Diamond burs versus curettes in root planing: a randomized clinical trial

Türktekin, F., Buduneli, N., Lappin, D.F., Türk, T. and Buduneli, E. (2018) Diamond burs versus curettes in root planing: a randomized clinical trial. Australian Dental Journal, 63(2), pp. 242-252. (doi: 10.1111/adj.12602) (PMID:29432640)

157421.pdf - Accepted Version



Aim: This study compares diamond burs and curettes by clinical, microbiological, biochemical, scanning electron microscopic parameters and treatment time data in the non-surgical periodontal treatment of patients with chronic periodontitis. Methods: Two quadrants of each of the 12 patients received root planing with diamond burs whereas other 2 quadrants were treated with curettes. Clinical periodontal measurements were recorded at baseline and then 1, 3, 6 months after completion of non-surgical periodontal treatment. Subgingival plaque, gingival crevicular fluid samples were obtained at baseline and 1-month control. Twenty-one hopeless teeth received root planing with diamond burs or curettes or no treatment at all and then extracted for microscopic evaluations. Results: Clinical periodontal parameters improved similarly with both treatment modalities. Microbiological analyses revealed similar findings for the bacterial load (16S gene copy numbers), ratio of each bacterium to the total bacterial count at baseline, 1-month control. Cytokine levels in the gingival crevicular fluid samples exhibited differences between the two treatments. Scanning electron microscopic analyses indicated that diamond burs were better in terms of calculus removal, loss of tooth substance indices, but roughness index values were better for curettes. Conclusion: As a conclusion, diamond burs provide findings comparable with curettes in root planing.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Lappin, Dr David
Authors: Türktekin, F., Buduneli, N., Lappin, D.F., Türk, T., and Buduneli, E.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School
Journal Name:Australian Dental Journal
ISSN (Online):1834-7819
Published Online:12 February 2018
Copyright Holders:Copyright © 2018 Australian Dental Association
First Published:First published in Australian Dental Journal 63(2):242-252
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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