Ultrasonic instruments and antimicrobial agents in supportive periodontal treatment and retreatment of recurrent or refractory periodontitis

Periodontology 2000

Volumn 12, Issue 1, 1996, Pages 90-115

  Drisko, Connie Hastings ^a   Lewis, Linda Hart ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ANTIINFECTIVE AGENT;

DENTAL EQUIPMENT; EQUIPMENT DESIGN; HUMAN; INSTRUMENTATION; METHODOLOGY; PERIODONTAL DISEASE; PERIODONTITIS; PREVENTIVE DENTISTRY; RECURRENT DISEASE; RETREATMENT; REVIEW; TOOTH CALCULUS; ULTRASOUND THERAPY;

ANTI-INFECTIVE AGENTS; DENTAL CALCULUS; DENTAL INSTRUMENTS; DENTAL SCALING; EQUIPMENT DESIGN; HUMANS; PERIODONTAL DISEASES; PERIODONTITIS; RECURRENCE; RETREATMENT; ROOT PLANING; ULTRASONIC THERAPY;

EID: 0030251946     PISSN: 09066713     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1600-0757.1996.tb00085.x     Document Type: Article

References (204)

1. Abrams H, Barkmeier WW, Cooley RL. Temperature changes in the pulp produced by ultrasonic instrumentation. Gen Dent 1979: 27: 62-64.
2. ADA council status report. Status report on professional scaling and stain-removal devices. Council on Dental Materials, Instruments, and Equipment. J Am Dent Assoc 1985: 111: 801-802.
3. Adams D, Fulford N, Beechy J, MacCarthy J, Stephens M. The cardiac pacemaker and ultrasonic scalers. Dent Health London 1983: 22: 6-8.
4. Addy M, Hassan H, Wade W, Newcombe R Use of antimicrobial containing acrylic strips in the treatment of chronic periodontal disease. A three month follow-up study. J Periodontol 1988: 59: 577-564.
5. Adriaens PA, DeBoever JA, Loesche WJ. Bacterial invasion in root cementum and radicular dentin of periodontally diseased teeth in humans - a reservoir of periodontopathic bacteria. J Periodontol 1988: 59: 222-230.
6. Aleo JJ, DeRenzis FA, Farber PA. In vitro attachment of human gingival fibroblasts to root surfaces. J Periodontol 1975: 46: 639-645.
7. Allison C, Simor AE, Mock D, Tenenbaum HC. Prosolchlorhexidine irrigation reduces the incidence of bacteremia during ultrasonic scaling with the Cavi-Med: a pilot investigation. J Can Dent Assoc 1993: 59: 673-682.
8. Arcoria CJ, Gonzalez JP, Vitasek BA, Wagner MJ. Effects of ultrasonic instrumentation on microleakage in composite restorations with glass ionomer liners. J Oral Rehabil 1992: 19: 21-29.
9. Badersten A, Nilvéus R, Egelberg J. Effect of nonsurgical periodontal therapy. I. Moderately advanced periodontitis. J Clin Periodontol 1981: 8: 57-72.
10. Badersten A, Nilvéus R, Egelberg J. Effect of nonsurgical periodontal therapy. II. Severely advanced periodontitis. J Clin Periodontol 1984: 11: 63-76.
11. Badersten A, Nilvéus R, Egelberg J. Effect of nonsurgical periodontal therapy. III. Single versus repeated instrumentation. J Clin Periodontol 1984: 11: 114-124.
12. Badersten A, Nilvéus R, Egelberg J. Effect of nonsurgical periodontal therapy. IV. Operator variability. J Clin Periodontol 1985: 12: 190-200.
13. Badersten A, Nilvéus R, Egelberg J. Effect of nonsurgical periodontal therapy. VII. Bleeding, suppuration and probing depth in sites with probing attachment loss. J Clin Periodontol 1985: 12: 432-440.
14. Badersten A, Nilvéus R, Egelberg J. Effect of nonsurgical periodontal therapy. V. Patterns of probing attachment loss in non-responding sites. J Clin Periodontol 1985: 12: 270-282.
15. Baehni P, Thilo B, Chapuis B, Pernet D. Effects of ultrasonic and sonic scalers on dental plaque microflora in vitro and in vivo. J Clin Periodontol 1992: 19: 455-459.
16. Becker BE, Becker W, Caffesse RG, Kerry GJ, Ochsenbein C, Morrison EC. Three modalities of periodontal therapy: 5-year final results. II. J Dent Res 1990: 69: 219 (abstr 882).
17. Benfenati MP, Montesani MT, Benfenati SP, Nathanson D. Scanning electron microscope: an SEM study of periodontally instrumented root surfaces, comparing sharp, dull, and damaged curettes and ultrasonic instruments. Int J Periodontics Restorative Dent 1987: 7: 50-67.
18. Biagini G, Checchi L, Miccoli MC, Vasi V, Castaldini C. Root curettage and gingival repair in periodontitis. J Periodontol 1988: 59: 124-129.
19. Bjornson EJ, Collins DE, Engler WO. Surface alteration of composite resins after curette, ultrasonic, and sonic instrumentation: an in vitro study. Quintessence Int 1990: 21: 381-389.
20. Blanchard JS. The periodontal curet and the ultrasonic scaler. Their effectiveness in removing overhangs from amalgam restorations. Dent Hyg Chic 1984: 58: 450-454.
21. Blomlöf L, Lindskog S, Appelgren R, Jonsson B, Weintraub A, Hammarström L. New attachment in monkeys with experimental periodontitis with and without removal of the cementum. J Clin Periodontol 1987: 14: 136-143.
22. Boretti G, Zappa U, Graf H, Case D. Short-term effects of phase I therapy on crevicular cell populations. J Periodontol 1995: 66: 235-240.
23. Borghetti A, Mattout P, Mattout C. How much root planing is necessary to remove the cementum from the root surface? Int J Periodontics Restorative Dent 1987: 4: 22-29.
24. Bray K, Drisko C, Cobb C. Adjunctive effect of irrigation with 0.5% and 2.0% chlorhexidine gel. J Dent Res 1993: 72: (abstr 2056): 360.
25. Breininger DR, O'Leary TJ, Blumenshine RV. Comparative effectiveness of ultrasonic and hand scaling for the removal of subgingival plaque and calculus. J Periodontol 1987: 58: 9-18.
26. Buchanan SA, Robertson RB. Calculus removal by scaling and root planing with and without surgical access. J Periodontol 1987: 58: 159-163.
27. Chapple IL, Walmsley AD, Saxby MS, Moscrop H. Effect of subgingival irrigation with chlorhexidine during ultrasonic scaling. J Periodontol 1992: 63: 812-816.
28. Checchi L, Pelliccioni GA. Hand versus ultrasonic instrumentation in the removal of endotoxins from root surfaces in vitro. J Periodontol 1988: 59: 398-402.
29. Cheetham WA, Wilson M, Kieser JB. Root surface debridement-an in vitro assessment. J Clin Periodontol 1988: 15: 288-292.
30. Chiew SY, Wilson M, Davies EH, Kieser JB. Assessment of ultrasonic debridement of calculus-associated periodontally-involved root surfaces by the Limulus amoebocyte lysate assay. An in vitro study. J Clin Periodontol 1991: 18: 240-244.
31. Chistersson LA, Norderyd OM, Puchalsky CS. Topical application of tetracycline HCL in human periodontitis. J Clin Periodontol 1993: 20: 88-95.
32. Christensen RP, Robison RA, Ploeger RJ, Leavitt RW. Efficiency of 42 brands of face masks and 2 face shields in preventing inhalation of airborne debris. Gen Dent 1991: 39: 414-421.
33. Christersson LA, Zambon JJ. Suppression of subgingival Actinobacillus actinomycetemcomitans in localized juvenile periodontitis by systemic tetracycline. J Clin Periodontol 1993: 20: 395-401.
34. Ciancio SG, Mather ML, Zambon JJ, Reynolds HS. Effect of a chemotherapeutic agent delivered by an oral irrigation device on plaque, gingivitis, and subgingival microflora. J Periodontol 1989: 60: 310-315.
35. Claffey N, Egelberg J. Clinical characteristics of periodontal sites with probing attachment loss following initial periodontal treatment. J Clin Periodontol 1994: 21: 670-679.
36. Coldiron NB, Yukna RA, Weir J, Caudill RF. A quantitative study of cementum removal with hand curettes. J Periodontol 1990: 61: 293-299.
37. Collins JG, Offenbacher S, Arnold RR. Effects of a combination therapy to eliminate Porphyromonas gingivalis in refractory periodontitis. J Periodontol 1993: 64: 998-1007.
38. Copulos TA, Low SB, Walker CB, Trebilcock YY, Hefti AF. Comparative analysis between a modified ultrasonic tip and hand instruments on clinical parameters of periodontal disease. J Periodontol 1993: 64: 694-700.
39. Cottone JA, Molinari JA. State-of-the-art infection control in dentistry. J Am Dent Assoc 1991: 123: 33-41.
40. Craig DC, Quayle AA. The efficacy of face-masks. Br Dent J 1985: 158: 87-90.
41. Cutler BJ, Goldstein GR, Simonelli G. The effect of dental prophylaxis instruments on the surface roughness of metals used for metal ceramic crowns. J Prosthet Dent 1995: 73: 219-222.
42. Cutress TW, Powell RN, Kilisimasi S, Tomiki S, Holborow D. A 3-year community-based periodontal disease prevention programme for adults in a developing nation. Int Dent J 1991: 41: 323-334.
43. Dragoo MR. A clinical evaluation of hand and ultrasonic instruments on subgingival debridement. 1. With unmodified and modified ultrasonic inserts. Int J Periodontics Restorative Dent 1992: 12: 310-323.
44. Drisko C, Cobb C, Nelson C, Spencer P, Yancey J. Residual calculus following use of curettes versus Cavitron Slimline® inserts. J Dent Res 1994: 73: 160 (abstr 468).
45. Drisko CL. Scaling and root planing without overinstrumentation: hand versus power-driven scalers. Curr Opin Periodontol 1993: 78-88.
46. Drisko CL. Periodontal debridement: hand versus power-driven scalers. Dent Hyg News 1995: spring: 18-23.
47. risko CL, Killoy WJ. Scaling and root planing: removal of calculus and subgingival organisms. Curr Opin Dent 1991: 1: 74-80.
48. Drisko CL, Cobb CM, Killoy WJ, Michalowicz BS, Pihlstrom BL, Lowenguth RA, Caton JG, Encarnacion M, Knowles M, Goodson JM. Evaluation of periodontal treatments using controlled-release tetracycline fibers: clinical response. J Periodontol 1995: 66: 692-699.
49. Dunaway J, Drisko C, Greenwell H, Kwan J, Yancey J, Miles D. Micro ultrasonic and antimicrobial therapy for adult and refractory periodontitis. J Dent Res 1996: 75: 424 (abstr 3252).
50. Eschler BM, Rapley JW. Mechanical and chemical root preparation in vitro: efficiency of plaque and calculus removal. J Periodontol 1991: 62: 755-760.
51. Ewen SJ, Tascher PJ. Clinical uses of ultrasonic root scalers. J Periodontol 1958: 29: 45-49.
52. Fine DH, Furgang D, Korik I, Olshan A, Barnett ML, Vincent JW. Reduction of viable bacteria in dental aerosols by preprocedural rinsing with an antiseptic mouthrinse. Am J Dent 1993: 6: 219-221.
53. Fine DH, Mendieta C, Barnett ML, Furgang D, Meyers R, Olshan A, Vincent J. Efficacy of preprocedural rinsing with an antiseptic in reducing viable bacteria in dental aerosols. J Periodontol 1992: 63: 821-824.
54. Fine DH, Yip J, Furgang D, Barnett ML, Olshan AM, Vincent J. Reducing bacteria in dental aerosols: pre-procedural use of an antiseptic mouthrinse. J Am Dent Assoc 1993: 124: 56-58.
55. Fleischer HC, Mellonig JT, Brayer WK, Gray JL, Barnett JD. Scaling and root planing efficacy in multirooted teeth. J Periodontol 1989: 60: 402-409.
56. Flemmig TF, Newman MG, Doherty FM, Grossman E, Meckel AH, Bakdash MB. Supragingival irrigation with 0.06% chlorhexidine in naturally occurring gingivitis. I. 6 month clinical observations. J Periodontol 1990: 61: 112-117.
57. Fujikawa K, O'Leary TJ, Kafrawy AH. The effect of retained subgingival calculus on healing after flap surgery. J Periodontol 1988: 59: 170-175.
58. Fukazawa E, Nishimura K. Superficial cemental curettage: its efficacy in promoting improved cellular attachment on human root surfaces previously damaged by periodontitis. J Periodontol 1994: 65: 168-176.
59. Gantes BG, Nilvéus R, Lie T, Leknes KN. The effect of hygiene instruments on dentin surfaces: scanning electron microscopic observations. J Periodontol 1992: 63: 151-157.
60. Gargiulo AV, Burns GM, Huck CP. Dyclonine hydrochloride - a topical agent for managing pain. Ill Dent J 1992: 61: 303-304.
61. Garnick JJ, Dent J. A scanning electron micrographical study of root surfaces and subgingival bacteria after hand and ultrasonic instrumentation. J Periodontol 1989: 60: 441-147.
62. Garrett s, Poison AM, Stoller N, Brandt C, Killoy W, Hanes P, Bogle G. J Dent Res 1996: 75 (abstr 1130): 209.
63. Gellin RG, Miller MC, Javed T, Engler WO, Mishkin DJ. The effectiveness of the Titan-S sonic scaler versus curettes in the removal of subgingival calculus. A human surgical evaluation. J Periodontol 1986: 57: 672-680.
64. Gerwatowski LJ, McFall D, Stach DJ. Carpal tunnel syndrome: risk factors and preventative strategies for the dental hygienist. Dent Health London 1992: 31: 5-10.
65. Glenwright HD, Knibbs PJ, Burdon DW. Atmospheric contamination during use of an air polisher. Br Dent J 1985: 159: 294-297.
66. Golub LM, Ciancio S, Ramamamurthy NS, Leung M, McNamara TF. Low-dose doxycycline therapy: effect on gingival and crevicular fluid collagenase activity in humans. J Periodont Res 1990: 25: 321-330.
67. Goodson JM, Cugini MA, Kent RL, Armitage GC, Cobb CM, Fine D, Fritz ME, Green E, Imoberdorf MJ, Killoy WJ, Mendieta C, Niederman R, Offenbacher S, Taggart EJ, Tonetti M. Multicenter evaluation of tetracycline fiber therapy. II. Clinical response. J Periodont Res 1991: 26: 371-379.
68. Gorfil C, Nordenberg D, Liberman R, Ben Amar A. The effect of ultrasonic cleaning and air polishing on the marginal integrity of radicular amalgam and composite resin restorations. An in vitro study. J Clin Periodontol 1989: 16: 137-139.
69. Grant DA, Lie T, Clark SM, Adams DF. Pain and discomfort levels in patients during root surface debridement with sonic metal or plastic inserts. J Periodontol 1993: 64: 645-650.
70. Greenstein G. Subgingival irrigation - an adjunct to periodontal therapy. Current status and future directions. J Dent Hyg 1990: 64: 389-397.
71. Griffiths PV. The management of the pacemaker wearer during dental hygiene treatment. Dent Hyg 1978: 52: 573-576.
72. Gross KB, Overman PR, Cobb C, Brockmann S. Aerosol generation by two ultrasonic scalers and one sonic scaler. A comparative study. J Dent Hyg 1992: 66: 314-318.
73. Grossi SG, Skrepcinski FB, Decaro T, Robertson DC, Ho AW, Dunford RG, Genco RJ. Treatment of periodontal disease reduces glycosylated hemoglobin. J Periodontol (in press).
74. Hanes P, Polson A, Frederick T. Citric acid treatment of periodontitis-affected cementum. A scanning electron microscopic study. J Clin Periodontol 1991: 18: 567-575.
75. Harrel SK, Barnes JB, Rivera-Hidalgo F. Reduction of aerosols produced by ultrasonic scalers. J Periodontol 1996: 67: 28-32.
76. Heasman PA, Seymour RA. An association between long-term non-steroidal anti-inflammatory drug therapy and the severity of periodontal disease. J Clin Periodontol 1990: 17: 654-658.
77. Helovuo H, Paunio K. Effects of penicillin and erythromycin on the clinical parameters of the periodontium. J Periodontol 1989: 60: 467-472.
78. Hill RW, Ramfjord SP, Morrison EC, Appleberry EA, Caffesse RG, Kerry GJ, Nissle RR. Four types of periodontal treatment compared over 2 years. J Periodontol 1981: 52: 655-662.
79. Holbrook TE, Low SB. Power-driven scaling and polishing instruments. In: Hardin J, ed. Clark's clinical dentistry. Volume 3, Chapter 5A. Philadelphia: JB ippincott, 1991: 1-24.
80. Holbrook WP. Muir KF, Macphee IT, Ross PW Bacteriological investigation of the aerosol from ultrasonic scalers. Br Dent J 1978: 144: 245-247.
81. Hughes FJ, Smales FC. Immunohistochemical investigation of the presence and distribution of cementum-associated lipopolysaccharides in periodontal disease. J Periodont Res 1986: 21: 660-667.
82. Hunter RK, O'Leary TJ, Kafrawy AH. The effectiveness of hand versus ultrasonic instrumentation in open flap root planing. J Periodontol 1984: 55: 697-703.
83. Infection control guidelines for dental schools. Recommended clinical guidelines for infection control in dental education institutions. J Dent Educ 1991: 55: 621-627.
84. Ito K, Nishikata J, Murai S. Effects of Nd:YAG laser radiation on removal of a root surface smear layer after root planing: a scanning electron microscopic study. J Periodontol 1993: 64: 547-552.
85. Jacobson L. Scaling with ultrasound. Quintessence Int 1972: 1: 67-70.
86. Jacobson L, Blomlof J, Lindskog S. Root surface texture after different scaling modalities. Scand J Dent Res 1994: 102: 156-160.
87. Johnson GK, Reinhardt RA, DuBois LM. Comparison of closed and fiber-optic-augmented sonic scaling performed by general dentists. Gen Dent 1991: 39: 333-338.
88. Johnson GK, Reinhardt RA, Tussing GJ, Krejci RF. Fiber optic probe augmented sonic scaling versus conventional sonic scaling. J Periodontol 1989: 60: 131-136.
89. Johnson WN, Wilson JR. The application of the ultrasonic dental unit to scaling procedures. J Periodontol 1967: 28: 264-271.
90. Jolkovsky DL, Waki MY, Newman MG, Otomo Corgel J, Madison M, Flemmig TF, Nachnani S, Nowzari H. Clinical and microbiological effects of subgingival and gingival marginal irrigation with chlorhexidine gluconate. J Periodontol 1990: 61: 663-669.
91. Jones S, Lozdan J, Boyde A. Tooth surfaces treated in situ with periodontal instruments. Br Dent J 1972: 132: 57-64.
92. Jotikasthira NE, Lie T, Leknes KN. Comparative in vitro studies of sonic, ultrasonic and reciprocating scaling instruments. J Clin Periodontol 1992: 19: 560-569.
93. Kawanami M, Sugaya T, Kato S, Iinuma K, Tate T, Hannan MA, Kato H. Efficacy of an ultrasonic scaler with a periodontal probe-type tip in deep periodontal pockets. Adv Dent Res 1988: 2: 405-410.
94. Kepic TJ, O'Leary TJ, Kafrawy AH. Total calculus removal: an attainable objective? J Periodontol 1990: 61: 16-20.
95. Kerry G. Roughness of root surfaces after use of ultrasonic instruments and hand curettes. J Periodontol 1967: 38: 340-346.
96. Kerry G. Tetracycline-loaded fibers as adjunctive treatment in periodontal disease. J Am Dent Assoc 1994: 125: 1199-1203.
97. Kerry GJ, Becker W, Morrison EC, Ochsenbein C, Becker BE, Caffesse RG. Three modalities of periodontal therapy: 5-year final results. Part I. J Dent Res 1990: 69: 246.
98. Killoy WJ, Rapley JW, Drisko CL, Yonke ML, Ridenhour LS. Twelve month comparison of tetracycline fiber treatment vs. periodontal maintenance. J Dent Res 1995: 74: 480 (abstr 640).
99. Knight NN, Lie T, Clark SM, Adams DF. Hypersensitive dentin: testing of procedures for mechanical and chemical obliteration of dentinal tubuli. J Periodontol 1993: 64: 366-373.
100. Kwan JY, Zablotsky MH, Meffert RM. Implant maintenance using a modified ultrasonic instrument. J Dent Hyg 1990: 64: 422-430.
101. Ladner JR, Lin PP, Beck FM, Mitchell JR, Horton JE. Study indicates PDT scaler provides a cleaner, smoother root surface when compared with two other methods of instrumentation. J Dent Res 1992: 71 (abstr 947): 224.
102. Lang NP. Indications and rationale for non-surgical periodontal therapy. Int Dent J 1983: 33: 127-136.
103. Laraato DC, Ruskin PF, Martin A. Effect of an ultrasonic scaler on bacterial counts in air. J Periodontol 1967: 38: 550-554.
104. Laurell L. Periodontal healing after scaling and root planing with the Kavo Sonicflex and Titan-S sonic scalers. Swed Dent J 1990: 14: 171-177.
105. Laurell L, Pettersson B. Periodontal healing after treatment with either the Titan-S sonic scaler or hand instruments. Swed Dent J 1988: 12: 187-192.
106. Lavigne CK, Nauman RK, Munley MM, Suzuki JB. In vitro evaluation of air-powder polishing as an adjunct to ultrasonic scaling on periodontally involved root surfaces. J Dent Hyg 1988: 62: 504-509.
107. Lee SY, Lai YL, Morgano SM. Effects of ultrasonic scaling and periodontal curettage on surface roughness of porcelain. J Prosthet Dent 1995: 73: 227-232.
108. Legnani P, Checchi L, Pelliccioni GA, D'Achille C. Atmospheric contamination during dental procedures. Quintessence Int 1994: 25: 435-439.
109. Leknes KN, Lie T. Influence of polishing procedures on sonic scaling root surface roughness. J Periodontol 1991: 62: 659-662.
110. Leon LE, Vogel RI. A comparison of the effectiveness of hand scaling and ultrasonic debridement in furcations as evaluated by differential dark-field microscopy. J Periodontol 1987: 58: 86-94.
111. Lie T, Leknes KN. Evaluation of the effect on root surfaces of air turbine scalers and ultrasonic instrumentation. J Periodontol 1985: 56: 522-531.
112. Lie T, Meyer K. Calculus removal and loss of tooth substance in response to different periodontal instruments. J Clin Periodontol 1977: 4: 250-262.
113. Lindhe J, Nyman S, Karring T. Scaling and root planing in shallow pockets. J Clin Periodontol 1982: 9: 415-418.
114. Lindhe J, Socransky SS, Nyman S, Haffajee A, Westfelt E. "Critical probing depths" in periodontal therapy. J Clin Periodontol 1982: 9: 323-336.
115. Lindhe J, Westfelt E, Nyman S, Socransky SS, Haffajee AD. Long-term effect of surgical/nonsurgical treatment of periodontal disease. J Clin Periodontol 1984: 11: 448-458.
116. Lindhe J, Westfelt E, Nyman S, Socransky SS, Heijl L, Bratthall G. Healing following surgical/non-surgical treatment of periodontal disease. J Clin Periodontol 1982: 9: 115-128.
117. Loesche WJ, Giordano JR, Hujoel PP, Schwartz J, Smith BA. Metronidazole in periodontitis: reduced need for surgery. J Clin Periodontol 1992: 19: 103-112.
118. Loesche WJ, Syed SA, Morrison EC, Kerry GA, Higgins T, Stoll J. Metronidazole in periodontitis. I. Clinical and bacteriological results after 15 to 30 weeks. J Periodontol 1984: 6: 325-335.
119. Logothetis DD, Gross KBW, Eberhart A, Drisko C. Bacterial airborne contamination with an air-polishing device. Gen Dent 1988: 36: 496-499.
120. Loos B, Kiger R, Egelberg J. An evaluation of basic periodontal therapy using sonic and ultrasonic scalers. J Clin Periodontol 1987: 14: 29-33.
121. Loos B, Nylund K, Claffey N, Egelberg J. Clinical effects of root debridement in molar and non-molar teeth. J Clin Periodontol 1989: 16: 498-504.
122. MacAlpine RM, Magnusson I, Kiger R, Crigger M, Garrett S, Egelberg J. Antimicrobial irrigation of deep pockets to supplement oral hygiene instruction and root debridement. J Clin Periodontol 1985: 12: 568-577.
123. Magnusson I, Low SB, McArthur WP, Marks RG, Walker CB, Maruniak J, Taylor M, Pudgett P, Jung J, Clark WB. Treatment of subjects with refractory periodontal disease. J Clin Periodontol 1994: 21: 628-637.
124. McKenzie WT, Forgas L, Vernino AR, Parker D, Limestall JD. Comparison of a 0.12% chlorhexidine mouthrinse and an essential oil mouthrinse on oral health in institutionalized, mentally handicapped adults: one-year results. J Periodontol 1992: 63: 187-193.
125. Meffert RM Treatment of the ailing, failing implant. J Calif Dent Assoc 1992: 20: 42-45.
126. 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: 4: 77-91.
127. Michalowicz BS, Pihlstrom BL, Drisko CL, Cobb CM, Killoy WJ, Caton JG, Lowenguth RA, Quiñones C, Encarnacion M, Knowles M, Goodson JM. Evaluation of periodontal treatments using controlled-release tetracycline fiber: maintenance response. J Periodontol 1995: 66: 708-715.
128. Miller CL, Palenick CJ. Bloodborne pathogens and other disease agents. Infection control and management of hazardous material for the dental team. St. Louis, MO: Mosby, 1994: 58-79.
129. Molinari JA, Molinari GE. Is mouthrinsing before dental procedures worthwhile? J Am Dent Assoc 1992: 123: 75-80.
130. Möller P, Grievstad AO, Kristoffersen T. Ultrasonic scaling of maxillary teeth causing tinnitus and temporary hearing shifts. J Clin Periodontol 1976: 3: 123-127.
131. Mooney MK. Ultrasonics come of age. RDH 1992: 12: 25-30.
132. Moore J, Wilson M, Kieser JB. The distribution of lipopolysaccharide (endotoxin) in relation to periodontally involved root surfaces. J Clin Periodontol 1986: 13: 748-751.
133. Moskow BS, Bressman E. Cemental response to ultrasonic and hand instrumentation. J Am Dent Assoc 1964: 68: 699-702.
134. Nakib NM, Bissada NF, Simmelink JW, Goldstine SN. Endotoxin penetration into root cementum of periodontally healthy and diseased human teeth. J Periodontol 1982: 53: 368-378.
135. Newman MG, Kornman KS, Doherty FM. A 6-month multi-center evaluation of adjunctive tetracycline fiber therapy used in conjunction with scaling and root planing in maintenance patients: clinical results. J Periodontol 1994: 65: 685-691.
136. Nyman S. Sarhed G, Ericsson I, Gottlow J, Karring T. Role of "diseased" root cementum in healing following treatment of periodontal disease. J Clin Periodontol 1986: 21: 496-503.
137. O'Hehir T. Effective sonic and ultrasonic use is all in the technique. RDH 1992: 12: 13-16.
138. O'Hehir T. Knowing mechanical differences helps distinguish ultrasonic units. RDH 1992: 12: 20.
139. O'Hehir T. Ultrasonic scalers are ready to replace curettes in education and therapy. RDH 1993: 13: 30.
140. O'Hehir TE. Gross scaling: an antiquated concept. Dent Hyg News 1987: 7: 19-20.
141. Oda S and Ishikawa I. In vitro effectiveness of a newly-designed ultrasonic scaler tip for furcation areas. J Periodontol 1989: 60: 634-639.
142. Offenbacher S, Odle BM, Green MD, Mayambala CS, Smith MA, Fritz ME, van Dyke TE, Yeh KC, Sena FJ. Inhibition of human periodontal prostaglandin E2 synthesis with selected agents. Agents Actions 1990: 29: 232-238.
143. Oosterwaal PJM, Matee MI, Milkx FHM, van't Hof MA, Renggli HH. The effect of subgingival debridement with hand and ultrasonic instruments on the subgingival microflora. J Clin Periodontol 1987: 14: 528-533.
144. Oosterwaal PJ, Mikx FH, van 't Hof MA, Renggli HH. Comparison of the antimicrobial effect of the application of chlorhexidine gel, amine fluoride gel and stannous fluoride gel in debrided periodontal pockets. J Clin Periodontol 1991: 18: 245-251.
145. Pameijer CH, Stallare RE, Hiep N. Surface characteristics of teeth following periodontal instrumentation: a scanning electron microscope study. J Periodontol 1972: 43: 628-633.
146. Patterson M, Eick JD, Eberhart AB, Gross K, Killoy WJ. The effectiveness of two sonic and two ultrasonic scaler tips in furcations. J Periodontol 1989: 60: 325-329.
147. Pavicic MJ, van Winkelhoff AJ, Douque NH, Steures RW, de Graaff J. Microbiological and clinical effects of metronidazole and amoxicillin in Actinobacillus actinomycetemcomitans-associated periodontitis. A 2-year evaluation. J Clin Periodontol 1994: 21: 107-112.
148. Pihlstrom B, McHugh RB, Oliphant TH, Ortiz-Campos C. Comparison of surgical and nonsurgical treatment of periodontal disease. J Clin Periodontol 1983: 10: 524-541.
149. Polson AM, Frederick GT, Ladenheim S, Hanes P. The production of a root surface smear layer by instrumentation and its removal by citric acid. J Periodontol 1984: 55: 443-446.
150. Quirynen M, Bollen CML. The influence of surface roughness and surface-free energy on supra- and subgingival plaque formation in man. J Clin Periodontol 1995: 22: 1-14.
151. Rajstein J, Tal M. The effect of ultrasonic scaling on the surface of Class V amalgam restorations-a scanning electron microscopy study. J Oral Rehabil 1984: 11: 299-305.
152. Rapley JW, Swan RH, Hallmon WW, Mills MP. The surface characteristics produced by various oral hygiene instruments and materials on titanium implant abutments. Int J Oral Maxillofac Impl 1990: 5: 47-52.
153. Rateitschak-Plüss EM, Schwarz J-P, Guggenheim R, Düggelin M, Rateitschak KH. Non-surgical periodontal treatment: where are the limits? J Periodontol 1992: 19: 240-244.
154. Reinhardt RA, Johnson GK, Tussing GJ. Root planing with interdental papilla reflection and fiber optic illumination. J Periodontol 1985: 56: 721-726.
155. Reynolds MA, Lavigne CK, Minah GE, Suzuki JB. Clinical effects of simultaneous ultrasonic scaling and subgingival irrigation with chlorhexidine. Mediating influence of periodontal probing depth. J Clin Periodontol 1992: 19: 595-600.
156. Ritz L, Hefti AF, Rateitschak KH. An in vitro investigation on the loss of root substance in scaling with various instruments. J Clin Periodontol 1991: 18: 643-647.
157. Robertson PB. Guest editorial: the residual calculus paradox. J Periodontol 1990: 61: 65.
158. Rosenberg RM, Ash MJ. The effect of root roughness on plaque accumulation and gingival inflammation. J Periodontol 1974: 45: 146-150.
159. Rosling BG, Slots J, Christersson LA, Gröndahl HG, Genco RJ. Topical antimicrobial therapy and diagnosis of subgingival bacteria in the management of inflammatory periodontal disease. J Clin Periodontol 1986: 13: 975-981.
160. Rosling BG, Slots J, Webber RL, Christersson LA, Genco RJ. Microbiological and clinical effects of topical subgingival antimicrobial treatment on human periodontal disease. J Clin Periodontol 1983: 10: 487-514.
161. Schroer MS, Kirk WC, Wahl TM, Hutchens LH Jr, Moriarty JD, Bergenholz B. Closed versus open debridement of facial grade II molar furcations. J Clin Periodontol 1991: 18: 323-329.
162. Shah S, Walmsley AD, Chapple IL, Lumley PJ. Variability of sonic scaling tip movement. J Clin Periodontol 1994: 21: 705-709.
163. Sherman PR, Hutchens LH, Jewson LG. The effectiveness of subgingival scaling and root planing. II. Clinical responses related to residual calculus. J Periodontol 1990: 61: 9-15.
164. Sherman PR, Hutchens LH Jr, Jewson LG, Moriarty JM, Greco GW, McFall WTJ. The effectiveness of subgingival scaling and root planning. I. Clinical detection of residual calculus. J Periodontol 1990: 61: 3-8.
165. Slots J, Feik D, Rams TE. Prevalence and antimicrobial susceptibility of Enterobacteriaceae, Pseudomonadaceae and Acinetobacter in human periodontitis. Oral Microbiol Immunol 1990: 5: 149-154.
166. Slots J, Rams TE. Antibiotics in periodontal therapy: an update. Compendium 1992 13: 1130-1132.
167. Slots J, Rams TE. Rational use of antibiotics. J Calif Dent Assoc 1990: 18 (May): 21-23.
168. Smart GJ, Wilson M, Davies EH, Kieser JB. The assessment of ultrasonic root surface debridement by determination of residual endotoxin levels. J Clin Periodontol 1990: 17: 174-178.
169. Southard S, Drisko CL, Killoy WJ, Cobb CL, Tira D. The effects of 2% chlorhexidine digluconate irrigation on clinical parameters and the level of Bacteroides gingivalis in periodontal pockets. J Periodontol 1989: 60: 302-309.
170. Speelman JA, Collaert B, Klinge B. Evaluation of different methods to clean titanium abutments. A scanning electron microscopic study. Clin Oral Impl Res 1992: 3: 120-127.
171. Spinks GC, Carson RE, Hancock EB, Pelleu GBJ. An SEM study of overhang removal methods. J Periodontol 1986: 57: 632-636.
172. Stabholtz A, Soskolne WA, Friedman M, Sela MN. The use of sustained release delivery of chlorhexidine for the maintenance of periodontal pockets: 2-year clinical trial. J Periodontol 1991: 62:429-433.
173. Stambough Rv, Dragoo M, Smith DM, Carasali L. The limits of subgingival scaling. Int J Periodontics Restorative Dent 1982: 1: 40-41.
174. Stende GW, Shaffer EM. A comparison of ultrasonic and hand scaling. J Periodontol 1961: 32: 312-314.
175. Stewart JL, Briggs RL, Drisko RR, Jamison HC. Relative calculus and tooth structure loss with use of power-driven scaling instruments. J Am Dent Assoc 1971: 83: 840-843.
176. Taggart JA, Palmer RM, Wilson RF. A clinical and microbiological comparison of the effects of water and 0.02% chlorhexidine as coolants during ultrasonic scaling and root planing. J Clin Periodontol 1990: 17: 32-37.
177. Takacs VJ, Lie T, Perala DG, Adams DF. Efficacy of 5 machining instruments in scaling of molar furcations. J Periodontol 1993: 64: 228-236.
178. Takahashi Y, Kamijyo H, Kawanishi S, Takaesu Y. The effects of ultrasonic scaling with oral hygiene education on the distribution of pathological pockets using CPITN diagnostic standards. Community Dent Health J 1989: 6: 31-37.
179. Thilo BE, Baehni PC. Effect of ultrasonic instrumentation on dental plaque microflora in vitro. J Periodont Res 1987: 22: 518-521.
180. Thompson D. Faster, easier, better root planing with ultrasonics. Dent Econ 1993: 83: 80-81.
181. Thornton S, Garnick J. Comparison of ultrasonic to hand instruments in the removal of subgingival plaque. J Periodontol 1982: 53: 35-37.
182. Torfason T, Kiger R, Selvig K, Egelberg J. Clinical improvement of gingival conditions following ultrasonic versus hand instrumentation of periodontal pockets. J Clin Periodontol 1979: 6: 165-176.
183. van Winkelhoff AJ, Rodenburg JP, Goene RJ, Abbas F, Winkel EG, de Graaff J. Metronidazole plus amoxicillin in the treatment of Actinobacillus actinomycetemcomitans associated periodontitis. J Clin Periodontol 1989: 16:128-131.
184. Veksler AE, Kayrouz GA, Newman MG. Reduction of salivary bacteria by pre-procedural rinses with chlorhexidine 0.12%. J Periodontol 1991: 62: 649-651.
185. Vermilyea SG, Prasanna MK, Agar JR. Effect of ultrasonic cleaning and air polishing on porcelain labial margin restorations. J Prosthet Dent 1994: 71: 447-452.
186. Waerhaug J. A method for evaluation of periodontal problems on extracted teeth. J Clin Periodontol 1975: 2: 160-168.
187. Waerhaug J. Healing of the dento-epithelial junction following subgingival plaque control. J Periodontol 1978: 49: 119-134.
188. Walker CB, Gordon JM, Magnusson I, Clark WB. A role for antibiotics in the treatment of refractory periodontitis. J Periodontol 1993: 64: 772-781.
189. Walmsley AD, Hickson FS, Laird WR, Williams AR. Investigation into patients' hearing following ultrasonic scaling. Br Dent J 1987: 162: 221-224.
190. Walmsley AD, Laird WR, Williams AR. A model system to demonstrate the role of cavitational activity in ultrasonic scaling. J Dent Res 1984: 63: 1162-1165.
191. Walmsley AD, Laird WR, Williams AR. Displacement amplitude as a measure of the acoustic output of ultrasonic scalers. Dent Mater 1986: 2: 97-100.
192. Walmsley AD, Laird WR, Williams AR. Inherent variability of the performance of the ultrasonic descaler. J Dent 1986: 14: 121-125.
193. Walmsley AD, Laird WR, Williams AR. Intra-vascular thrombosis associated with dental ultrasound. J Oral Pathol 1987: 16: 256-259.
194. Walmsley AD, Laird WR, Williams AR. Dental plaque removal by cavitational activity during ultrasonic scaling. J Clin Periodontol 1988: 15: 539-543.
195. Walmsley AD, Walsh TF, Laird WR, Williams AR. Effects of cavitational activity on the root surface of teeth during ultrasonic scaling. J Clin Periodontol 1990: 17: 306-312.
196. Walmsley AD, Williams AR, Laird WR. Acoustic absorption within human teeth during ultrasonic descaling. J Dent 1986: 14: 2-6.
197. Walsh TF, Walmsley AD. A new method to assess damaging effects on the gingival tissues of non-surgical instrumentation. J Clin Periodontol 1991: 18: 785-787.
198. Wilkinson RF, Maybury JE. Scanning electron microscopy of the root surface following instrumentation. J Periodontol 1973: 44: 559-563.
199. Williams R, Jeffcoat M, Howell T, Rolla A, Stubbs D, Teoh KW, Reddy MS, Goldhaber P. Three year trial of flurbiprofen treatment in humans: posttreatment period. J Dent Res 1991: 70: 468.
200. Williams RC, Jeffcoat MK, Howell TH, Paquette D, Rolla A, Reddy M, Goldhaber P. Altering the progression of human alveolar bone loss with the non-steroidal anti-inflammatory drug flurbiprofen. J Periodontol 1989: 60: 485-490.
201. Wylam JM, Mealey BL, Mills MP, Waldrop TC, Moskowicz DC. The clinical effectiveness of open versus closed scaling and root planing on multi-rooted teeth. J Periodontol 1993: 64: 1023-1028.
202. Young NS, O'Hehir TE, Woodall I. Periodontal debridement. In: Woodall I, ed. Comprehensive dental hygiene. 4th edn. St. Louis: Mosby, 1993: 533-570.
203. Zappa U, Cadosch J, Simona C, Graf H, Case D. In vivo scaling and root planing forces. J Periodontol 1991: 62: 335-340.
204. Zappa U, Smith B, Simona C, Graf H, Case D, Kim W. Root substance removal by scaling and root planing. J Periodontol 1991: 62: 750-754.