Outcomes+of+Incomplete+Scaling

= =  Diem Incomplete scaling is preliminary partial, full-mouth, or gross scaling. Incomplete scaling is usually used before scaling and root planning. It is used to remove plaque and calculus that prevent the ability to perform an oral evaluation. Then many appointments are schedule for scaling and root planning to complete periodontal treatment. This approach has abandoned many years ago due to potential for problems that can affect patients’ systemic health. Removing mostly supra calculus and some subgival calculus can interfere with the implementation process and the outcomes of the treatment. Incomplete scaling can cause limited access to the subgingival calculus. After removing supra calculus, the tissue may heal tightly around the tooth; this makes harder to insert instrument to do a thorough job. In addition, the patient may think that his gingival look “health,” so they may not come back for the SRP. Patient education is also hard to achieve because there are no supra calculus to compare the complete scaled quadrant to the untreated quadrant. Patients may misunderstand about periodontal treatment because their teeth feel clean after the gross scaling, so why they need to have SRP? Later, if they develop abscess, they stated that because dental hygienists did not do their job appropriately. Incomplete scaling can cause potential for abscess formation in deep suppurating pockets and deep defect areas and on medical compromised patients.
 * Outcomes of Incomplete Scaling **

Matsuda, S. (2005). Nonsurgical periodontal instrumentation. In J. Goucher (Eds.), //Clinical Practice of the Dental Hygienist// (645-651). Massachusetts: Lippincott Williams & Wilkins.

When pt. notice that the stains and build up is removed they might think that they have already had their cleaning and not return to the office. It is important to educate the patient before providing incomplete scaling. Incomplete scaling is often provided on a separate day from the complete cleaning for insurance reasons. -Marcia Tekavec, C. (2005). What is debridement? Dental Assisting digest. Retrieved on May 29, 2009 from http://www.dentaleconomics.com/display_article/240330/54/none/none/Dept/What-is-debridement

Reina: Pain and abscesses are a few of the outcomes from scaling and root planing. Although periodontal scaling and root planing is one of the most common procedures used in dental practice, there is little information available about the degree of post-procedural pain associated with it. Common periodontal pathogens have been observed in periodontal abscesses, and some etiologic factors may be responsible for its recurrence. These conditions can be isolated or associated with factors that can change the prognosis of affected teeth.

Pihlstrom, B. L., Hargreaves, K. M., Bouwsma, O. J., Myers, W. R., Goodale, M. B., & Doyle, M. J. (1999, June). Pain after periodontal scaling and root planing. //Journal of the American Dental Association//, //130//(6), 801-807.

Noo:

Scaling involves a deep cleaning of the tooth above and below the gum line in order remove any plaque and calculus that has accumulated on the tooth. This involves the use of special instruments including power-operated devices to loosen and remove deposits from the teeth. Commonly an ultrasonic machine is used. It has a fine tip which vibrates at ultrasonic frequency and which dislodges tartar and plaque from the tooth surface. P rophylaxis is therapeutic, ONLY when there is the opportunity for a definitive healing ;therefore, definitive healing or halt to the disease process cannot be achieved without a thorough and complete removal of deposits and bacterial plaque. Another problem exists when a patient has received incomplete scaling is patient may not come back for thorough cleaning and might end up with more accumulation of bacteria inside the pocket which cause further periodontal damage.

Canakci,C., and Cankci, V. (2007). Pain experienced by patients undergoing different periodontal therapies. The Journal of the American Dental Association. 138 (12) 1563-1573. The American Academy of Periodontology. (2001) Treatment of Plaque-Induced Gingivitis, Chronic Periodontitis, and Other Clinical Conditions. Journal of Periodontology. 72:1790-1800

Jennifer: When we scale to completion we may leave a little calculus as we call residual calculus. Usually if we do the best we can possibly do the outcome is good, However if we leave calculus the tissue will tighten around the piece of calculus and create a periodontal abscess. This may occur within three to six days after the scaling. The abscess is a bacterial infection which will cause pain to the patient.