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Cited by 41Oral microbiology and periodontitis researchEndodontics and Root Canal TreatmentsPeriodontal Regeneration and Treatments

The Efficacy of Subgingival Calculus Removal With Endoscopy‐Aided Scaling and Root Planing: A Study on Multirooted Teeth

Michaud, Robert M., Schoolfield, John, Mellonig, James T., Mealey, Brian L.·2007·Journal of Periodontology
DOI 10.1902/jop.2007.070251
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Abstract

Background: The dental endoscope was developed to facilitate visualization of the subgingival environment as an aid in diagnosis and non‐surgical root debridement. The purpose of this study was to determine whether endoscopy‐aided scaling and root planing (SRP) resulted in a greater reduction of residual calculus compared to SRP alone in multirooted teeth. Methods: Twenty‐four patients were enrolled and contributed 35 tooth pairs (70 teeth in total). Each tooth per pair was randomly assigned to receive endoscopy‐aided SRP (test) or SRP alone (control). Both teeth were extracted immediately after treatment, washed with water, and stained with methylene blue. The percentage of residual calculus was determined via stereomicroscopy and digital image software by a single masked examiner. Results: Overall, there was 1.16% (P = 0.097) less residual calculus at test versus control sites. At interproximal surfaces, test roots had 2.63% less residual calculus than control roots (P = 0.003), whereas test roots had slightly more residual calculus than controls at buccal/lingual surfaces (0.36%; P = 0.652). There were no statistically significant differences in residual calculus between groups at deeper probing depths or at sites with deep furcation invasions. Only at shallower interproximal sites with probing depths ≤6 mm was significantly less residual calculus seen in roots treated with endoscopy (P = 0.020). Treatment time decreased significantly as operator experience increased; however, no significant improvement in residual calculus levels was noted with greater experience. Conclusion: Within the confines of this study, the use of the endoscope as an adjunct to traditional SRP provided no significant improvement in calculus removal in multirooted molar teeth.

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  • Removal of calculus and plaque in furcation sites of multirooted teeth may be limited, even when subgingival debridement is aided by endoscopy.

    “removal of calculus and plaque in furcation sites of multirooted teeth may be limited,281 even when subgingival debridement is aided by endoscopy.284”

    From The dental plaque biofilm matrix (2021) · cites this paper as [284]

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Authors
Michaud, R. M., Schoolfield, J., Mellonig, J. T., & Mealey, B. L.
Affiliations
The University of Texas at San Antonio Health Science Center (US)
Corresponding author
Mealey, Brian L.
ORCID
Mealey, Brian L.
Venue
Journal of Periodontology
Publisher
Wiley
Published
2007-12
Volume
78
Issue
12
Pages
2238-2245
ISSN
  • 0022-3492 (ISSN-L)
  • 1943-3670
DOI
10.1902/jop.2007.070251
OpenAlex
W2008732534
Cited by
41
References
31
Citations by year
2026: 4 · 2025: 4 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 3 · 2014: 3 · 2013: 1 · 2012: 2
FWCI
1.12
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Periodontology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Dentistry › Oral Surgery › Endodontics and Root Canal Treatments
  • Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
Keywords
multi-rooted teeth, molars, probing depth, furcation involvement, operator experience, treatment duration
MeSH terms
Adult, Aged, Analysis of Variance, Dental Calculus, Endoscopy, Female, Humans, Male, Middle Aged, Molar, Dental Scaling, Time Factors, Tooth Root

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