[Calculus removal efficiency and injury potential of vertically oscillating metallic and carbon ultrasonic tips]

This laboratory study investigated the efficiency and aggressiveness of metallic and carbonic inserts of a vertically oscillating ultrasonic device (Vector-system) at different power settings. The following parameters concerning periodontal treatment were assessed under standardized conditions: calculus and tooth substance removal, mean surface roughness and micro morphological appearance of the treated roots. Concerning the calculus removal potential, no significant differences were found between the types of insert used. The carbon fibre inserts, however, showed significantly more tooth substance loss than the metallic inserts. These findings were confirmed by micromorphological SEM analysis. In view of these results, the repeated use of these carbon fiber inserts during periodonatal sustaining therapy cannot be recommended.