Subgingival calculus must be eliminated from the tooth surface in order to do subgingival scaling. This is known as root planing if it originates from the root cementum surface, as opposed to the enamel (crown). There are two types of subgingival curettage: closed and open. If it's open, a flap of some kind will have been added to enhance efficiency and vision.An inflammatory focus remains after insufficient clearance, and the illness process will proceed. If attachment loss persists, the pocket will get deeper yet.When hand instrumentation is used in conjunction with an ultrasonic scaler, the use of fine tips has shown to be significantly more effective for supragingival and subgingival scaling.
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