RESEARCH ARTICLE


Rotary Instrument in Non-Surgical Treatment of Chronic Periodontal Disease: Clinic Randomized Study



Carmine Verrusio1, Mirko Medaglia1, Roberto Lo Giudice2, *, Francesco Puleio3, David Rizzo3, Michele Nicolò1
1 Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II, Naples, Italy
2 Department of Clinical and Experimental Medicine, Messina University, Policlinico G. Martino, Via Consolare Valeria n.3, Messina, Italy
3 Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Policlinico G. Martino, Messina, Italy


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Creative Commons License
© 2018 Carmine et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Clinical and Experimental Medicine, Messina University, Policlinico G. Martino, Via Consolare Valeria n.3, Messina, Italy; Tel: 0039 3934399197; E-mail: rlogiudice@unime.it


Abstract

Objective:

The aim of this study is to compare the efficacy of rotary instruments vs hand scalers in non-surgical periodontal therapy, studying the variation of periodontal health indexes.

Materials and Methods:

Forty patients (age between 30 and 70 years) with advanced chronic periodontitis, that were recruited for the study, were divided into two groups; control group and test group. Control patients were treated with hand scalers while test group patients were treated with rotary instruments. Periodontal indexes were evaluated at baseline and after 3 months.

Results:

Nonsignificant differences were found at 12 weeks follow up for all the parameters between test and control groups.

Conclusions:

Within their limits, the results indicate that different instruments can be effective in removing calculus and endotoxins. This requisite is mandatory for a proper periodontal healing.

The reasons for clinicians to use diamond-coated instruments are related to a faster procedure, and the clinical evidence of a smooth root surface. The clinicians’ ability remains one of the most important variables that could affect periodontal therapy.

Keywords: Periodontal disease, Rotary instruments, Periodontal instrument, Periodontal therapy, Root debridement, Non-surgical.