The result was soft tissue ulcerations over burnished calculus
deposits resulting in chronic inflammation.
Each texture pad represents one of the possible subgingival textures that may be felt when using a dental explorer--cementum, slight or grainy, moderate, heavy and burnished calculus
plus various sized pieces of calculus.
Nearly a generation of practitioners has been influenced by and/or applied the principles of TTLPD as an approach to treatment before the development of the endoscope in 1999 could verify the negative influence of partially scaled, residual and burnished calculus to the disease state.
The endoscope has shown consistent recolonization of biofilm on the surface of burnished calculus within days following instrumentation, with the lesion in the overlying soft tissue corresponding exactly to the shape of the deposit in every case.
The explorer tip used to evaluate root surfaces can be larger than some of the edges of burnished calculus that need to be removed.
Burnished calculus will result from inadequate pressure or an incorrect angle.
6), (7) Calculus will inevitably get burnished onto the tooth surface if dull instruments are used, and burnished calculus is more difficult to remove than the initial deposit.
Additional instruments will be required to provide a variety of strokes and improve access and adaptability of the blade to provide the force necessary to crush the burnished calculus.