Ultrasonic Periodontal Debridement: Theory and Technique

Ultrasonic Periodontal Debridement: Theory and Technique is the first textbook to focus exclusively on this fundamentally important component of periodontal therapy. George, Donley, and Preshaw provide a comprehensive resource for dental students, dental hygiene and therapy students, and periodontal residents, as well as practicing dental hygienists and dentists who are looking to increase their familiarity and skills with ultrasonic instrumentation.

The opening section describes the basic foundational knowledge of periodontal debridement; how it differs from and supersedes scaling and root planing, how it fits with modern concepts of periodontal disease pathogenesis, and includes a comparison of periodontal debridement instrumentation modalities. Section 2 describes ultrasonic technology, the variety of tip designs that are available, and provides practical guidance in appropriate tip selection. Section 3 focuses on the clinical applications of ultrasonic periodontal debridement, including patient assessment, medical and dental considerations, and provides specific guidance in clinical debridement techniques. Included are technique modules for each quadrant as well as case studies using real-world examples of situations likely to be encountered in everyday clinical practice, including ultrasonic instrumentation around dental implants.

Table of Contents

Periodontal Ultrasonic Debridement: Theory and Technique

Table of Contents

Foreword
Preface
Acknowledgments
About the Authors

Section I Foundational Concepts
Chapter 1 The Treatment of Periodontal Disease: The Shift from “SRP” to “Periodontal Debridement”
Early concepts of the pathogenesis of periodontal disease
Scaling and root planing
Current concepts of periodontal pathogenesis
Periodontal debridement therapy

Chapter 2 Comparison of Periodontal Debridement Instrumentation Modalities
Efficacy of deposit removal
Resolution of disease
Conservation of tooth structure
Debridement of dental implants
Additional advantages of ultrasonic instrumentation
Other methods of debridement
Summary

Section II Ultrasonic Technology
Chapter 3 What is Ultrasonic Instrumentation?
Ultrasonic transduction
Ultrasonic instrumentation mechanisms of action
Ultrasonic scaler operational variables
Acoustic power of the ultrasonic scaler
Concept of minimum effective power
Sonic scaling technology
Recent developments in ultrasonic technology

Chapter 4 Ultrasonic Tip Design and Selection
Anatomy of an ultrasonic tip
Key elements of tip design
Tip selection
Tip utilization
Effect of tip wear on performance
Basic tip setup

Section III Clinical Application
Chapter 5 Patient Assessment
The periodontal examination
Identifying sites to treat
Factors to assess at disease sites
Medical considerations and other patient factors

Chapter 6 Ultrasonic Instrumentation Technique
Ultrasonic instrumentation principles of technique
Aerosol management
Staged approach to ultrasonic instrumentation

Chapter 7 Ultrasonic Instrumentation Technique Modules
Strategies for instrumentation sequencing
Sextant specific instrumentation modules
Advanced furcation defect instrumentation modules
Implant and supragingival instrumentation technique

Chapter 8 Case Studies in Periodontal Ultrasonic Debridement
Initial and supportive periodontal therapy case
Preventive debridement (adult prophylaxis) case
Surgical debridement case

Glossary
Index