Simulated damage of two debridement methods: Teflon vs. steel scalers.
Journal name: Journal of Indian Society of Periodontology
Original article title: Simulated damage of two implant debridement methods: Nonsurgical approach with Teflon and stainless steel hand scalers
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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João Paulo Mendes Tribst, Amanda Maria de Oliveira Dal Piva, Dimas Renno de Lima, Alexandre Luiz Souto Borges, Marco Antonio Bottino
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Simulated damage of two implant debridement methods: Nonsurgical approach with Teflon and stainless steel hand scalers
Year: 2018 | Doi: 10.4103/jisp.jisp_201
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Mechanical scaling is widely recognized as the standard treatment for periodontal and peri-implant tissue infections. This study aims to investigate the impact of different types of mechanical prophylactic therapy on the residual stresses experienced by implants and hand scalers. A finite-element analysis was conducted using a three-dimensional model of an implant-supported prosthesis, simulating prophylactic mechanical debridement at a 90° angle. The study evaluated two materials—stainless steel and Teflon—comparing the stress distribution on both the implant surface and the active tip of the scaler.
Mechanical Properties of Different Materials
The investigation revealed that the choice of instrument material significantly influences the residual stresses experienced by dental implants. The results indicated that using a stainless steel scaler generated higher residual stress on the implant compared to the Teflon scaler. While both materials exhibited similar stress patterns in their respective active tips, stainless steel was associated with increased wear and potential damage to the titanium surface of the implant. This difference underscores the importance of selecting the appropriate material for mechanical debridement, as plastic tips may reduce harmful effects on delicate implant surfaces.
Conclusion
In summary, this study highlights the variability in residual stresses generated during mechanical prophylactic therapy based on the scaler material utilized. The use of Teflon scalers is suggested to be less harmful to implants, although they may be prone to deformation and early failure compared to stainless steel instruments. The findings advocate for careful consideration in the selection of hand instruments for periodontal and peri-implant maintenance, aligning with the need to prevent complications associated with implant health.
FAQ section (important questions/answers):
What is the purpose of mechanical scaling in dentistry?
Mechanical scaling is used to treat periodontal and peri-implant tissue infections by removing plaque and tartar, which if left untreated, can lead to inflammation, damage, and further complications in oral health.
How do different scaler materials affect residual stress on implants?
The study showed that stainless steel hand scalers generate higher residual stress on implant surfaces compared to Teflon scalers, which are less damaging but may deform more easily.
What were the main findings regarding scaler material and implant stress?
The results indicated that Teflon scalers cause less residual stress on implants, while stainless steel instruments concentrate stress, potentially leading to earlier failures of the implant surface.
Did the study evaluate the hand scaler’s mechanical properties?
Yes, the study assessed two types of hand scalers—stainless steel and Teflon—using finite element analysis to compare how each material interacted with the implant in terms of stress distribution.
What limitations were acknowledged in the study's findings?
The study recognized that all simulations were based on idealized conditions, which might not fully represent varying anatomical environments or imperfections found in real clinical scenarios.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Simulated damage of two debridement methods: Teflon vs. steel scalers.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Hand:
The term 'Hand' refers to the manual instruments used in dental practices, particularly in the context of scaling and cleaning procedures. Hand instruments are essential for performing mechanical prophylaxis in oral hygiene and periodontal treatment. Their material composition impacts the treatment's effectiveness and potential for damaging implant surfaces, highlighting the importance of selecting appropriate hand tools.
2) Surface:
In dentistry, 'Surface' pertains to the exposed area of dental implants and natural teeth. The condition of these surfaces directly affects biofilm accumulation and implant longevity. Understanding how different cleaning instruments impact these surfaces is crucial for preventing periodontal diseases and ensuring successful oral treatments, reflecting the broader implications for patient care.
3) Table:
In the provided context, 'Table' likely refers to a structured presentation of data, such as mechanical properties of materials in the study. Tables facilitate clear communication of research findings, enabling comparisons and understanding of results, which is vital for informed decision-making in clinical practices related to implantology and prosthodontics.
4) Study (Studying):
'Study' denotes the research conducted to evaluate the effects of mechanical therapy on dental implants. It provides insights into clinical practices, guiding dental professionals on the best approaches to prevent/perceive damage to the implants during cleaning procedures. The study outcomes inform recommendations and strategies in periodontal and implant care.
5) Accumulation (Accumulating, Accumulate):
'Accumulation' refers to the buildup of biofilm on dental surfaces, particularly around implants. This phenomenon is critical as it can lead to complications such as peri-implantitis if not managed properly. Understanding accumulation processes aids in developing effective prevention and treatment strategies, thereby enhancing the overall success of implant longevity and oral health.
6) Mise:
'Mise' appears to reflect concepts related to the configuration or arrangement within the studied context, possibly referencing the mathematical analysis methodologies used in the finite element analysis. Such methodologies help visualize stress distributions, providing crucial information about the implications of using specific instruments on dental health and implant integrity.
7) Disease:
'Disease' represents the pathological conditions resulting from bacterial infections in the oral environment, particularly periodontitis and peri-implantitis. Understanding disease mechanisms informs treatment choices and preventative measures in dental care, emphasizing the need for accurate diagnosis and effective management strategies to optimize patient outcomes in oral health.
8) Inflammation:
'Inflammation' is a biological response to harmful stimuli, such as bacteria, affecting soft and hard oral tissues. In the context of periodontal disease and peri-implantitis, inflammation highlights the importance of effective cleaning and treatment protocols to reduce damage and promote healing, serving as a vital indicator of health in dental patients.
9) Discussion:
'Discussion' refers to the analysis and interpretation of study results. It is a critical component of academic research, facilitating deeper understanding of findings, their implications, and potential applications in clinical settings. Discussions have the power to influence best practices in oral hygiene and periodontal therapy based on evidence and consensus.
10) Similarity:
'Similarity' denotes the observed resemblance in the stress distribution between different types of cleaning instruments. Recognizing similarities is essential in developing effective dental practices since it informs clinicians about how varying instruments may yield comparable outcomes, thus impacting instrument selection during procedures on delicate dental implants.
11) Fixation:
'Fixation' in the dental context relates to the stabilization of implants within bone structures. Adequate fixation is crucial for implant success as it ensures proper load distribution and withstands forces during mechanical procedures. The effectiveness of cleaning methods depends on understanding how fixation impacts implant behavior during treatments.
12) Species:
'Species' refers to the various types of microorganisms present in the oral cavity. Understanding the microbial diversity is vital for comprehending dental diseases and reactions to treatments, influencing the approach to oral hygiene, infection control, and strategies to mitigate impacts from bacterial colonization around implants.
13) Hygiene (Hygienic):
'Hygiene' is central to preventing oral diseases and maintaining dental implants' integrity. Effective hygiene practices reduce bacterial accumulation and inflammation, promoting long-term implant success. Discussion on hygiene practices reflects their significance in dental health, guiding clinicians in developing protocols to ensure optimal care and patient education in maintaining oral cleanliness.
14) Wall:
'Wall' often refers to the anatomical structures that surround dental implants, including bone cortex. Understanding the interaction between these walls and implants is essential for treatment outcomes. The integrity of walls is vital for supporting implants and minimizing complications, driving discussions on surgical planning and material selection in dentistry.
15) Line:
'Line' may pertain to the connections or boundaries in the context of dental anatomy or the procedures described. Lines often represent critical thresholds, such as the boundary between healthy and diseased tissue. Understanding these lines aids clinicians in discerning treatment approaches and ensuring successful outcomes in dental interventions.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘Simulated damage of two debridement methods: Teflon vs. steel scalers.’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Mechanical properties, Peri-implantitis, Dental implant, Surface Roughness, Dental biofilm, Mechanical Debridement, Finite element analysis, Implant supported prosthesis, 3D modeling, Bone defect, Prophylactic method.