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