Ultrasonic Periodontal Debridement

Marie D. George, RDH, MS , is a clinician, author, and educator, with current appointments as Adjunct Faculty in the Department of Dental Hygiene at both the University of Pittsburgh School of Dental Medicine and the Community College of Philadelphia. She develops and presents evidence-based educational programming specific to ultrasonic debridement to practicing clinicians, dental and dental hygiene students, and faculty nationally and internationally.

Timothy G. Donley, DDS, MSD , is in the private practice of periodontics and implantology in Bowling Green, KY, and is an adjunct professor in the College of Health and Human Services at Western Kentucky University. Dr. Donley regularly lectures throughout the U.S. and abroad on the science and clinical applicability of ultrasonic instrumentation.

Philip M. Preshaw, BDS, FDS RCSEd, PhD , is Professor of Periodontology and the Course Director for Undergraduate Periodontology at Newcastle University, UK. He is also actively involved in clinical research, with numerous publications in peer-reviewed scientific journals, and has been awarded a Distinguished Scientist Award from the International Association for Dental Research.

Table of Contents
Foreword
Preface
Acknowledgments
About the Authors


Section I Foundational Concepts

Chapter 1 The Treatment of Periodontal Disease: The Shift from “SRP” to “Periodontal Debridement”
Early concepts of the pathogenesis of periodontal disease
Scaling and root planing
Current concepts of periodontal pathogenesis
Periodontal debridement therapy

Chapter 2 Comparison of Periodontal Debridement Instrumentation Modalities
Efficacy of deposit removal
Resolution of disease
Conservation of tooth structure
Debridement of dental implants
Additional advantages of ultrasonic instrumentation
Other methods of debridement
Summary


Section II Ultrasonic Technology

Chapter 3 What is Ultrasonic Instrumentation?
Ultrasonic transduction
Ultrasonic instrumentation mechanisms of action
Ultrasonic scaler operational variables
Acoustic power of the ultrasonic scaler
Concept of minimum effective power
Sonic scaling technology
Recent developments in ultrasonic technology

Chapter 4 Ultrasonic Tip Design and Selection
Anatomy of an ultrasonic tip
Key elements of tip design
Tip selection
Tip utilization
Effect of tip wear on performance
Basic tip setup


Section III Clinical Application

Chapter 5 Patient Assessment
The periodontal examination
Identifying sites to treat
Factors to assess at disease sites
Medical considerations and other patient factors

Chapter 6 Ultrasonic Instrumentation Technique
Ultrasonic instrumentation principles of technique
Aerosol management
Staged approach to ultrasonic instrumentation

Chapter 7 Ultrasonic Instrumentation Technique Modules
Strategies for instrumentation sequencing
Sextant specific instrumentation modules
Advanced furcation defect instrumentation modules
Implant and supragingival instrumentation technique

Chapter 8 Case Studies in Periodontal Ultrasonic Debridement
Initial and supportive periodontal therapy case
Preventive debridement (adult prophylaxis) case
Surgical debridement case

Glossary
Index