Teeth Scaling And Root Planing
Write indications, contraindications and objectives of scaling and root planning.
Answer. Scaling and root planning remove bacterial plaque and calculus which are responsible for causing gingival inflammation.
Indications
- For removing heavy tenacious calculus and stains.
- In overhanging margins of amalgam restorations.
- In orthodontic cement removal
Contraindications
- In patients with a pacemaker, electromagnetic sound waves from ultrasonic unit can interfere with electronic function of pacemaker.
- In children, vibrations can cause damage to growing tissues.
- In patients with contagious diseases such as hepatitis, tuberculosis, as these microorganisms spread through water spray.
- In local osteomyelitis.
- In uncontrolled diabetes.
- In chronic nutritional deficiencies.
- In local metastatic neoplasms.
- In patients on prolonged antibiotics and steroid therapy.
Objectives
Primary objectives of scaling and root planning are:
- Restoration of gingival health achieved by complete removal of dental plaque and calculus and converting inflamed bleeding or suppurating pathological pockets to healthy gingival tissue.
- To suppress or eliminate the pathogenic periodontal microflora and replacing with healthy microflora.
- To facilitate shrinkage of the deepened pathologic pocket to a shallow and healthy gingival sulcus.
- To provide a root surface compatible with re-establishment of a healthy connective tissue and epithelial attachment.
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