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Diamond burs versus curettes in root planing: a randomized clinical trial
F Türktekin1, N Buduneli1, D F Lappin2
1Department of Periodontology, School of Dentistry, Ege University, Izmir, Turkey.
Australian Dental Journal
|February 13, 2018
Summary
Diamond burs and curettes show similar effectiveness in non-surgical periodontal treatment for chronic periodontitis. Both methods improve clinical parameters and reduce bacterial load, with subtle differences in microscopic evaluations.
Area of Science:
- Periodontology
- Dental Materials Science
Background:
- Chronic periodontitis requires effective non-surgical periodontal treatment.
- Comparing instrumentation methods is crucial for optimizing treatment outcomes.
Purpose of the Study:
- To compare the efficacy of diamond burs versus curettes in non-surgical periodontal therapy.
- To evaluate clinical, microbiological, biochemical, and microscopic parameters.
Main Methods:
- A split-mouth design was used with 12 patients, comparing diamond burs and curettes in different quadrants.
- Clinical measurements, microbiological samples, gingival crevicular fluid analysis, and scanning electron microscopy (SEM) were performed.
- Treatment time was also recorded.
Main Results:
- Both diamond burs and curettes resulted in similar clinical improvements and microbiological profiles.
- Cytokine levels in gingival crevicular fluid showed variations between treatments.
- SEM analysis indicated superior calculus removal and less tooth substance loss with diamond burs, while curettes resulted in lower surface roughness.
Conclusions:
- Diamond burs offer comparable outcomes to curettes in root planing for chronic periodontitis.
- Instrumentation choice may depend on specific microscopic evaluation criteria.
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