Melbourne Dental School, The University of Melbourne, Victoria, Australia.
Aust Dent J. 2009 Sep;54 Suppl 1:S86-95. doi: 10.1111/j.1834-7819.2009.01146.x.
Non-surgical removal of plaque and calculus has been part of the initial phase of the management of patients with gingivitis and periodontitis for decades. It consists of patient motivation and oral hygiene instruction as well as mechanical removal of supra and subgingival plaque deposits. The purpose of this review was to assess recent changes. The article reports on changes in our understanding of plaque as a biofilm, developments in patient plaque control, chemical plaque control and scaling instruments. It also comments on full-mouth disinfection, the use of lasers and host modulation. Modern technology has made removal of microbial deposits by the patient and dental professionals more efficient. However, other advancements need to be used in conjunction with mechanical debridement at this time.
数十年来，非手术去除牙菌斑和牙石一直是治疗牙龈炎和牙周炎患者的初始阶段的一部分。它包括患者的动机和口腔卫生指导以及对龈上和龈下牙菌斑的机械去除。本次综述的目的是评估最近的变化。本文报告了我们对牙菌斑作为生物膜的理解的变化，患者菌斑控制、化学菌斑控制和刮治器械的发展。它还评论了全口消毒、激光的使用和宿主调节。现代技术使患者和牙科专业人员更有效地去除微生物沉积物。然而，在这个时候，其他的进步需要与机械清创结合使用。
