A Novel Chemico-Mechanical technique of Hand Scaling - A Clinical and Scanning Electron Microscopic (SEM) Evaluation

Dr. Abhinav Prakash Deshpande; Dr. Mala Dixit Baburaj

Volume : IX, Issue : VI, June - 2020

A Novel Chemico-Mechanical technique of Hand Scaling - A Clinical and Scanning Electron Microscopic (SEM) Evaluation

Dr. Abhinav Prakash Deshpande, Dr. Mala Dixit Baburaj

Abstract :

Background� Hand Scaling is cumbersome for both patient and operator. To make this process comfortable and effortless, the use of a calculus softening agent (CSA) prior to hand scaling has been advocated. Methods� The CSA was applied onto the calculus on the lingual surfaces of mandibular anterior teeth–Group A: (41 to 43) & Group B (31 to 33). A Visual Analogue Scale (VAS) recorded the response from patient and operator. A SEM scan of the calculus surface and cut surface was performed. Results� Statistically significant operator effort reduction and patient comfort (p=0) in CSA areas. SEM scans demonstrate surface pores and penetration of CSA through the calculus mass, weakening its attachment. Conclusion� CSA combines the advantages of plaque removal, softening calculus and hand scaling with comfort to the patient and operator.