The effect of an air-powder abrasive system on in vitro root surfaces

An air-powder abrasive system, the Prophy-Jet model C-100, is now available for use by the dental community. However, its use has been restricted to cleaning enamel surfaces of stain and dental plaque. The purpose of this investigation was to ascertain the effects of this air-powder abrasive system on root surfaces of extracted human teeth. Thus, root surfaces of 20 teeth were covered with a template consisting of a metal band with a centrally located 2-mm diameter hole. The banded root surfaces, under controlled conditions, were exposed to the air-powder abrasive for 30 seconds. The resulting defects were measured by using a light microscope equipped with a graduated focus knob. Three teeth were randomly selected for examination by scanning electron microscopy and one was selected for histologic evaluation by light microscopy. Untreated extracted teeth were used as controls. In addition, one untreated tooth root was exposed to the air-powder abrasive without use of the template. In this instance, a brush stroke was used for approximately 1 minute, as might be done in a clinical situation. This tooth root was also examined by scanning electron microscopy. The Prophy-Jet air-powder abrasive system removed an average of 636.6 micrometers of root structure in 30 seconds of exposure time. The resulting surface was smooth, free of connective tissue fibers and debris, and all cementum was removed. Few open dentin tubules were observed since most appeared to have been obliterated. The powder crystals, as viewed by scanning electron microscopy, were sharp-pointed, somewhat elongated and of varying lengths. The Prophy-Jet air-powder abrasive system appears to have considerable potential for treatment of periodontally diseased root surfaces. However, its use should be tempered by the results of this and future research and sound clinical judgment.