IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-9-6-25386 Original Research Paper A Novel Chemico-Mechanical technique of Hand Scaling - A Clinical and Scanning Electron Microscopic (SEM) Evaluation Abhinav Prakash Deshpande Dr. June 2020 9 6 01 02 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.