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Review
. 2013 Jul;17(4):423-8.
doi: 10.4103/0972-124X.118310.

Mechanized scaling with ultrasonics: Perils and proactive measures

Rashmi Paramashivaiah  1 , M L V Prabhuji
Affiliations
Review

Mechanized scaling with ultrasonics: Perils and proactive measures

Rashmi Paramashivaiah et al. J Indian Soc Periodontol. 2013 Jul.

Abstract

Mechanized scaling for plaque removal is a routine procedure in the practice of periodontics. Though it appears innocuous by itself, there are retinues of hazards associated with it on various organ systems in the body. Some of these unwanted effects and measures to avoid or ameliorate the same are elaborated here. Exposure to ultrasonic scaling is inevitable before any other treatment procedure. Aerosol contamination, vibrational hazards, thermal effects on the dental pulp, altered vascular dynamics, disruption in electromagnetic device, diminished hearing and dental unit waterline contamination are some of the probable off-shoots a patient has to bear. Uses of barrier devices, proper attention to usage of equipment, protection for ear and water treatment are few of solutions for the same. Though documented evidence for the existence of all effects is lacking, it is never the less significant for the overall safety of the patient. A conscientious clinician should therefore inculcate the available steps to overcome the hazards of ultrasonic scaling.

Keywords: Aerosols; auditory perception; dental plaque; dental pulp; scaling; ultrasonics.

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Conflict of interest statement

Conflict of Interest: None declared.

References

    1. Drisko CL, Cochran DL, Blieden T, Bouwsma OJ, Cohen RE, Damoulis P, et al. Position paper: Sonic and ultrasonic scalers in periodontics. Research, Science and Therapy Committee of the American Academy of Periodontology. J Periodontol. 2000;71:1792–801. - PubMed
    1. Nield-Gehrig JG. 4th ed. Baltimore: Lippincott Williams and Wilkins; 2009. Basic concepts of ultrasonic instrumentation. Fundamentals of Periodontal Instrumentation.
    1. Webber TC. Indoor air quality and the dental profession. Invironment. 1999;12:49–56.
    1. Yamada H, Ishihama K, Yasuda K, Hasumi-Nakayama Y, Shimoji S, Furusawa K. Aerial dispersal of blood-contaminated aerosols during dental procedures. Quintessence Int. 2011;42:399–405. - PubMed
    1. Micik RE, Miller RL, Mazzarella MA, Ryge G. Studies on dental aerobiology. I. Bacterial aerosols generated during dental procedures. J Dent Res. 1969;48:49–56. - PubMed