Patients are generally unaware of how inflamed their gingivae are adjacent to such calculus deposits. After removal of the calculus and planing of their root surfaces the patient experience dentin sensitivity. Dentin sensitivity often follows cavity or crown preparation and insertion of restorations, but disappears over time. Bonding techniques have been suggested for restoration of teeth with erosion and abrasion. Considerable attention must be given to the debridement of tooth and root surfaces with patients experiencing dentin sensitivity.
Recent studies support the treatment modality of ultrasonic instrumentation.
With the use of modified insert design and manual tune equipment much less root structure is removed with this technique. With experienced clinicians, features unique to ultrasonic scaling can be employed to create less root damage, remove more plaque and calculus, and come closer to reaching the apical extent of periodontal pockets than other traditional methods being used. Patients are more willing to comply with a regular recall schedule when they have a pleasant comfortable experience during and after their dental appointment.