Many ultrasound manufacturers provide self-sustaining irrigation dental supplies to add antimicrobials to ultrasound machines. The advantages of using antimicrobials instead of ordinary water are not well documented. Studies have shown that there is no significant difference in the depth of the probe when using antiseptic and water relative to a mild pocket. The results showed that the overall improvement was only 0.5mm after the use of antimicrobial agents, and the improvement was found in severe deep pouch depth.
At the same time, the application of ultrasonic testing and antibacterial irrigation shows that there are only transient changes in subgingiviae under subgingiviae without corresponding clinical curative effect. These findings were consistent with other studies that found that mature biofilm colonies were resistant to antimicrobials and antibiotics. A basic principle of this drug resistance is that antimicrobial agents cannot penetrate the full depth of the biofilm. Although antibiotics are effective for single-cell bacteria (plankton), new research shows that they are not fully effective in the biofilm group that causes periodontal disease.
In addition to ultrasonic instruments, do you still need manual instruments?
Many studies have compared the effects of manual and ultrasound machines on efficiency. In general, these studies suggest that manual instruments take longer to achieve the same clinical effects as ultrasound machines. There was no significant difference in the efficacy of manual and ultrasonic instruments without considering the time required to reach the clinical endpoint. However, in order to achieve the desired clinical effect, it is not ideal to use manual or ultrasound machines, especially in the case of anatomical difficulties. Both manual and ultrasonic instruments must be used while considering instrumentation and personal preference. Independent instrument selection, effective training operators are critical to thorough debridement. Untrained operators have been shown to be able to achieve a lower level of debride-surface efficacy regardless of the instrument's choice. Skillful use of manual and ultrasonic instruments is as important as selecting instruments.
abstracts
Understanding the basic concepts of ultrasonic instruments will help doctors select the most appropriate inserts and know when to use them. Ultrasound is an important treatment for most patients undergoing routine preventive treatment. Adapt to the periodontal disease patients' individual need and application of good professional skills and judgment of the case, the ultrasonic dental equipment in the success of periodontal treatment and long-term to maintain healthy gums plays a vital role.
