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Critique - Article Example

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The two methods are used to detect sub-gingival calculus in periodontal illness therapy. The article is written by four authors;…
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Article critique Due Introduction This article critique is about a research conducted to determine the difference in the effectiveness of endoscopic and tactile evaluation techniques. The two methods are used to detect sub-gingival calculus in periodontal illness therapy. The article is written by four authors; Osborn, Lenton, Lunos, and Blue with a medicine background. The article is purposed for medical professionals in a clinical setting. The article states that a philosophical want, to eliminate calculus, has been limited by periodontal pocket depth. The traditional method of tactile evaluation is unable to solve the problem. The aim of this article is to highlight how the endoscopic method can help in identification and treatment of sub-gingival calculus. Although the endoscopic technique is viewed as an efficient device in periodontal disease, it has some shortcomings that cannot be ignored. For example, the results of Michaud et al. showed that the endoscope does not give any benefit in root planning and scaling procedures in tooth rootedness (Osborn et al., 2014).
Summary
The technology of periodontal endoscopic has provided a solution to various problems associated with ordinary detection of calculus, and gives an option in the clinical setting. The technology enables the sub-gingival video image to be exhibited on a proximate detector. As stated by Osborn et al. (2014), the image can be magnified 24x to 48x their real size, relying on the position of the lens and the object under observation (p.230). The article demonstrates how the device can be used for a clear view of sub-gingival calculus. The research was a clinical experiment. It was conducted to compare results of periodontal with and without the help of periscope in patients with periodontitis sites. The statistics were analyzed in a descriptive way of standard and mean deviation. The results were scrutinized to permit differentiation of 11-12 ODU explorer calculus and periscope. The level of calculus was examined utilizing the Endoscopic Calculus Index that was developed by Checchi et al. (p.231). In order to preserve the similarity in calculus indices, the tactile calculus detection using 11-12ODU explorer, employed a revised version of the index. The patients were given two appointments; six and eight-week re-evaluation sessions. The findings proved that the periscope detected many sites that could not be revealed by the explorer. The results of endoscopic revealed a decrease in surface area of the calculus compared to tactile explorer alone. Moreover, the endoscope made it easier to get rid of calculus in a deep pocket zones. According to the article, the authors came up with a theory that viewing problematic regions of sub-gingival calculus is one element of elimination (Osborn et al., 2014).
Critique
The article reveals that the use of endoscopic had some shortcomings. Despite the use of periscope, there were remaining areas of residual calculus during the second re-evaluation visits. Nevertheless, there was a continuous minimization of the calculus level that did not reduce completely in the subject group. These results are because there are different standards of coloration when utilizing an endoscope. In addition, bleeding, tissue inflammation and plaque can limit the visibility of sub-gingival. For instance, in the research, the calculus was discovered in estimated 5% of the total number of periscope using the explorer and not with the periscope. Moreover, the degree of sub-gingival plaque contributed to the difficulty in recognition of calculus (Osborn et al., 2014).
On the other hand, the use of endoscopic was helpful in identification of sub-gingival calculus. According to the article, the periscope exposed more calculus than the explorer. In the deep and shallow pockets, the periscope permitted high standards of calculus than the explorer (Osborn et al., 2014). In addition, the periscope made it easy to discover calculus on multi-rooted teeth and buccal/ lingual vs. proximal exterior, compared to the explorer.
Conclusion
In my opinion, the use of endoscopic helps a great deal in revelation of sub-gingival calculus. However, it is recommended that both the tactile evaluation and endoscopic be integrated for better outcomes in periodontal care. In a questionable event, the dental practice team may need to use computed tomography or images for clarifications.
 Reference
Osborn, J. B., Lenton, P. A., Lunos, S. A., & Blue, C. M. (2014). Endoscopic vs. Tactile
Evaluation of Subgingival Calculus. American Dental Hygienists Association, 88(4), 229-236. Read More
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