The Effect of Air Polishing on the Tooth Surface

Dental Plaque Clinical Trial

Official title:

Analyzing the Effect of Different Polishing Materials on Different Dental Tissues by Micro-Computed Tomography

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04853745
• Other study ID #: KOU GOKAEK 2019/10.34
• Status: Completed
• Start date: July 24, 2019
• Est. completion date: September 14, 2020

Study information

• Verified date: April 2021
• Source: Kocaeli University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The use of air-polishing device that operates by directing a fine slurry of pressurized air, water, and abrasive particles has become widespread in dentistry for polishing. The introduction of abrasive powders with different properties creates the need to evaluate the effects of these powders on dental hard tissues. This study was focused on the effect of sodium bicarbonate, glycine and erythritol air polishing on enamel and exposed root surface.

Description:

The aim of this study is to evaluate the effect of sodium bicarbonate, glycine and erythritol air polishing on enamel and exposed root surface. Forty eight single root extracted teeth were included into the study. The teeth were divided into three groups, the crown and exposed root surface were air polished using three powders at instrumentation time of 5s, combinations of medium and maximum power and medium water settings, distance of 5mm and angulation of 60 degree. Samples were scanned in a micro-computed tomography (micro-CT) at baseline and then after powder treatment and the defect depth, defect volume, demineralization depth and mineral density values were estimated.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 48
• Est. completion date: September 14, 2020
• Est. primary completion date: July 27, 2020
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Being older than age of 18,

• Willing to participate the study,

• To have a single rooted tooth with gingival recession on all surfaces and need to be extracted,

• The tooth has to be free of caries, defects and restorations.

Exclusion Criteria:

Have history of infectious diseases like Hepatitis and/or HIV (+).

Related Conditions & MeSH terms

• Dental Plaque

Intervention

Device:
• AIR-FLOW® Master Piezon
AIR-FLOW® Master Piezon is intended for use in the cleaning and polishing of teeth by the projection of water,air, and dental powders onto the tooth surface. The device removes dental plaque, soft deposits, and surface stains from pits, grooves, interproximal spaces, or smooth surfaces of teeth. This air polishing device was used for all powder instrumentations.

Locations

Country	Name	City	State
Turkey	Kocaeli University, Faculty of Dentistry	Kocaeli

Sponsors (1)

Lead Sponsor	Collaborator
Kocaeli University

Country where clinical trial is conducted

Turkey, 

References & Publications (19)

Agger MS, Hörsted-Bindslev P, Hovgaard O. Abrasiveness of an air-powder polishing system on root surfaces in vitro. Quintessence Int. 2001 May;32(5):407-11. — View Citation

Atkinson DR, Cobb CM, Killoy WJ. The effect of an air-powder abrasive system on in vitro root surfaces. J Periodontol. 1984 Jan;55(1):13-8. — View Citation

Barnes CM, Covey D, Watanabe H, Simetich B, Schulte JR, Chen H. An in vitro comparison of the effects of various air polishing powders on enamel and selected esthetic restorative materials. J Clin Dent. 2014;25(4):76-87. — View Citation

Barnes CM, Russell CM, Gerbo LR, Wells BR, Barnes DW. Effects of an air-powder polishing system on orthodontically bracketed and banded teeth. Am J Orthod Dentofacial Orthop. 1990 Jan;97(1):74-81. — View Citation

Berkstein S, Reiff RL, McKinney JF, Killoy WJ. Supragingival root surface removal during maintenance procedures utilizing an air-powder abrasive system or hand scaling. An in vitro study. J Periodontol. 1987 May;58(5):327-30. — View Citation

Camboni S, Donnet M. Tooth Surface Comparison after Air Polishing and Rubber Cup: A Scanning Electron Microscopy Study. J Clin Dent. 2016 Mar;27(1):13-18. — View Citation

Galloway SE, Pashley DH. Rate of removal of root structure by the use of the Prophy-Jet device. J Periodontol. 1987 Jul;58(7):464-9. — View Citation

Graumann SJ, Sensat ML, Stoltenberg JL. Air polishing: a review of current literature. J Dent Hyg. 2013 Aug;87(4):173-80. Review. — View Citation

Gutmann ME. Air polishing: a comprehensive review of the literature. J Dent Hyg. 1998 Summer;72(3):47-56. Review. — View Citation

Herr ML, DeLong R, Li Y, Lunos SA, Stoltenberg JL. Use of a continual sweep motion to compare air polishing devices, powders and exposure time on unexposed root cementum. Odontology. 2017 Jul;105(3):311-319. doi: 10.1007/s10266-016-0282-1. Epub 2017 Jan 9. — View Citation

Kontturi-Närhi V, Markkanen S, Markkanen H. Effects of airpolishing on dental plaque removal and hard tissues as evaluated by scanning electron microscopy. J Periodontol. 1990 Jun;61(6):334-8. — View Citation

Pelka M, Trautmann S, Petschelt A, Lohbauer U. Influence of air-polishing devices and abrasives on root dentin-an in vitro confocal laser scanning microscope study. Quintessence Int. 2010 Jul-Aug;41(7):e141-8. — View Citation

Petersilka GJ, Bell M, Häberlein I, Mehl A, Hickel R, Flemmig TF. In vitro evaluation of novel low abrasive air polishing powders. J Clin Periodontol. 2003 Jan;30(1):9-13. — View Citation

Petersilka GJ, Bell M, Mehl A, Hickel R, Flemmig TF. Root defects following air polishing. J Clin Periodontol. 2003 Feb;30(2):165-70. — View Citation

Petersilka GJ. Subgingival air-polishing in the treatment of periodontal biofilm infections. Periodontol 2000. 2011 Feb;55(1):124-42. doi: 10.1111/j.1600-0757.2010.00342.x. Review. — View Citation

Sahrmann P, Ronay V, Schmidlin PR, Attin T, Paqué F. Three-dimensional defect evaluation of air polishing on extracted human roots. J Periodontol. 2014 Aug;85(8):1107-14. doi: 10.1902/jop.2014.130629. Epub 2014 Jan 30. — View Citation

Tada K, Kakuta K, Ogura H, Sato S. Effect of particle diameter on air polishing of dentin surfaces. Odontology. 2010 Feb;98(1):31-6. doi: 10.1007/s10266-009-0113-8. Epub 2010 Feb 16. — View Citation

Tada K, Wiroj S, Inatomi M, Sato S. The characterization of dentin defects produced by air polishing. Odontology. 2012 Jan;100(1):41-6. doi: 10.1007/s10266-011-0019-0. Epub 2011 May 10. — View Citation

Weaks LM, Lescher NB, Barnes CM, Holroyd SV. Clinical evaluation of the Prophy-Jet as an instrument for routine removal of tooth stain and plaque. J Periodontol. 1984 Aug;55(8):486-8. — View Citation

* Note: There are 19 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Defect depth	The teeth were divided into three groups, the crown and exposed root surface were air polished using three powders at instrumentation time of 5s, combinations of medium and maximum power and medium water settings, distance of 5mm and angulation of 60 degree. Samples were scanned in a micro-computed tomography (micro-CT) at baseline and then after powder treatment and the defect depth was estimated.	5 second
Primary	Demineralization depth	The teeth were divided into three groups, the crown and exposed root surface were air polished using three powders at instrumentation time of 5s, combinations of medium and maximum power and medium water settings, distance of 5mm and angulation of 60 degree. Samples were scanned in a micro-computed tomography (micro-CT) at baseline and then after powder treatment and the demineralization depth was estimated.	5 second
Primary	Mineral density	The teeth were divided into three groups, the crown and exposed root surface were air polished using three powders at instrumentation time of 5s, combinations of medium and maximum power and medium water settings, distance of 5 mm and angulation of 60 degree. Samples were scanned in a micro-computed tomography (micro-CT) at baseline and then after powder treatment and the mineral density was estimated.	10 second
Primary	Defect volume	The teeth were divided into three groups, the crown and exposed root surface were air polished using three powders at instrumentation time of 5s, combinations of medium and maximum power and medium water settings, distance of 5mm and angulation of 60 degree. Samples were scanned in a micro-computed tomography (micro-CT) at baseline and then after powder treatment and the defect volume was estimated.	5 second