Effectiveness of tips for delicate micro-ultrasonic root planing comparing to tips for traditional ultrasonic root planing.

The present study wants to evaluate the effectiveness in the improvement of several periodontal indices, such as probing pocket depth, bleeding on probing and plaque index, and the patient subjective preference to the treatment of root planning with tips for delicate -micro ultrasonic therapy comparing to traditional ones. Thirty patients were selected for our randomized split mouth study; in each patient two quadrants (test) were treated with tips for delicate micro-ultrasonic root planing, and two quadrants (control) with tips for traditional ultrasonic root planing. Probing pocket depth, bleeding on probing and plaque index were collected at baseline, after six weeks and after six months. Patients were asked to assess the subjective preference of the type of treatment with Visual Analogue Scale (Vas) especially designed and immediately administered after the treatment. Probing pocket depth and plaque index had a parallel improvement in both groups, while the bleeding on probing improved significantly in test group. The majority of patients (23 to 30, 76,6%) has expressed preference with VAS for the treatment with new tips. The new tips created for periodontal maintaining can be really advantageous in terms of reduction of plaque and bleeding indexes; the main point in favor of these tips is the reduction of the discomfort for the patient. Finally this approach tends to be less time consuming than a manual instrumentation method.