COMPARATIVE ANALYSIS BETWEEN ULTRASONIC TIPS AND HAND INSTRUMENTS ON THE CLINICAL PARAMETERS OF PERIODONTAL DISEASE.

Abstract

Aims To compare hand versus ultrasonic scaling and root planning (SRP) on the clinical parameters of periodontal disease and to assess left over calculus by open flap approach. Methods and Material The study sample consisted of random selection of 30 patients with the evidence of chronic inflammatory periodontal disease. Two groups were made in each patient by split mouth design. Pre treatment measurements recorded were plaque index (PI) , calculus index(CI) and probing pocket depth(PPD). Post treatment measurements recorded were PI , PPD and left over calculus after flap elevation Results In hand instrumentation group (HIG),, mean percentage of plaque score was slightly lesser as compared to ultrasonic but not significant.. Overall mean reduction in PPD after instrumentation in HIG was greater as compared to ultrasonic, but it was not statistically significant (p>0.05). The percentage efficiency in removal of calculus of HIG was greater compared to ultrasonic but it was also not statistically significant (p>0.05). There was no significant difference between HIG and ultrasonic for number of sites with residual calculus and moreover no. of sites increased apically. Conclusions There was significant post-treatment change in the clinical parameters taken in the present clinical study in both HIG & UIG and also slightly more favourable with HIG but not statistically significant.