Numerous new products have been introduced over the past few years and these products have revolutionized periodontal treatment. Many recognized brands have survived the test of time, offering the benefit of reduced hand and wrist fatigue and tissue trauma. Sonic or ultrasonic mobile phones are commonly found in today's hygiene and periodontal devices. Whether for occasional use or routine use, most dental professionals are familiar with sonic or ultrasonic techniques with some ability. With the availability of products available today, there is no reason why every operating room should not be equipped with this technology.
The sound wave scaler operates at a frequency of about 3,000 to 8,000 times per second (this is the number of times the tip is in contact with the tooth). The sonic Ultrasonic Scaler is air driven and the tip moves in an elliptical motion. Ultrasonic phones use magnetostrictive or piezoelectric technology. The magnetostrictive blades operate at speeds of 25,000 to 30,000 times per second and, like the acoustic scaler, have elliptical motion. Low-voltage magnetic signals can cause the tip to move. Piezoelectric technology operates at speeds of 28,000 to 36,000 times per second. The tip moves back and forth and moves along the sides of the teeth, scraping off calculus and debris. The phone here, not the instrument tip, is activated.
The use of ultrasound equipment has significantly improved the practice of supraorbital scaling and periodontal debridement. Although ultrasonic technology has been around for decades, improvements in recent years have made it the mainstream. In general, ultrasonic technology has a hand regardless of whether it is a magnetostrictive (long insert with a curved metal rod) or a piezoelectric (small tip screwed on a handpiece) and a low level of the acoustic wave sealer. Several advantages of scaling:
(1) Hand and wrist fatigue can be reduced by simply guiding the tip of the scaler along the surface of the tooth.
(2) Decreased treatment time, especially when sediments are deposited more, requires more time for patient education or placement of chemotherapeutic drugs (eg, Arestin [OraPharma], Atridox [Collagenex Pharmaceuticals] or PerioChip [Dexcel Pharma]).
(3) Use ultrasonic instruments to remove plaque and stones more effectively
(4) ultrasonic head spray promotes the elimination of plaque
(5) Ultrasound instrument removes bacterial endotoxin root surface while retaining cementum
(6) Less tissue damage due to lack of sharp cutting edges
(7) Water provides continuous tissue irrigation, thereby reducing the need for irrigation during scaling because the flow of water allows high visibility throughout the process; this irrigation also adds to the patient's Organization comfort
(8) Antibacterial fluid can be used instead of water to provide simultaneous irrigation/disinfection of the treated area
(9) Ideal for removing stains, otherwise this method can be very troublesome
(10) Grit, based on pumice stone polishing may no longer be required or indicated after ultrasonic calibration; due to the effective removal of stains during the scaling process, mild, minimally invasive pastes or polishing agents may be used in the composite material and Glaze on porcelain restorations; Less abrasive polishing agent improves patient acceptance and reduces sensitivity after zooming
(11) Reduce the chance of operator injury:
Ultrasonic Scaler blades are not sharp - no cutting edge
• Little need to place the tip in the ultrasonic bath before sterilization, eliminating one step in the process
• Little need to scrub ultrasonic tips, which is usually required for traditional manual scalers, further reducing the risk of operator injury
• Sharpening of manual instruments is minimized due to minimal use
(12) The patient experiences a higher degree of comfort; the whole process is more tolerable.
