Assessment of Patients’ Dental Scaling Experience and Their Comparative Perception of The Effectiveness of Manual and Ultrasonic Scaling.
Keywords:
Dental, Scaling, Manual, Ultrasonic, Experience, PerceptionAbstract
Introduction: The prevalence of Periodontal diseases is a global epidemic, and several preventive and therapeutic procedures are carried out to curb it. Manual and ultrasonic scaling of teeth to remove supragingival deposits is one of the most executed procedures worldwide, but this is not without some unpleasant experience for the patients.
Objective: This study is to investigate patients' experience during the dental scaling procedure and to determine their perception of effectiveness between manual and ultrasonic scaling methods.
Methodology: The study involved 124 patients who presented at the Periodontology Department of the Dental Centre at the Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos. Data was collected with a self-administered questionnaire to obtain the sociodemographic parameters. The patients' experience, with both manual and ultrasonic scaling, was assessed, and their preference and recommendation for either was recorded with the questionnaire.
Data analysis was carried out using SPSS version 24. For descriptive variables that are continuous, the mean and measures of variability were determined. Simple frequency and percentages were determined for categorical variables. Bivariate analysis was done using a Pearson's chi-square or Fisher's exact as appropriate for the independent variables and the variables which assess the patients' perception of effectiveness for manual or ultrasonic scaling. Statistical significance was determined at p≤ 0.05.
Results The mean age of the subjects is 40.1 ± 16.5 years, with an age range of 14 to 78 years. The mean oral hygiene score was 1.96±0.82. The majority of the subjects were in the 20-29 years age group. The professionals were the most, 48(38.7%), followed by the skilled workers, 36(29%). Ten (8.1%) reported that manual is more effective compared to 114(91.9%) who reported that ultrasonic scaling is more effective. The preference for ultrasonic scaling was consistent and profound in all the determinant parameters assessed, although only the occupation of the subjects was significant (p = 0.02).
Conclusion: It is evident from this study that most of the patients prefer ultrasonic scaling to manual. This emphasises pre-scaling counselling and motivation of the patients while also spelling out the possible unpleasant experience that may accompany the procedure. The provision of ultrasonic scalers by the health authorities will also benefit most dental patients who prefer their use.
References
Tanwar J, Hungund SA, Dodani K. Nonsurgical periodontal therapy: A review. J Oral Res Rev (2016) 8:39-44.
Hashim N.T, Babiker R, Padmanabhan V, Ahmed A.T, Chaitanya N.C, Mohammed R, et al. The Global Burden of Periodontal Disease: A Narrative Review on Unveiling Socioeconomic and Health Challenges. Int. J. Environ. Res. Public Health (2025), 22, 624. Error! Hyperlink reference not valid.
Dubey P, Mittal N. Periodontal diseases- A brief review. Int J Oral Health Dent (2020) ;6
Martínez-García M and Hernández-Lemus E Periodontal Inflammation and Systemic Diseases: An Overview. Front. Physiol.(2021) 12:709438. doi: 10.3389/fphys.2021.709438
Aizenbud I, Wilensky A. Almoznino G. Periodontal Disease and Its Association with Metabolic Syndrome—A Comprehensive Review. Int. J. Mol. Sci. (2023) 24, 13011. Error! Hyperlink reference not valid. ijms241613011
Sedghi LM, Bacino M and Kapila Y. Periodontal Disease: The Good, The Bad, and The Unknown. Front. Cell. Infect. Microbiol. (2021) 11:766944. doi: 10.3389/fcimb.2021.766944(3):177-187
Abdulkareem A. A, Al-Taweel F. B, Al-Sharqi A. J. B, Gul S. S, Sha A, & Chapple, I. L. C. Current concepts in the pathogenesis of periodontitis: from symbiosis to dysbiosis. Journal of Oral Microbiology, (2023) 15(1). Error! Hyperlink reference not valid.
Schwarz F, Derks J, Monje A, Wang HL. Peri-implantitis. J Periodontol. 2018 Jun;89 Suppl 1:S267-S290. doi: 10.1002/JPER.16-0350. PMID: 29926957.
Haque M.M, Yerex K, Kelekis-Cholakis A. et al. Advances in novel therapeutic approaches for periodontal diseases. BMC Oral Health 22, 492 (2022). Error! Hyperlink reference not valid.
Clarkson J, Ramsay C, Lamont T, Goulao B, Worthington H, Heasman P, et al. Examining the impact of oral hygiene advice and/or scale and polish on periodontal disease: the IQuaD cluster factorial randomised controlled trial. British Dental Journal, (2021) 230(4), 229-235. Error! Hyperlink reference not valid.
Chatterjee A , Baiju CS, Bose S , Shetty SS. Clinical Uses and Benefits of Ultrasonic Scalers as Compared to Curets: A Review. J Oral Health Comm Dent, (2013) 7(2)108-113
Croft LK, Nunn ME, Crawford LC, Holbrook TE, McGuire MK, Kerger MM, Zacek GA. Patient preference for ultrasonic or hand instruments in periodontal maintenance. Int J Periodontics Restorative Dent. (2003) 23(6):567-73. PMID: 14703760.
Oza RR, Sharma V, Multani P, Balsara K, Bajaj P, Dhadse P. Comparing the Effectiveness of Ultrasonic Instruments Over Manual Instruments for Scaling and Root Planing in Patients With Chronic Periodontitis: A Systematic Review and Meta-Analysis. Cureus. (2022) 13;14(11):e31463. doi: 10.7759/cureus.31463. PMID: 36532917; PMCID: PMC9750238.
Sorunke M, Olagundoye O, Awotile A, Adenuga-Taiwo. Determinants Of Pain Experienced During Scaling Of Teeth By Patients Attending The Dental Clinic Of The Lagos State University College Of Medicine Ikeja, Lagos Nigeria. International Journal Dental and Medical Sciences Research, (2024) 6(3), 357-365 D:IJMSDH JOURNALIJMSDH JOURNAL DATA 20252025 DATAPUBLISHED ARTICLEISSUE 11GALLEYwww.ijdmsrjournal.com ISSN: 2582-6018 DOI: 10.35629/6018-0603357365
Samad A, Ullah S, Zulkaif,Z. Perception of Patients Regarding Dental Scaling Reporting to Periodontology Department of Khyber College of Dentistry: A Descriptive Cross-Sectional Study. JRehmanCollDent (2023) 4(2):6-9.
Muhammad N, Nadia I and Tazeen Z. Knowledge, Attitude & Perception of Patients about Manual VS Ultrasonic Scaling and its Polishing Treatment. Medical Forum Monthly, (2024) 31(8). Error! Hyperlink reference not valid.
Jack L. Stewart, Richard R. Drisko, A. Dayton H. Comparison of ultrasonic and hand instruments for the removal of calculus. The Journal of the American Dental Association, (1967) 75, 1, 153 - 157
Ensieh B, Maryam H. Dentin hypersensitivity after manual and ultrasonic scaling. Journal of Current Oncology and Medical Sciences. (2021) 1(2), 119-123.
Error! Hyperlink reference not valid.. Patients’ Complaints after Scaling and the Self-evaluation of Hand Instrumentation for Scales by Dental Hygienists. Error! Hyperlink reference not valid.4(4)DOI:Error! Hyperlink reference not valid..
Engstrom HR, Laurin K, Kay NR, Human LJ. Socioeconomic Status and Meta-Perceptions: How Markers of Culture and Rank Predict Beliefs About How Others See Us. Pers Soc Psychol Bull. (2024) 50(9):1386-1407. doi: 10.1177/01461672231171435. Epub 2023 May 22. PMID: 37212389; PMCID: PMC11318217.
Tuczyńska M, Staszewski R, Matthews-Kozanecka M, Baum E. Impact of Socioeconomic Status on the Perception of Accessibility to and Quality of Healthcare Services during the COVID-19 Pandemic among Poles—Pilot Study. Int. J. Environ. Res. Public Health (2022) 19, 5734. Error! Hyperlink reference not valid.
