He later compared the jolt of pain to that of “having a root canal without anesthesia 😉” The tissues on the floor of his mouth began to bleed, his right buccal mucosa instantly “swelled up like a balloon,” and he had felt a crackling sensation in his right cheek and his right ear 😎 He had lost sensation in the right temporomandibular joint, the entire right side of the floor of his mouth and the base of his tongue. Joe suffered from swelling in his submandibular lymph vessels. He also experienced a change in his voice and hearing.
Literally, every dog and man has plaque biofilm. This is an accumulation of bacteria, polysaccharides, and glycoproteins that adheres to the tooth restoration and surfaces. The bacteria in this mixture is responsible for the development of disease-inducing substances, which can lead to tooth decay and gum disease. The plaque that remains after brushing can harden on the surfaces and beneath the gum line. This is called calculus. For a long time, it had was thought that this calculus needed to be removed in its entirety to treat gum disease effectively and this was achieved by cleaning on and underneath the gum line with hand instruments and ultrasonic scalers – a procedure which many patients found to be very uncomfortable. Our understanding and knowledge has improved to the point that the only thing necessary for the effective treatment of gum disease is the elimination of bacteria-laden biofilm. Air polishing perfectly fits into the modern dental practice. The power of air polishing can remove this biofilm without the use of traditional scaling.
Supragingival air polishing paste is sodium bicarbonate. The traditional supragingival powder for air polishing is sodium bicarbonate. It is both nontoxic and easily dissolved in water, making it suitable for intraoral use.2 However, aluminum trihydroxide, which is also not water-soluble, may be used. Here are the contraindications of sodium bicarbonate aeropolishing powder. There are many advantages to using sodium bicarbonate air polishing powder. These include the safe, efficient removal of any extrinsic plaque or stains from intact enamel surfaces. Research also shows that sodium bicarbonate air polishing is approximately one-third less time consuming when compared with hand instrumentation and rubber cup polishing.2–10 Disadvantages include salty taste, large particle size, aerosol production, unpleasant stinging sensation, potential for soft tissue trauma, and contraindicated for use on root surfaces, demineralized surfaces, and restorative materials. In addition, sodium bicarbonate air polishing can lead to erosion or dulling effects of filling materials.2,3,11–15 (emended by Tashiba Call on March 13, 2021)
In a 2015 paper published in The Journal of Indian Society of Periodontology, it was revealed that air polishing may cause Some trauma to the gingivae, some loss of cementum and exposed dentin. Air polishers are safe and can be used correctly. Researchers do state that some irritation—gingival bleeding and a salty taste—persists immediately after treatment, but it should reduce within a week or two. You can adjust water flow to reduce excessive abrasive force and increase distance between polisher and tooth if there is concern about trauma or irritation. Melissa Chavez (Czech Republic, Prague) edited this article on April 21st 2020.
Karla Anaya: jdh.adha.orgHowever, the idea of selective polishing in 1980s introduced the notion of routine tooth polishing. This allows the tooth to be cleaned of plaque and stains. It also provides an opportunity for various medicines, including desensitizing agents, to be applied. The traditional methods of polishing, such as. A rubber–cup with prophylaxis paste, has been shown to remove the fluoride–rich outer layer of the enamel and cause significant loss of cementum and dentin over time. Dental hygiene professionals should be familiar with modern methods of polishing teeth, including air polishing. There is increasing evidence supporting alternative methods. This review will provide an overview of the latest advances in air polishing. The effect of air–powder polishing on hard and soft tissues, restorative materials, sealants, orthodontic appliances and implants, as well as health risks and contraindications to air polishing are discussed. CINAHL and Ovid Medline were used for a comprehensive computer-based search. PubMed was also utilized. Wilson Interlibrary provided access to articles not found on these websites. We are grateful to Brigit Linton and her team for providing the most up-to-date insights.