In Table V, dental hygienists most commonly reported that they perform both supragingival and subgingival instrumentation around dental implants (n=164, 77%).
6 of implants Checks bone level surrounding 178 84 the implant on a regular basis at maintenance appointments Does not check bone level 27 13 surrounding the implant on a regular basis at maintenance appointments Table V: Implementation of Dental Hygiene Care Plan n % Has an established protocol in office for home care 130 61 instructions for implant patients Does not have an established protocol in office for home 75 35 care instructions for implant patients Performs supragingival instrumentation around implants 39 18 Performs subgingival instrumentation around implants 7 3.
11, 12) Subgingival instrumentation
is performed with both manual (curettes) and power-driven tools (sonic and ultrasonic instruments).
4 mm--Gingival Attachment Level
The clinician was evaluated on specific criteria developed for subgingival instrumentation
with both technologies prior to data collection.
In order to perform maximally effective subgingival instrumentation
, the current standard is to use local anesthetic for patient comfort and clinician effectiveness.
The flora may consist of residual microorganisms following incomplete subgingival instrumentation
, or may be a result of the colonization and maturation of supragingival plaque.
Dufour LA, Bissell HS: Periodontal attachment loss induced by mechanical subgingival instrumentation
in shallow sulci.
8) When supra- and subgingival instrumentation are included as part of the dental hygiene therapy, the goal is to create an environment that is conducive to periodontal health, by producing crown and root surfaces that are biologically acceptable to the periodontal tissues.
In light of these NIDR workshop conclusions, the purpose of this paper is to examine more recent studies related to the periodontal outcome of mechanical subgingival instrumentation in shallow sulci.
Thirteen clinical studies--1 animal and 12 human--were reviewed for the effects of subgingival instrumentation on the level of probing attachment in shallow sulci.
An actual prophy appointment has long been a hybrid of supra and subgingival instrumentation