrated with an ultrasonic unit for 0 to 5 minutes. The shear bond strength in the 0 or nonvibrated group was 50.1 MPa for adhesive resin, 18.4 MPa for glass ionomer, and 4.7 MPa for zinc phosphate cement. Vibration for a period of 5 minutes significantly diminished the bond strength of adhesive resin and glass ionomer materials, whereas the bond strength of zinc phosphate cement was affected after only 1 minute.
The purpose of this systematic review was to determine the efficacy of machine-driven compared with manual subgingival debridement in the treatment of periodontitis.
Mechanical debridement of the periodontal pocket plays a pivotal role in the treatment of periodontitis.
A literature search for controlled clinical trials with at least 6 months' follow-up comparing machine-driven instruments with hand instruments for the treatment of chronic periodontitis was performed up to April 2001. Screening of titles and abstracts as well as data extraction was conducted independently by two reviewers (J.T. & T.F.F.). As primary outcome variable, the prevention of tooth loss was used; secondary outcome variables were the prevention of disease progression, the resolution of anatomical defects and the resolution of gingival inflammation. Efficiency was assessed by mean time needed to treat one tooth.
From a total of 419 abstracts, 27 articles were included for the review. The weighted kappa score for agreement between the two reviewers was 0.77, 95% CI: 0.65-0.89, indicating substantial agreement. No study reported on the selected primary outcome variables. Using clinical attachment gain, probing pocket depth reduction or bleeding on probing reduction as outcome variables, there appeared to be no differences between ultrasonic/sonic and manual debridement. No major differences in the frequency or severity of adverse effects were found. However no meta-analysis could be performed on any of the previously mentioned parameters. Ultrasonic/sonic debridement was found to take significantly less time, i.e. 36.6%, than debridement using hand instruments (P = 0.0002, 95% CI of the standardized effect estimate: 0.39-1.37, heterogeneity P = 0.77).
With respect to clinical outcome measures, the available data do not indicate a difference between ultrasonic/sonic and manual debridement in the treatment of chronic periodontitis for single-rooted teeth; however, the evidence for this is not very strong. In addition, ultrasonic/sonic subgingival debridement requires less time than hand instrumentation. Further research is needed to assess the efficacy of machine-driven debridement on multirooted teeth and clinical outcome variables having tangible benefit to the patients should be used.
Effect of Dental Prophylaxis Techniques on the Surface Roughness of Resin Composites. The journal of contemporary dental practice
- I A Gomes
- H G Mendes
- C De
- R C Nina
- M G Turssi
- C P Vasconcelos
Gomes, I. A., Mendes, H. G., de C, R. C., Nina, M.
G., Turssi, C. P., Vasconcelos, A. J.,... & de Jesus
Tavarez, R. R. (2018). Effect of Dental Prophylaxis
Techniques on the Surface Roughness of Resin
Composites. The journal of contemporary dental
practice, 19(1), 37-41.
Evaluation of effect
- P R Shenoi
- G P Badole
- R T Khode
- E S Morey
- P G Singare
Shenoi, P. R., Badole, G. P., Khode, R. T., Morey,
E. S., & Singare, P. G. (2014). Evaluation of effect
Carranza's Clinical Periodontology
- R L Merin
Merin, R. L. (2007). Supportive periodontal
treatment. In: Newman MG, Takei HH,
Klokkevold PR, Carranza FA, (eds.). Carranza's
Clinical Periodontology. 10th ed. New Delhi
(India): Elsevier, 1194-205.
Resin-modified glassionomers
- J F Mccabe
McCabe, J. F. (1998). Resin-modified glassionomers. Biomaterials, 19(6), 521-527.