Outcomes+of+Incomplete+Scaling+&+Gross+Scaling+vs.+Scaling+to+Completion

Article: The nonsurgical treatment of patients with periodontal disease: Results after five years. Big Idea: Periodontal disease is associated with the overgrowth anaerobic bacterial species in dental plaques of diseased teeth. But debridement, antimicrobial agents, and good oral hygiene maintenance therapy on individuals teeth that were seriously compromised can aid in the need of surgical or tooth extraction. - Mayte Hernandez

The risks of gross scaling (incomplete debridement), compared to scaling to completing, out weight the benefits. Therefor, it is advisable to not perform a gross scaling or incomplete debridement. -Alyssa

Big Idea: Thorough removal of the porous, toxin-retentive subgingival calculus is key in periodontal therapy. If this is not achieved, the healing process cannot begin. -Brittany

Incomplete gross scaling, which involves removal of the supragingival calculus has post operative results of higher plaque score, higher bleeding index percentages, and higher percentages of periodontal lesions; when compared to complete scaling of both sub- and supra- gingival calculus.-Christy

Big Idea The presence of furcation involvement, concavities, and grooves increases the risk of inadequate calculus removal and progression of bone loss. Elizabeth Munoz Big Idea

Residual calculus is more likely to be found in moderate to severe periodontal pockets above 4mm. Experienced clinicians are more likely to have a calculus free surface than the less experienced; however, SRP in conjunction with open flap surgery has the best chance of being scaled to completion. Barbara Richardson

big Idea the effectivness of calculus removal is greatly influenced by the pocket depth. the deeper the pocket the more chance of having residual calculus. the type of tooth that has been scaled is not a factor in the effectiveness of the scaling and root planning. Eman # 25

Although there are studies stating that there is no significant difference between gross debridement and quadrant scaling, there is not enough statistical evidence and research to promote this practice. There are risks involved when residual calculus is not removed and more harm than good would be imposed on the patient. Lyn

Incomplete scaling can often result in a progression of the disease process and lack of regeneration of the long junctional epithelium since there is an irritant left. There is often residual calculus left after scaling and root planing in pocket depths greater than 3 mm. Chances of healing in patients with pocket depths greater than 3mm increase wih perio flap surgery. Martina

Big Idea: The use of Gross Debridement as a legitimate treatment is not in the patient's best interest due to the possibility of abscess, proliferation of bacteria, and the incomplete healing of the gingival tissues; hindering access to residual calculus.-Chris Fisher

Big Idea: Incomplete scaling can lead to retention of calculus therefore increasing the presence of existing calculus and future calculus and this can lead to greater pocket depth, recession, burnished surfaces and later future problems. Smoothing of the calculus is not complete removal and will lead to difficulty in completely removing in the future.- Nichole

Big Idea: When evaluating the final outcome of scaling to completion their is noted evidence that it will disturb certain bacterial forms and cause decreases in probing depth, gingival and plaque indices, while coccoid cells will negatively correlate with both Gingival and plaque indices. - Tonya

Big Idea: Gross scaling was a procedure that was used in the 60's and 70's and no longer is; however, it is a procedure that is recommended for the patient that has HIV (to remove the supracalculus and any visible debris). Incomplete gross scaling will in no way benefit the patient after knowing what the end result can lead to. Martha #38