Laleman Isabelle, Seidel Laurence, Gagnot Gilles, Reners Michèle, Lambert France
Department of Periodontology and Oral Surgery, Faculty of Medicine, University of Liège, 4000, Liège, Belgium.
University Hospital of Liège, 4000, Liège, Belgium.
Clin Oral Investig. 2022 Jul;26(7):4781-4787. doi: 10.1007/s00784-022-04442-9. Epub 2022 Mar 19.
To gather practice-based information about instrumentation during the second stage of periodontal therapy among the members of the European Federation of Periodontology.
This survey was conducted to investigate periodontal instrumentation (e.g., frequency, instruments, their maintenance) during the second stage of periodontal therapy.
Questionnaires from 2008 responders actively involved in periodontal therapy (general dental practitioners, periodontists, and dental hygienists) were analyzed. The frequency of use of hand and mechanical instruments was similar during the second stage of periodontal therapy and 94.4% of the participants combined both. The most popular hand instruments were Gracey curettes, and the preferred mechanical devices were ultrasonic scalers. For the latter, mostly the combination of standard and micro/slim inserts was preferred (42.4%) over solely standard inserts (32.1%) or micro/slim inserts (25.5%). The wear of hand instruments was sytematically checked by 46.1% of the respondents and the wear of the inserts by 41.3%. The more experienced the dental professional, the more frequent the wear of the instruments and inserts was checked.
The most popular periodontal instrumentation technique in clinical practice during the second stage of periodontal therapy is a combination of hand and mechanical instruments.
Clinicians should check the wear of their instruments systematically to have the most performant instruments possible for periodontal instrumentation. Scientists should see the results of this questionnaire as an incentive to set up studies investigating whether the combination of hand and mechanical instruments, the preferred treatment method of clinicians, is better than either of these instruments alone.
收集欧洲牙周病学联合会成员在牙周治疗第二阶段器械使用的实践信息。
本次调查旨在研究牙周治疗第二阶段的牙周器械使用情况（如频率、器械、器械维护）。
对2008名积极参与牙周治疗的人员（普通牙科医生、牙周病医生和牙科保健员）的问卷进行了分析。在牙周治疗第二阶段，手动器械和机械器械的使用频率相似，94.4%的参与者同时使用这两种器械。最常用的手动器械是格雷斯刮治器，首选的机械装置是超声洁治器。对于后者，大多数人更喜欢标准插入头和微型/细长插入头组合（42.4%），而非仅使用标准插入头（32.1%）或微型/细长插入头（25.5%）。46.1%的受访者会系统检查手动器械的磨损情况，41.3%的受访者会检查插入头的磨损情况。牙科专业人员经验越丰富，检查器械和插入头磨损情况的频率越高。
在牙周治疗第二阶段的临床实践中，最常用的牙周器械使用技术是手动器械和机械器械相结合。
临床医生应系统检查器械的磨损情况，以便在牙周器械操作中使用性能最佳的器械。科学家应将本问卷结果视为一种激励，开展研究以调查临床医生首选的手动器械和机械器械相结合的方法是否优于单独使用其中任何一种器械。
