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Influence of scaler tip design on root surface roughness, tooth substance loss and patients' pain perception: an in vitro and a randomised clinical trial

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dc.contributor.authorNur Ayman Abdul Hayeien_US
dc.contributor.authorNoor Azlin Yahyaen_US
dc.contributor.authorSyarida Hasnur Safiien_US
dc.contributor.authorRoslan Sauben_US
dc.contributor.authorRathna Devi Vaithilingamen_US
dc.contributor.authorNor Adinar Baharuddinen_US
dc.date.accessioned2024-05-28T03:29:47Z
dc.date.available2024-05-28T03:29:47Z
dc.date.issued2021
dc.descriptionBMC Oral Health volume 21, Article number: 169 (2021)en_US
dc.description.abstractBackground: The influence of scaler tip design on root surface roughness, tooth substance loss and patients' pain perception is investigated. Methods: This article was divided into the following parts: Part 1 Surface roughness and substance loss: an in vitro study, which involves intact extracted teeth sectioned and treated using a piezoelectric ultrasonic device (PM200 EMS Piezon, Switzerland) with a conventional scaler tip (FS-407) and a Perio Slim (PS) scaler tip (Perio Slim DS-016A). All sectioned samples for tooth surface roughness (n=20) and tooth substance loss (n=46) analyses were measured and compared using a 3D surface texture analyser and scanning electron microscope (SEM) respectively, at baseline and following scaling. Part 2 Pain Perception: a clinical study, which was a split-mouth study design including 30 participants with gingivitis and/or mild chronic periodontitis; treated with supra-gingival scaling from teeth #13 to #23. Subjects were randomised to group A or group B. Group A was treated first with PS scaler tips, whereas group B was treated first with conventional scaler tips. Pain perception was recorded using the visual analogue scale (VAS). Results: In vitro study: both scaler tips caused significant reduction in root substance roughness after scaling (p<0.05), but no significant difference between the two scaler tips (p>0.05) was observed. The PS scaler tip caused statistically significantly less root substance loss (p<0.05) when the initial thickness of the tooth was <1000 �m. Clinical study: the participants reported significantly lesser pain score during scaling using the PS scaler tip (median: 3) than when using the conventional scaler tip (median: 5) (p<0.05). Conclusions: In the in vitro study, using a slim scaler tip design causes less tooth substance loss compared to a wider scaler tip design. In the clinical study, less pain was observed compared than a wide (conventional) scaler tip design.en_US
dc.identifier.doi10.1186/s12903-021-01540-0
dc.identifier.epage11
dc.identifier.issn1472-6831
dc.identifier.issue169
dc.identifier.spage1
dc.identifier.urihttps://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-021-01540-0
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/4471
dc.identifier.volume21
dc.language.isoenen_US
dc.publisherSpringer Natureen_US
dc.relation.ispartofBMC Oral Healthen_US
dc.subjectPain perception,en_US
dc.subjectScaler tip design,en_US
dc.subjectTooth surface roughness,en_US
dc.subjectTooth substance loss,en_US
dc.subjectUltrasonic scaleren_US
dc.titleInfluence of scaler tip design on root surface roughness, tooth substance loss and patients' pain perception: an in vitro and a randomised clinical trialen_US
dc.typeArticleen_US
dspace.entity.typePublication

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