Research Article
BibTex RIS Cite

Evaluating the Effects of Erythritol Air-Polishing Powder on Dental Hard Tissues

Year 2024, Volume: 5 Issue: 1, 1 - 11, 05.07.2024

Abstract

This study evaluated the changes in different dental tissue surfaces after applying erythritol air-polishing powder using scanning electron microscopy. Eight single-rooted human teeth extracted due to advanced periodontitis were included. The samples were randomly divided into one experimental group and one control group. The tested air-polishing powder was erythritol, with no powder application in the control group. Evaluations were conducted on scanning electron microscope images. Each sample was photographed at different magnifications from three areas on the tooth: the enamel, cementoenamel junction, and cementum. Hard and soft tissue debris, surface roughness, and polishing powder accumulation levels were evaluated using pre-defined indexes on each tissue surface. Significant differences were found between the experimental and control groups regarding powder accumulation on the cementoenamel junction and cementum surface. No significant difference between the experimental and control groups was found in surface roughness and hard/soft tissue debris level on the tooth surfaces. The results indicated that erythritol oral polishing powder used in periodontal prophylaxis has different effects on the tooth surface.

Ethical Statement

The study was conducted according to the guidelines of the Declaration of Helsinki and approved by the Istanbul University Faculty of Dentistry Scientific Ethics Committee (protocol no: 2022/30 Date: 15.06.2022).

Thanks

The chemical powder and powder spraying device used in the study were provided by the Durrdental Company.

References

  • 1. Berkstein S, Reiff RL, McKinney JF, Killoy WJ. Supragingival Root Surface Removal during Maintenance Procedures Utilizing an Air‐Powder Abrasive System or Hand Scaling. J Periodontol. 1987;58(5):327-330.
  • 2. Sculean A, Bastendorf KD, Becker C, Bush B, Einwag J, Lanoway C, et al. A paradigm shift in mechanical biofilm management? Subgingival air polishing: a new way to improve mechanical biofilm management in the dental practice. Quintessence Int. 2013;44(7):475-477.
  • 3. Atkinson DR, Cobb CM, Killoy WJ. The Effect of an Air‐Powder Abrasive System on in Vitro Root Surfaces . J Periodontol. 1984;55(1):13-18.
  • 4. Graumann SJ, Sensat ML, Stoltenberg JL. Air polishing: a review of current literature. Int.J. Dent. Hyg. 2013;87(4):173-180.
  • 5. Gutmann L, Everett M. Air polishing: a comprehensive review of the literature. Dent Hyg. 1998;72(3):47-56.
  • 6. Petersilka GJ. Subgingival air-polishing in the treatment of periodontal biofilm infections. Periodontol 2000. 2011;55(1):124-142.
  • 7. Petersilka G, Faggion CM, Stratmann U, Gerss J, Ehmke B, Haeberlein I, et al. Effect of glycine powder air-polishing on the gingiva. J Clin Periodontol. 2008;35(4):324–132. 8. Petersilka GJ, Steinmann D, Hä Berlein I, Heinecke A, Flemmig TF. Subgingival plaque removal in buccal and lingual sites using a novel low abrasive air-polishing powder. J Clin Periodontol. 2003;30(4):328-333.
  • 9. Petersilka GJ, Bell M, Häberlein I, Mehl A, Hickel R, Flemmig TF. In vitro evaluation of novel low abrasive air polishing powders. J Clin Periodontol. 2003;30(1):9-13.
  • 10. Munro IC, Bernt WO, Borzelleca JF, Flamm G, Lynch BS, Kennepohl E, et al. Erythritol: An interpretive summary of biochemical, metabolic, toxicological and clinical data. FCT. 1998;36(12):1139-1174.
  • 11. Abdulbaqi HR, Shaikh MS, Abdulkareem AA, Zafar MS, Gul SS, Sha AM. Efficacy of erythritol powder air-polishing in active and supportive periodontal therapy: A systematic review and meta-analysis.Int.J.Dent. Hyg. 2022;20(1):62-74. 12. Hägi TT, Klemensberger S, Bereiter R, Nietzsche S, Cosgarea R, Flury S, et al. A biofilm pocket model to evaluate different non-surgical periodontal treatment modalities in terms of biofilm removal and reformation, surface alterations and attachment of periodontal ligament fibroblasts. PLoS One.2015;10(6):e0131056.
  • 13. Petersilka G, Heckel R, Koch R, Ehmke B, Arweiler N. Evaluation of an ex vivo porcine model to investigate the effect of low abrasive airpolishing. Clin Oral Investig. 2018;22(7):2669-2673.
  • 14. Hägi TT, Hofmänner, Salvi GE, Ramseier CA, Sculean A. Clinical outcomes following subgingival application of a novel erythritol powder by means of air polishing in supportive periodontal therapy: A randomized, controlled clinical study. Quintessence Int (Berl). 2013;44(10):753-761. 15. Jentsch HFR, Flechsig C, Kette B, Eick S. Adjunctive air-polishing with erythritol in nonsurgical periodontal therapy: a randomized clinical trial. BMC Oral Health. 2020;20(1):364. 16. Ulvik IM, Sæthre T, Bunæs DF, Lie SA, Enersen M, Leknes KN. A 12-month randomized controlled trial evaluating erythritol air-polishing versus curette/ultrasonic debridement of mandibular furcations in supportive periodontal therapy. BMC Oral Health. 2021;21(1):38.
  • 17. Hägi TT, Hofmänner P, Eick S, Donnet M, Salvi GE, Sculean A, et al. The effects of erythritol air-polishing powder on microbiologic and clinical outcomes during supportive periodontal therapy: Six-month results of a randomized controlled clinical trial. Quintessence Int. 2015;46(1):31-41. 18. Müller N, Moëne R, Cancela JA, Mombelli A. Subgingival air-polishing with erythritol during periodontal maintenance: Randomized clinical trial of twelve months. J Clin Periodontol. 2014;41(9):883-890.
  • 19. Martins O, Costa A, Silva D. The efficacy of air polishing devices in supportive periodontal therapy: Clinical, microbiological and patient-centred outcomes. A systematic review. Int.J.Dent.Hyg. 2023;21(1):41-58.
  • 20. Aslan C, Cekici A. Kök yüzeyi düzleştirme işlemi sonrasında kök yüzeyinde oluşabilecek değişikliklerin taramalı elektron mikroskobunda incelenmesi.Uzmanlık Tezi, İstanbul: İstanbul Üniversitesi Diş Hekimliği Fakültesi, 2020:34.
  • 21. Camboni S, Donnet M. Tooth Surface Comparison after Air Polishing and Rubber Cup: A Scanning Electron Microscopy Study. J Clin Dent. 2016;27(1):13-18. 22. Balta-Uysal VM, Orhan K, Oguz EI, Guzeldemir-Akcakanat E. Analysing the effect of sodium bicarbonate and glycine air polishing on tooth surfaces with two different imaging methods. J Microsc. 2023;289(3):180-186.
  • 23. Herr ML, DeLong R, Li Y, Lunos SA, Stoltenberg JL. Use of a continual sweep motion to compare air polishing devices, powders and exposure time on unexposed root cementum. Odontology. 2017;105(3):311–319. 24. Pelka MA, Altmaier K, Petschelt A, Lohbauer U. The effect of air-polishing abrasives on wear of direct restoration materials and sealants. JADA. 2010;141(1):63–70.
  • 25. Savas S, Colgecen O, Yasa B, Kucukyilmaz E. Color stability, roughness, and water sorption/solubility of glass ionomer-Based restorative materials. Niger J Clin Pract. 2019;22(6):824-832.
  • 26. Christensen RP, Bangerter VW. Determination of Rpm, Time, and Load Used in Oral Prophylaxis Polishing in vivo. J Dent Res. 1984;63(12):1376-1382.
  • 27. Speirs RL. The nature of surface enamel in human teeth. Calcif Tissue Res. 1971;8(1):1-16.
  • 28. Shahmoradi M, Bertassoni LE, Elfallah H, Swain M. Advances in calcium phosphate biomaterials. 2 Edition. Berlin: Springer, 2014:511-547.
  • 29. Aydin B, Pamir T, Baltaci A, Orman MN, Turk T. Effect of storage solutions on microhardness of crown enamel and dentin. Eur J Dent. 2015;9(2):262–266. 30. Rolland SL, Carrick TE, Walls AW, McCabe JF. Dentin decontamination using chloramine T prior to experiments involving bacteria. Dental Materials. 2007;23(12):1468-1472.
  • 31. Kröger JC, Haribyan M, Nergiz I, Schmage P. Air polishing with erythritol powder – In vitro effects on dentin loss. J Indian Soc Periodontol. 2020;24(5):433-440.

Eritritol Tozunun Diş Sert Dokuları Üzerindeki Etkisinin Değerlendirilmesi

Year 2024, Volume: 5 Issue: 1, 1 - 11, 05.07.2024

Abstract

Bu çalışmanın amacı, toz püskürtme sistemlerinde kullanılan eritritol tozunun farklı diş dokuları üzerinde meydana getirdiği değişiklikleri taramalı elektron mikroskobu ile değerlendirmektir. Bu çalışmaya ileri periodontal doku kaybı nedeniyle çekilen 8 adet tek köklü insan dişi dahil edilmiştir. Örnekler rastgele bir deney grubu ve bir kontrol grubu olarak ikiye ayrılmıştır. Deney grubundaki örneklere eritritol tozu uygulanırken kontrol grubuna herhangi bir toz uygulaması yapılmamıştır. Değerlendirme taramalı elektron mikroskobundan elde edilen görüntüler üzerinde yapılmıştır. Her numunenin 3 farklı bölgesi (mine, mine-sement birleşimi ve sement) farklı büyütmelerde fotoğraflanmıştır. Sert ve yumuşak doku kalıntı düzeyi, yüzey pürüzlülüğü ve yüzeyde toz birikim düzeyi önceden tanımlanmış indeksler kullanılarak değerlendirilmiştir. Sement-mine birleşimi ve sement yüzeyindeki toz birikimi açısından deney grubu ile kontrol grubu arasında anlamlı farklılık bulunurken mine yüzeyinde anlamlı fark bulunamamıştır. Diş yüzeylerinde yüzey pürüzlülüğü ve sert ve yumuşak doku kalıntı düzeyi açısından deney grubu ile kontrol grubu arasında anlamlı bir fark bulunamamıştır. Sonuçlar eritritol tozunun diş yüzeyinde farklı etkilere sahip olduğunu göstermektedir.

References

  • 1. Berkstein S, Reiff RL, McKinney JF, Killoy WJ. Supragingival Root Surface Removal during Maintenance Procedures Utilizing an Air‐Powder Abrasive System or Hand Scaling. J Periodontol. 1987;58(5):327-330.
  • 2. Sculean A, Bastendorf KD, Becker C, Bush B, Einwag J, Lanoway C, et al. A paradigm shift in mechanical biofilm management? Subgingival air polishing: a new way to improve mechanical biofilm management in the dental practice. Quintessence Int. 2013;44(7):475-477.
  • 3. Atkinson DR, Cobb CM, Killoy WJ. The Effect of an Air‐Powder Abrasive System on in Vitro Root Surfaces . J Periodontol. 1984;55(1):13-18.
  • 4. Graumann SJ, Sensat ML, Stoltenberg JL. Air polishing: a review of current literature. Int.J. Dent. Hyg. 2013;87(4):173-180.
  • 5. Gutmann L, Everett M. Air polishing: a comprehensive review of the literature. Dent Hyg. 1998;72(3):47-56.
  • 6. Petersilka GJ. Subgingival air-polishing in the treatment of periodontal biofilm infections. Periodontol 2000. 2011;55(1):124-142.
  • 7. Petersilka G, Faggion CM, Stratmann U, Gerss J, Ehmke B, Haeberlein I, et al. Effect of glycine powder air-polishing on the gingiva. J Clin Periodontol. 2008;35(4):324–132. 8. Petersilka GJ, Steinmann D, Hä Berlein I, Heinecke A, Flemmig TF. Subgingival plaque removal in buccal and lingual sites using a novel low abrasive air-polishing powder. J Clin Periodontol. 2003;30(4):328-333.
  • 9. Petersilka GJ, Bell M, Häberlein I, Mehl A, Hickel R, Flemmig TF. In vitro evaluation of novel low abrasive air polishing powders. J Clin Periodontol. 2003;30(1):9-13.
  • 10. Munro IC, Bernt WO, Borzelleca JF, Flamm G, Lynch BS, Kennepohl E, et al. Erythritol: An interpretive summary of biochemical, metabolic, toxicological and clinical data. FCT. 1998;36(12):1139-1174.
  • 11. Abdulbaqi HR, Shaikh MS, Abdulkareem AA, Zafar MS, Gul SS, Sha AM. Efficacy of erythritol powder air-polishing in active and supportive periodontal therapy: A systematic review and meta-analysis.Int.J.Dent. Hyg. 2022;20(1):62-74. 12. Hägi TT, Klemensberger S, Bereiter R, Nietzsche S, Cosgarea R, Flury S, et al. A biofilm pocket model to evaluate different non-surgical periodontal treatment modalities in terms of biofilm removal and reformation, surface alterations and attachment of periodontal ligament fibroblasts. PLoS One.2015;10(6):e0131056.
  • 13. Petersilka G, Heckel R, Koch R, Ehmke B, Arweiler N. Evaluation of an ex vivo porcine model to investigate the effect of low abrasive airpolishing. Clin Oral Investig. 2018;22(7):2669-2673.
  • 14. Hägi TT, Hofmänner, Salvi GE, Ramseier CA, Sculean A. Clinical outcomes following subgingival application of a novel erythritol powder by means of air polishing in supportive periodontal therapy: A randomized, controlled clinical study. Quintessence Int (Berl). 2013;44(10):753-761. 15. Jentsch HFR, Flechsig C, Kette B, Eick S. Adjunctive air-polishing with erythritol in nonsurgical periodontal therapy: a randomized clinical trial. BMC Oral Health. 2020;20(1):364. 16. Ulvik IM, Sæthre T, Bunæs DF, Lie SA, Enersen M, Leknes KN. A 12-month randomized controlled trial evaluating erythritol air-polishing versus curette/ultrasonic debridement of mandibular furcations in supportive periodontal therapy. BMC Oral Health. 2021;21(1):38.
  • 17. Hägi TT, Hofmänner P, Eick S, Donnet M, Salvi GE, Sculean A, et al. The effects of erythritol air-polishing powder on microbiologic and clinical outcomes during supportive periodontal therapy: Six-month results of a randomized controlled clinical trial. Quintessence Int. 2015;46(1):31-41. 18. Müller N, Moëne R, Cancela JA, Mombelli A. Subgingival air-polishing with erythritol during periodontal maintenance: Randomized clinical trial of twelve months. J Clin Periodontol. 2014;41(9):883-890.
  • 19. Martins O, Costa A, Silva D. The efficacy of air polishing devices in supportive periodontal therapy: Clinical, microbiological and patient-centred outcomes. A systematic review. Int.J.Dent.Hyg. 2023;21(1):41-58.
  • 20. Aslan C, Cekici A. Kök yüzeyi düzleştirme işlemi sonrasında kök yüzeyinde oluşabilecek değişikliklerin taramalı elektron mikroskobunda incelenmesi.Uzmanlık Tezi, İstanbul: İstanbul Üniversitesi Diş Hekimliği Fakültesi, 2020:34.
  • 21. Camboni S, Donnet M. Tooth Surface Comparison after Air Polishing and Rubber Cup: A Scanning Electron Microscopy Study. J Clin Dent. 2016;27(1):13-18. 22. Balta-Uysal VM, Orhan K, Oguz EI, Guzeldemir-Akcakanat E. Analysing the effect of sodium bicarbonate and glycine air polishing on tooth surfaces with two different imaging methods. J Microsc. 2023;289(3):180-186.
  • 23. Herr ML, DeLong R, Li Y, Lunos SA, Stoltenberg JL. Use of a continual sweep motion to compare air polishing devices, powders and exposure time on unexposed root cementum. Odontology. 2017;105(3):311–319. 24. Pelka MA, Altmaier K, Petschelt A, Lohbauer U. The effect of air-polishing abrasives on wear of direct restoration materials and sealants. JADA. 2010;141(1):63–70.
  • 25. Savas S, Colgecen O, Yasa B, Kucukyilmaz E. Color stability, roughness, and water sorption/solubility of glass ionomer-Based restorative materials. Niger J Clin Pract. 2019;22(6):824-832.
  • 26. Christensen RP, Bangerter VW. Determination of Rpm, Time, and Load Used in Oral Prophylaxis Polishing in vivo. J Dent Res. 1984;63(12):1376-1382.
  • 27. Speirs RL. The nature of surface enamel in human teeth. Calcif Tissue Res. 1971;8(1):1-16.
  • 28. Shahmoradi M, Bertassoni LE, Elfallah H, Swain M. Advances in calcium phosphate biomaterials. 2 Edition. Berlin: Springer, 2014:511-547.
  • 29. Aydin B, Pamir T, Baltaci A, Orman MN, Turk T. Effect of storage solutions on microhardness of crown enamel and dentin. Eur J Dent. 2015;9(2):262–266. 30. Rolland SL, Carrick TE, Walls AW, McCabe JF. Dentin decontamination using chloramine T prior to experiments involving bacteria. Dental Materials. 2007;23(12):1468-1472.
  • 31. Kröger JC, Haribyan M, Nergiz I, Schmage P. Air polishing with erythritol powder – In vitro effects on dentin loss. J Indian Soc Periodontol. 2020;24(5):433-440.
There are 23 citations in total.

Details

Primary Language English
Subjects Periodontics
Journal Section Research Article
Authors

Ali Çekici 0000-0002-5243-0948

Sevda Yadipour

Publication Date July 5, 2024
Submission Date February 25, 2024
Acceptance Date March 20, 2024
Published in Issue Year 2024 Volume: 5 Issue: 1

Cite

APA Çekici, A., & Yadipour, S. (2024). Evaluating the Effects of Erythritol Air-Polishing Powder on Dental Hard Tissues. Van Diş Hekimliği Dergisi, 5(1), 1-11.