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MISSERFOLGE - erkennen, beherrschen, vermeiden9. Nov 2018 — 10. Nov 2018Congress Center Messe Frankfurt
Speakers: Karl-Ludwig Ackermann, Sarah Al-Maawi, Bilal Al-Nawas, Kurt Werner Alt, Anna Greta Barbe, Tobias Bauer, Daniel Bäumer, Marco Baz Bartels, Grietje Beck, Katrin Bekes, Christoph Benz, Dirk Bleiel, Johannes Boesch, Martin Boost, Wolfgang Buchalla, Oskar Bunz, Fabian Cieplik, Monika Daubländer, Sybille David-Hebgen, Andreas Dehler, Renate Deinzer, Sonja H. M. Derman, Konstanze Diekmeyer, Ingmar Dobberstein, Heike Dyrna, Thomas Eger, Guido Elsäßer, Anne Sophie Engel, Peter Engel, Norbert Enkling, Susanne Fath, Stefan Fickl, Michael Frank, Roland Frankenberger, Rene Franzen, Kerstin Galler, Carolina Ganß, Roland Garve, Christian Ralf Gernhardt, Werner Geurtsen, Shahram Ghanaati, Petra Gierthmühlen, Christiane Gleissner, Steffani Görl, Werner Götz, Susanne Grässel, Dominik Groß, Stefan Grümer, Claus Grundmann, Martin Guffart, Heinz-Michael Günther, Norbert Gutknecht, Peter Hahner, Elmar Hellwig, Christian Henrici, Katrin Hertrampf, Fabian Huettig, Michael Hülsmann, Bruno Imhoff, Holger Jentsch, A. Rainer Jordan, Ana Elisa Kauling, Moritz Kebschull, Christian Kirschneck, Joachim Klimek, Andrea Klink, Thomas Klinke, Birte Koch, Thomas Kocher, Eva Köllensperger, Heike Maria Korbmacher-Steiner, Bernd Kordaß, Hannah Kottmann, Pablo Krämer-Fernandez, Gabriel Krastl, Birgit Krause, Till Kreutzer, Conrad Kühnöl, Stefanie Kurzschenkel, Thorsten Kuypers, Günter Lauer, Hans-Christoph Lauer, Elfi Laurisch, Tina Lawall, Karl Martin Lehmann, Silke Lehmann-Binder M.Sc., Dirk Leisenberg, Ulrike Lübbert, Michael Lüpke, Thomas Malik, Jutta Margraf-Stiksrud, Lorenz Meinel, Gudrun Mentel, Wibke Merten, Louisa Mewes, Johanna Isabel Moosmüller, Martin U. Müller, Wolfgang Müller, Nicole Nicklisch, Ina Nitschke, Michael J. Noack, Marina Nörr-Müller, Karina Obreja, Dietmar Oesterreich, Puria Parvini, Ingrid Peroz, Waldemar Petker, Oksana Petruchin, Andree Piwowarczyk, Peter Pospiech, Peter Proff, Sven Reich, Katharina Reichenmiller, Katharina Reinecke, Bernd Reiss, Svenja Rink, Christiane Rinnen, Jerome Rotgans, Didem Sahin, Sonja Sälzer, Petra Santander, Heidrun Schaaf, Jürgen Schäffer, Elisabeth Schiffner, Ulrich Schiffner, Markus Schlee, Maximiliane Amelie Schlenz, Peter Schmidt, Andrea-Maria Schmidt-Westhausen, Claas Ole Schmitt, Sigmar Schnutenhaus, Jörg Schröder, Gerd Schröter, Andreas Schulte, Philipp Schwaab, Frank Schwarz, Falk Schwendicke, Clemens Schwerin, Sinan Sen, Önder Solakoglu, Hansmartin Spatzier, Christian H. Splieth, Norbert Staab, Bernd Stadlinger, Sabine Steding, Marcus Stoetzer, Giorgio Tabanella, Gisela Tascher, Hendrik Terheyden, Valentina A. Tesky, Jan Tetsch, Juliane von Hoyningen-Huene, Maximilian Voß, Michael Walter, Alexander Welk, Dietmar Weng, Hans-Jürgen Wenz, Jens Westemeier, Lotta Westphal, Annette Wiegand, Karl Frederick Wilms, Michael M. Wolf, Diana Wolff, Anne Wolowski, Johann-Dietrich Wörner, Sylvia Wuttig, Mohamed Younis, Stefan Zimmer, Lisa Zumpe
Quintessenz Verlags-GmbH
This author's journal articles
International Poster Journal of Dentistry and Oral Medicine, 4/2019
Poster 2183, Language: English, GermanSchorr, Susanne / Christofzik, David / Dörfer, Christof E. / Engel, Anne Sophie / Kahl, Maren / Springer, Claudia / Sälzer, Sonja / Graetz, Christian
Objectives: Removal of subgingival hard deposits is a prerequisite for successful periodontitis therapy. This can be challenging and the advantages of a dental endoscope (PE) seem obvious, but they have not yet been investigated in detail. Moreover, the influence of the operators' experience and training with such a device on treatment results is unclear. Therefore, we investigated in an in-vitro study the use of PE for scaling and root planing (SRP), influenced by the operators' experience and training.
Material and Methods: A sonic device and mini-Gracey curettes were used by eleven operators (six dentists, five dental hygienists) in periodontitis manikin heads (28 maxillary/mandibular teeth with artificial subgingival hard deposits and a mean attachment loss of 5.86mm ±2.12mm SD). The time required for treatment and the proportion of simulated hard deposits removed by SRP were measured. Significant differences were tested with the Kolmogorov-Smirnov, Shapiro-Wilk, or Chi Square test, and possible associations with Pearson correlation and Spearman's rank correlation (all tests double sided; p≤0.05).
Results: Using PE led to a significant difference in the removal of simulated hard deposits [%] (mean±SD) irrespective of the operators' experience (PE: 90.78±12.10% [range: 58.80-100%]; nPE: 79.98±22.15% [range:38.10-100%]; p0.001)). Sub-analyses for different tooth types only demonstrated a significant difference in favour of PE for the front teeth (p0.001) and in the upper jaw independent of the tooth type (p0.001). The comparison of the treatment times with and without PE showed a significantly longer treatment time with PE (54.73±13.12min [range: 40-80min]) vs. nPE (33.00±11.33min [range: 20-53min] p0.001).
Conclusions: Within the present pilot study, the use of PE led to more removal of simulated hard deposits but concomitantly more time effort. PE may provide additional benefits for removal of hard deposits compared to traditional SRP; however, a higher effort (time/costs) and the requirement of intensive training are necessary.
Keywords: Scaling and root planing, non-surgical periodontal therapy, experimental design, subgingival hard deposits, periodontal endoscopy
Ein wesentliches Ziel der zahnärztlichen Therapie ist es, den lebenslangen Erhalt der natürlichen Zähne in einem gesunden, funktionell und ästhetisch akzeptablen, schmerzfreien Zustand zu ermöglichen. Dies scheint bei entsprechender parodontaler Entzündungsfreiheit möglich, allerdings gehört die Parodontitis zu den häufigsten chronischen Erkrankungen in Deutschland und kann unbehandelt zum Zahnverlust führen. Gerät die Ökologie der Mundhöhle in Unordnung und entgleist das ansonsten ausbalancierte Verhältnis von oralem Biofilm und Körperabwehr, kann sich aus einer reversiblen Gingivitis eine irreversible, also nicht rückgängig zu machende, Parodontitis mit Attachmentverlusten entwickeln. Die derzeit wirksamsten Therapie- und Präventionsstrategien setzen nach wie vor auf die mechanische Entfernung des oralen Biofilms und seiner mineralisierten Folgeerscheinungen1.
