Clinical effectiveness of rotary polishing instruments used in professional dental prophylaxis

Abstract

BACKGROUND: Dental plaque is a major etiological factor in the development of dental caries and periodontal diseases. Daily personal oral hygiene with a toothbrush and toothpaste often fails to achieve the thorough cleaning of tooth surfaces obtained during modern professional dental prophylaxis. Following removal of deposits, tooth surfaces require smoothing and polishing. The primary goal of the dentist is to achieve a uniformly smooth and polished tooth surface.

AIM: The work aimed to evaluate the clinical effectiveness of rotary polishing instruments for tooth surface polishing used in professional dental prophylaxis.

METHODS: Professional dental prophylaxis was performed in 76 patients diagnosed with dental deposits (K03.6). The study employed rotary polishing tools manufactured by Kagayaki (Russia), the OptiShine polishing brush (Kerr, USA), and Cleanic™ polishing paste (Kerr, USA).

RESULTS: Use of Kagayaki polishers led to a mean reduction in the O’Leary Plaque Index. Kagayaki instruments, made from various materials, removed pigmented plaque at differing rates. Brushes and polishing paste either failed to remove pigmented plaque or required prolonged application. Sequential use of three instruments resulted in reduced tooth enamel sensitivity.

CONCLUSION: The use of Kagayaki polishing heads improved the quality of polished surfaces, removed both soft and pigmented plaque in 93% of cases, and reduced enamel sensitivity in 100% of cases.

Keywords

dental plaque / plaque removal / tooth surface polishing instruments / professional dental prophylaxis / Kagayaki / rotary instrument effectiveness / enamel sensitivity

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