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  • 1
    Electronic Resource
    Electronic Resource
    Learning root debridement with curettes and power-driven instruments (2003)
    Oxford, UK : Munksgaard International Publishers
    Journal of clinical periodontology 30 (2003), S. 0 
    Details
    ISSN: 1600-051X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background, aims: In a manikin study we recently assessed how effectively student operators were able to learn scaling with curettes (GRA) and power-driven instruments (PP). Calculating the debrided root area effectiveness was low in both groups without systematic training or without a motivational program. After 10 weeks (20 h) of training, operators reached a high effectiveness of 84.7% (GRA) and 81.6% (PP). The purpose of the present study was to evaluate the clinical outcome of nonsurgical treatment as performed by these student operators.Methods: In a clinical trial, 19 students trained in the use of Gracey curettes for 10 weeks (=20 h) (GRA10) and Periopolisher® system for 1 week (=2 h) (PP1), and 20 students trained in the use of Gracey curettes for 1 week (GRA1) and the Periopolisher for 10 weeks (PP10) treated one patient each in a split-mouth design. At baseline and 6 months, we recorded probing depth (PD), probing attachment level (PAL) and bleeding on probing (BOP) by computer-assisted probing. Statistical analysis was carried out for moderate (category B) and deep sites (category C). Groups were compared using Student's t-tests (p〈0.05).Results: Category B sites showed a PD reduction of 1.2/1.0 mm (GRA10/GRA1) and 1.1 mm (PP10/PP1). PAL gain was 0.5/0.3 mm (GRA10/GRA1) and 0.4/0.2 mm (PP10/PP1). In category C sites, PD reduction was 2.1/2.3 mm (GRA10/GRA1) and 2.0 mm (PP10/PP1) with a PAL gain of 0.6/0.9 mm (GRA10/GRA1) and 0.4 mm (PP10/PP1). BOP was significantly lower in all groups.Conclusion: The results show that student operators who had received a systematical training on manikins and had attained different effectiveness results were able to treat periodontally diseased patients successfully using both Gracey and Periopolisher instruments.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1034/j.1600-051X.2003.00305.x
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  • 2
    Electronic Resource
    Electronic Resource
    Subgingival polishing with a teflon-coated sonic scaler insert in comparison to conventional instruments as assessed on extracted teeth (2000)
    Copenhagen : Munksgaard International Publishers
    Journal of clinical periodontology 27 (2000), S. 0 
    Details
    ISSN: 1600-051X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background: Recent studies have shown that endotoxins are located on the periodontally diseased root cementum and not within it. These studies led to the suggestion that the root surface could be treated less aggressively during periodontal therapy. Thus, we designed a teflon-tubed sonic scaler insert for subgingival polishing. It was our objective to assess to which extent this new instrument is capable of removing bacterial deposits in deep pockets in comparison with conventional scaling instruments.Method: We compared the extent to which plaque and calculus could be removed with a curette, a conventional sonic and ultrasonic scaler insert, a Per-io-tor insert, and a teflon-tubed sonic scaler insert. 84 teeth requiring extraction had been treated with one of these instruments. After extraction, the teeth were stained with Malachite green, and the following areas were assessed: area lacking plaque and calculus, calculus, and area only covered with plaque. For statistical comparison, nonparametric analyses were carried out.Results: Curettes and conventional ultrasonic and sonic-scaler inserts had more area lacking plaque and calculus (97.5%, 92.2%, 92.1%) than did the Per-io-tor (80.1%) or the teflon-coated sonic scaler insert (84.4%). A similar effectivity sequence was observed for residual soft deposits (curette: 1.9%, ultrasonic scaler: 6.1%, sonic scaler: 5.4%, teflon-coated sonic scaler: 5.1% and Per-io-tor: 9.5%).Conclusions: The Per-io-tor and the teflon-coated sonic scaler insert seem to be suitable for the removal of soft deposits on the root surface, but not for the removal of calculus.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1034/j.1600-051x.2000.027004243.x
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  • 3
    Electronic Resource
    Electronic Resource
    Learning root debridement with curettes and power-driven instruments (2002)
    Oxford, UK : Munksgaard International Publishers
    Journal of clinical periodontology 29 (2002), S. 0 
    Details
    ISSN: 1600-051X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background/aims: In a dummy-head trial, we assessed how effectively untrained operators were able to learn scaling with curettes and power-driven instruments.Methods: Two untrained operator groups (n = 11 each) received six 2-h lessons during a 10-week period following a training program. Subgingival scaling was performed with curettes (GRA) and a power-driven system (PP). At 6 test days each subject had to instrument 10 test teeth. The percentage of debrided area was assessed with an image analysis program. Learning success was measured as a percentage of debrided root area and scaling time. Furthermore, the effectivity was related to difficulty in anatomical situations and access to root surfaces. Statistical analysis was carried out with SPSS.Results: At baseline, effectivity was 63.1% (GRA) vs. 52.3% (PP). Between weeks 9 and 11, operators reached a plateau for group GRA at 84.7% and group PP at 81.3%. Scaling time did not differ between the two groups. Debridement of teeth with complex root shapes that were hard to access was less effective with the power-driven system.Conclusion: Independent of the instrument used, untrained operators were only able to debride root surfaces at low levels of efficacy. With systematical training, effective scaling with the power- driven system was as easy to learn as with hand instruments. On root surfaces with complicated shape and anatomy or difficult accessibility, the power-driven system works significantly less effectively.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1034/j.1600-051X.2002.290706.x
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  • 4
    Electronic Resource
    Electronic Resource
    Progressive peri-implantitis. Incidence and prediction of peri-implant attachment loss. (1996)
    Copenhagen : Munksgaard International Publishers
    Clinical oral implants research 7 (1996), S. 0 
    Details
    ISSN: 1600-0501
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The aim of this prospective study was to characterize an implant patient population exhibiting clinical signs of peri-implantitis and to determine subsequently the incidence of progressive attachment loss. The predictive values of diagnostic parameters were evaluated. 25 patients with 54 endosseous implants that had been loaded for 41±15 months were included in the study. Clinical parameters included the assessment of plaque, bleeding on probing, probing depth, attachment levels, and Periotest® values. Probing measurements were performed in duplicate by means of a controlled force electronic probe (Periprobem). Peri-implant crevicular fluid samples were collected and assayed for neutral proteolytic enzyme (NPE) activity (Periocheck®). Analysis of duplicate baseline probing data revealed a high degree of reproducibility (mean difference: 0.1±0.3mm). A minimum threshold of 1.0mm (〉3×S.D.) loss of probing attachment was chosen to classify a site as positive for breakdown. Alternatively, the tolerance method was employed to identify sites with progressive attachment loss. After 6 months, irrespective of the analytical method, 6 percent of all sites (in 19% of the implants) and 28% of the patients had experienced further per attachment loss. There were significant differences (p〈0.05) in mean plaque (73% vs. 45%) and NPE (36% vs. 12%) scores between patients with progressive peri-implantitis and those with stable peri-implant conditions. Both bleeding on probing and the NPE-test were characterized by high negative predictive values, and thus negative scores can serve as indicators for stable peri-implant conditions. For monitoring peri-implant health during recall visits, attachment level recordings with a controlled force electronic probe in conjunction with enzymatic diagnostic tests of the host response can be recommended.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1034/j.1600-0501.1996.070207.x
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  • 5
    Electronic Resource
    Electronic Resource
    Treatment of subgingival implant surfaces with Teflon®-coated sonic and ultrasonic scaler tips and various implant curettes. An in vitro study. (1994)
    Copenhagen : Munksgaard International Publishers
    Clinical oral implants research 5 (1994), S. 0 
    Details
    ISSN: 1600-0501
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Removal of plaque and calculus by means of sonic and ultrasonic scalers causes considerable damage to implants. With a view to avoiding the aggressive effects of these instruments, an experimental study was carried out for which conventional sonic and ultrasonic scalers were coated with Teflon®. The effects of these instruments on implant surfaces was then compared with that of plastic and metal implant curettes. Stereo-microscopy, scanning electron microscopy and surface profilometry were used to detect and record damage to implant surfaces and changes in surface roughness. Generation and propagation of heat in subgingival simulation of use of sonic and ultrasonic scalers were also recorded by means of temperature measurements at the implant surface. The results revealed that no discernible damage was caused by Teflon-coated sonic and ultrasonic scalers or implant curettes made of plastic on smooth titanium surfaces. Instrument material residues were found on rough implant surfaces. It was not the intention of this study to provide an analysis of the prerequisites for the cleaning of rough implant surfaces. but rather to determine what type of damage is to be expected when contact is made with smooth and rough surfaces unintentionally. Temperature measurements during the subgingival use of sonic and ultrasonic scalers indicated satisfactory functioning of the cooling system. Coating of sonic and ultrasonic scaler tips with Teflon thus facilitates the use of high-frequency instruments to achieve professional cleaning of implants.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1034/j.1600-0501.1994.050103.x
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  • 6
    Electronic Resource
    Electronic Resource
    Surface wear on cervical restorations and adjacent enamel and root cementum caused by simulated long-term maintenance therapy (2004)
    Oxford, UK : Munksgaard International Publishers
    Journal of clinical periodontology 31 (2004), S. 0 
    Details
    ISSN: 1600-051X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background: In an in vitro study, the surface wear on cervical restorations and adjacent enamel and root cementum caused by different tooth-cleaning methods in simulated long-term therapy was investigated.Methods: Cervical restorations of amalgam (Oralloy®), modified composite resin (Dyract®), glass-ionomer cement (ChemFill Superior®), and composite (Tetric®) were instrumented by POL (polishing), CUR+POL (curette and polishing), US+POL (ultrasonic device with polishing) and the polishing agents Cleanic® and Proxyt® in a computer-controlled test bench. Treatment time corresponding to a real-time period of 5 or 10 years. Substance loss from instrumented surfaces was measured with a digital gauge. A three-way anova was used in the statistical evaluation.Results: The results showed that POL led to slight substance loss, which was greater using Cleanic® (27 μm) than Proxyt® (5 μm). CUR+POL produced a significantly greater substance loss than did US+POL, with 186 μm versus 35 μm on glass-ionomer cement, respectively, and 123 μm versus 18 μm, respectively, on root cementum, followed by composite (111 μm versus 27 μm, respectively), polyacid modified composite resin/compomer (89 μm versus 36 μm), amalgam (75 μm versus 19 μm), and enamel (32 μm versus 23 μm).Conclusions: As opposed to the use of US+POL or POL, substance loss on cervical restorations and especially root cementum must be expected to result from tooth-cleaning during long-term maintenance treatment using CUR+POL.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1600-051x.2004.00482.x
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  • 7
    Electronic Resource
    Electronic Resource
    extended study of atmospheric heavy metal deposition in lithuania based on moss analysis (1997)
    Springer
    Environmental monitoring and assessment 47 (1997), S. 135-152 
    Details
    ISSN: 1573-2959
    Keywords: bioindicator ; heavy metals ; moss
    Source: Springer Online Journal Archives 1860-2000
    Topics: Energy, Environment Protection, Nuclear Power Engineering
    Notes: Abstract The use of different moss species – Hylocomium splendens,Pleurozium schreberi, Eurhynchium angustirete, Sphagnum and Rhytidiadelphus – was tested for the investigation of atmosphericheavy metal deposition. Maps representing heavy metal depositionpattern in Lithuania are presented for Cd, Cr, Cu, Fe, Ni, Pb and V.The most suitable species for heavy metal deposition studies was Hylocomium splendens in which the concentrations of metalswere found to be up to 25% higher than in other species. Interspeciesand interelemental comparison was also performed. Several well definedlocal pollution sources were identified.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1023/A:1005779101732
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    Paper (German National Licenses)
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