Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.04019
Revista de Odontologia da UNESP
Original Article

The effect of a 3% hydroxyapatite paste prophylaxis after different root-scaling procedures in periodontics

Efeito da profilaxia com pasta de hidroxiapatita 3% após diferentes procedimentos de raspagem radicular na periodontia

Luis Gustavo Gonzalez OSUNA; Guilherme José Pimentel Lopes de OLIVEIRA; Lucas Henrique de Souza TEIXEIRA; Claudia Oliveira MARQUEZ; Milena Suemi IRIE; Priscilla Barbosa Ferreira SOARES

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Abstract

Abstract: Introduction: Root-scaling procedures on the root surface show to increase root surface roughness during instrumentation. The use of a prophylactic paste reduces the roughness.

Objetive: This study evaluated the influence of prophylaxis paste on the surface roughness of root dentin after hand instruments (HI), ultrasonic scalers (US) and rotational instruments (RI) were applied to root surfaces.

Material and method: Fifty bovine roots were prepared and randomly divided into 10 groups (n=5) in which instrumentation with HI, US, or RI was carried out with or without prophylaxis using either conventional or 3% hydroxyapatite paste; additionally, a control group without treatment was included. The Ra and Rz roughness values were measured using a perfilometer. The morphological aspects of the root surfaces were analysed qualitatively by scanning electron microscopy (SEM). Data were analysed using two-way ANOVA followed by Tukey’s test (α = 0.05).

Result: The scaling method and the prophylaxis procedure significantly influenced (p < 0.05) root surface roughness. Treatment with US and prophylaxis with 3% hydroxyapatite paste resulted in lower values ​​of Ra (0.14 μm ± 0.02 μm) and Rz (0.89 μm ± 0.18 μm) compared to the other groups. SEM analysis showed smoother and more homogeneous surfaces in the groups with prophylaxis compared to the groups without prophylaxis. There were no substantial differences between the results of applying different pastes.

Conclusion: The prophylaxis procedure performed with the experimental paste containing 3% hydroxyapatite reduced the roughness of root surfaces treated with HI, US and RI at the same level as the conventional prophylactic paste.

Keywords

Root scaling, biofilm, dental prophylaxis

Resumo

Resumo: Introdução: Procedimentos de raspagem na superfície radicular aumentam a rugosidade superficial durante a instrumentação. O uso de pasta profilática pode reduzir a rugosidade.

Objetivo: Este estudo avaliou a influência da profilaxia com pasta na rugosidade superficial da dentina radicular após instrumentação manual (IH), ultrassom (US) e instrumentos rotatórios (IR) aplicados em superfícies radiculares.

Material e método: Cinquenta raízes bovinas foram preparadas e divididas aleatoriamente em 10 grupos (n = 5) nos quais a instrumentação com HI, US ou RI foi realizada com ou sem profilaxia usando pasta convencional ou hidroxiapatita a 3%; adicionalmente, um grupo controle sem tratamento foi incluído. As rugosidades de Ra e Rz foram medidas por um perfilômetro. Os aspectos morfológicos das superfícies radiculares foram analisados ​​qualitativamente por microscopia eletrônica de varredura (MEV). Os dados foram analisados ​​por meio de ANOVA de dois fatores, seguido pelo teste de Tukey (α = 0,05).

Resultado: O método de raspagem e o procedimento de profilaxia influenciaram significativamente (p <0,05) a rugosidade da superfície radicular. O tratamento com US e a profilaxia com pasta de hidroxiapatita ao 3% resultaram em menores valores de Ra (0,14 μm ± 0,02 μm) e Rz (0,89 μm ± 0,18 μm) em relação aos demais grupos. A análise por MEV mostrou superfícies mais lisas e mais homogêneas nos grupos com profilaxia em comparação aos grupos sem profilaxia. Não houve diferenças substanciais entre os resultados da aplicação das diferentes pastas.

Conclusão: O procedimento de profilaxia realizado com a pasta experimental contendo 3% de hidroxiapatita reduziu a rugosidade das superfícies radiculares tratadas com HI, US e RI no mesmo nível da pasta profilática convencional.
 

Palavras-chave

Raspagem radicular, biofilme, profilaxia dental

References

Bosshardt DD. The periodontal pocket: pathogenesis, histopathology and consequences. Periodontol 2000. 2018 Feb;76(1):43-50. http://dx.doi.org/10.1111/prd.12153. PMid:29194796.

Graziani F, Karapetsa D, Alonso B, Herrera D. Nonsurgical and surgical treatment of periodontitis: how many options for one disease? Periodontology 2000. Periodontol 2000. 2017 Oct;75(1):152-88. http://dx.doi.org/10.1111/prd.12201. PMid:28758300.

Lindhe J, Westfelt E, Nyman S, Socransky SS, Haffajee AD. Long-term effect of surgical/non-surgical treatment of periodontal disease. J Clin Periodontol. 1984 Aug;11(7):448-58. http://dx.doi.org/10.1111/j.1600-051X.1984.tb01344.x. PMid:6378986.

Braun A, Krause F, Frentzen M, Jepsen S. Efficiency of subgingival calculus removal with the VectorTM-system compared to ultrasonic scaling and hand instrumentation in vitro. J Periodontal Res. 2005 Feb;40(1):48-52. http://dx.doi.org/10.1111/j.1600-0765.2004.00768.x. PMid:15613079.

Cobb CM. Lasers and the treatment of periodontitis: the essence and the noise. Periodontol 2000. 2017 Oct;75(1):205-95. http://dx.doi.org/10.1111/prd.12137. PMid:28758295.

Kozlovsky A, Rapaport A, Artzi Z. Influence of operator skill level on the clinical outcome of non-surgical periodontal treatment: a retrospective study. Clin Oral Investig. 2018 Nov;22(8):2927-32. http://dx.doi.org/10.1007/s00784-018-2380-7. PMid:29450739.

de Oliveira GJ, Pavone C, Sampaio JE, Marcantonio RA. Influence of the angle of irradiation of the Er,Cr:YSGG laser on the morphology, attachment of blood components, roughness, and root wear: In vitro study. Lasers Surg Med. 2010 Nov;42(9):683-91. http://dx.doi.org/10.1002/lsm.20973. PMid:20976808.

Maritato M, Orazi L, Laurito D, Formisano G, Serra E, Lollobrigida M, et al. Root surface alterations following manual and mechanical scaling: a comparative study. Int J Dent Hyg. 2018 Nov;16(4):553-8. http://dx.doi.org/10.1111/idh.12349. PMid:29797806.

Türktekin F, Buduneli N, Lappin DF, Türk T, Buduneli E. Diamond burs versus curettes in root planing: a randomized clinical trial. Aust Dent J. 2018 Jun;63(2):242-52. http://dx.doi.org/10.1111/adj.12602. PMid:29432640.

Obeid PR, D’Hoore W, Bercy P. Comparative clinical responses related to the use of various periodontal instrumentation. J Clin Periodontol. 2004 Mar;31(3):193-9. http://dx.doi.org/10.1111/j.0303-6979.2004.00467.x. PMid:15016023.

Sugaya T, Kawanami M, Kato H. Effects of debridement with an ultrasonic furcation tip in degree II furcation involvement of mandibular molars. J Int Acad Periodontol. 2002 Oct;4(4):138-42. PMid:12670094.

Solís Moreno C, Santos A, Nart J, Levi P, Velásquez A, Sanz Moliner J. Evaluation of root surface microtopography following the use of four instrumentation systems by confocal microscopy and scanning electron microscopy: an in vitro study. J Periodontal Res. 2012 Oct;47(5):608-15. http://dx.doi.org/10.1111/j.1600-0765.2012.01473.x. PMid:22494068.

Arora S, Lamba AK, Faraz F, Tandon S, Ahad A. Evaluation of the effects of Er,Cr: YSGG laser, ultrasonic scaler and curette on root surface profile using surface analyser and scanning electron microscope: an in vitro study. J Lasers Med Sci. 2016;7(4):243-9. http://dx.doi.org/10.15171/jlms.2016.43. PMid:28491260.

Rüdiger SG, Dahlén G, Carlén A. Protein and bacteria binding to exposed root surfaces and the adjacent enamel surfaces in vivo. Swed Dent J. 2015;39(1):11-22. PMid:26529838.

Talebi-Ardakani MR, Torshabi M, Karami E, Vajar N, Rezaei Esfahrood Z, Meimandi M, et al. Comparison of Er: YAG laser and hand instrumentation on the attachment of cultured human gingival fibroblasts to periodontally involved root surfaces. J Lasers Med Sci. 2017;8(Suppl 1):S51-5. http://dx.doi.org/10.15171/jlms.2017.s10. PMid:29071036.

Kocher T, Langenbeck N, Rosin M, Bernhardt O. Methodology of three-dimensional determination of root surface roughness. J Periodontal Res. 2002 Apr;37(2):125-31. http://dx.doi.org/10.1034/j.1600-0765.2002.00341.x. PMid:12009182.

Yurdaguven H, Aykor A, Ozel E, Sabuncu H, Soyman M. Influence of a prophylaxis paste on surface roughness of different composites, porcelain, enamel and dentin surfaces. Eur J Dent. 2012 Jan;6(1):1-8. PMid:22229001.

Souza BM, Comar LP, Vertuan M, Fernandes C No, Buzalaf MA, Magalhães AC. Effect of an experimental paste with hydroxyapatite nanoparticles and fluoride on dental demineralisation and remineralisation in situ. Caries Res. 2015;49(5):499-507. http://dx.doi.org/10.1159/000438466. PMid:26278685.

Lin X, Xie F, Ma X, Hao Y, Qin H, Long J. Fabrication and characterization of dendrimer-functionalized nano-hydroxyapatite and its application in dentin tubule occlusion. J Biomater Sci Polym Ed. 2017 Jun;28(9):846-63. http://dx.doi.org/10.1080/09205063.2017.1308654. PMid:28325103.

Meyer K, Lie T. Root surface roughness in response to periodontal instrumentation studied by combined use of microroughness measurements and scanning electron microscopy. J Clin Periodontol. 1977 May;4(2):77-91. http://dx.doi.org/10.1111/j.1600-051X.1977.tb01887.x. PMid:266507.

Meissner G, Oehme B, Strackeljan J, Kocher T. Influence of handling-relevant factors on the behaviour of a novel calculus-detection device. J Clin Periodontol. 2005 Mar;32(3):323-8. http://dx.doi.org/10.1111/j.1600-051X.2005.00679.x. PMid:15766378.

de Oliveira GJ, Cominotte MA, Beraldo TP, Sampaio JE, Marcantonio RA. A microscopic analysis of the effects of root surface scaling with different power parameters of er,cr:YSGG laser. Microsc Res Tech. 2015 Jun;78(6):529-35. http://dx.doi.org/10.1002/jemt.22505. PMid:25951453.

Preis V, Hahnel S, Behr M, Rosentritt M. Contact wear of artificial denture teeth. J Prosthodont Res. 2018 Apr;62(2):252-7. http://dx.doi.org/10.1016/j.jpor.2017.11.001. PMid:29217274.

Dahiya P, Kamal R. Ultra-morphology of root surface subsequent to periodontal instrumentation: A scanning electron microscope study. J Indian Soc Periodontol. 2012 Jan;16(1):96-100. http://dx.doi.org/10.4103/0972-124X.94613. PMid:22628971.

Bozbay E, Dominici F, Gokbuget AY, Cintan S, Guida L, Aydin MS, et al. Preservation of root cementum: a comparative evaluation of power-driven versus hand instruments. Int J Dent Hyg. 2018 May;16(2):202-9. http://dx.doi.org/10.1111/idh.12249. PMid:27860247.
 

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