How is ultrasonic teeth cleaning done and how much does it cost?

Tartar not only disrupts the aesthetics of a smile, but leads to gum disease, bad breath, the development of dental caries and, in advanced cases, tooth loss.

Regular teeth cleaning using ultrasound removes hard plaque from the surface of the teeth and from shallow periodontal pockets (maximum up to 5 mm), the procedure is carried out using a special device - a dental scaler (scaler). The device can be built into a dental unit or stand-alone.

An ultrasonic scaler consists of a control unit and vibration generation unit, a handpiece, removable (replaceable) attachments and a control pedal. The device is equipped with a liquid supply system. During operation, the device creates ultrasonic vibrations with a frequency of 25-30 kHz, which are transmitted to the tip nozzle.

Physical principle of operation: an ultrasonic wave is transmitted from the tip to the scaler nozzle, which in turn transfers it to dental plaque. Under its influence, deposits are destroyed from the inside. To prevent damage to tooth enamel, the dentist moves the attachment strictly along the surface of the tooth. The simultaneous supply of water to the zone of ultrasound influence provokes the effect of cavitation, the formation of micro-bubbles in the volume, which accelerate the process of destruction of tartar. At the same time, water or a medicinal solution helps wash away dental plaque destroyed by ultrasound from the treatment area.

Benefits of ultrasonic teeth cleaning

The first devices for ultrasonic teeth cleaning, which appeared in the 60s of the last century, were somewhat imperfect, and after their use, damage to the enamel could occur. Therefore, plaque and tartar were often cleaned manually. Modern ultrasonic units are absolutely safe; they are used not only for removing tartar, but also for removing crowns, minimally invasive preparation of enamel areas affected by caries, and caring for dental implants.

The benefits of ultrasonic teeth cleaning include:

• Painless;
• Safe and complete removal of plaque in small periodontal pockets and on the surface of teeth;

• Impact exclusively on problem areas;
• The ability to regulate the strength of ultrasound;
• A variety of tips designed to work on different areas of the tooth surface;
• High hygiene of the procedure;
• Automatic adjustment of the system to the load;
• A quick and easy procedure that can be performed by a hygienist. Complex cases with deep periodontal pockets are not considered here;
• Affordable price.

Are there any risks?

Removing stone is a procedure that should become mandatory in the life of any person who cares about the health of their teeth. But if mandatory visits to the dental office are gradually becoming a habit for people, not much is known about stone removal.

Using a scaler is a safe procedure if the dentist knows how to use this device. The nozzle of the device constantly oscillates from top to bottom: to avoid damage to the enamel, it must be kept parallel to the tooth surface being treated.

If you have fillings, crowns or veneers, there are certain risks. A poorly placed filling can easily fall out under the influence of ultrasound; the same applies to low-quality cement used to fix crowns. You need to understand that it is poorly placed fillings that can fall out: if the filling of teeth was carried out in compliance with all standards, then ultrasound will not cause any harm.

The procedure for removing stones using ultrasound seems simple, but this is only an appearance. There may also be deposits under the gums, which require some effort to detect. Not every dentist will want to spend his time on this, since subgingival stones are not particularly visible to patients. However, it is these formations that pose the greatest danger, since they lead to the breakdown of tissue near the teeth, their loosening and subsequent loss. Subgingival deposits are largely to blame for the occurrence and development of inflammation in periodontal tissues.

Indications for use

Almost every adult needs ultrasonic teeth cleaning to prevent the formation of dental plaque, but there are categories that are recommended to perform the procedure first:

• Patients preparing for caries treatment and teeth whitening, installation of implants, braces, dentures;
• Patients after removal of braces;
• Patients with installed implants, crowns (special plastic attachments are used for cleaning);
• Patients diagnosed with gingivitis or periodontitis.

When should you not undergo ultrasonic whitening?

The described technique has a number of contraindications. This means:

• the presence of braces or fixed plates;

• severe heart pathologies;
• bronchial asthma;
• untreated bronchitis, acute respiratory viral infections, acute respiratory infections;
• tuberculosis;
• HIV;
• hepatitis.

It is not recommended for schoolchildren and teenagers to undergo professional dental hygiene. It is also undesirable to resort to it during pregnancy (especially in the first twelve obstetric weeks).

Contraindications

Like any medical procedure, ultrasonic teeth cleaning has its contraindications:

• Installed pacemaker;
• Acute inflammatory processes in the periodontium, osteomyelitis;
• Oncological neoplasms in the oral cavity;
• Erosion of soft and hard tissues of the oral cavity;
• Severe form of diabetes mellitus;
• Acute and chronic infectious diseases;
• Severe diseases of the cardiovascular system;
• Epilepsy;
• A history of retinal surgery (consultation with an ophthalmologist is required).

Dental surgeries performed using ultrasound

Ultrasound treatment of teeth involves not only cleaning them from accumulations of soft and hard plaque, treating the canals, but also removing them. This area relates to piezosurgery, which allows complex surgical procedures to be performed by using waves of a certain length.

In dental practice, it is actively used if bone grafting or maxillofacial surgery is indicated, it is necessary to remove the destroyed base. Piezosurgery is the best alternative to standard forceps, drills and elevators.

Ultrasonic tooth extraction is carried out using a special piezosurgical unit. She is educated:

• workstation;
• a vessel for water;
• tips of different shapes and lengths.

The latter are very thin and easily penetrate even the most inaccessible areas of the mouth.

Methodology

Assuming that the medical history has been collected and the patient has been given all the necessary explanations, ultrasonic teeth cleaning is carried out in the following sequence:

1. The patient sits in a chair, the doctor examines the oral cavity and determines the amount of work to be done. In case of increased tooth sensitivity, local anesthesia is performed, but usually the procedure is carried out without additional anesthesia;

2. The doctor installs a mouth opener - a special device that helps the patient hold his mouth open for a long time (the cleaning procedure lasts about 30 minutes on average). Thanks to the mouth retractor, the dentist gets full and unobstructed access to the surface of the teeth;

3. Dental plaque is removed with an ultrasonic scaler. The water that is supplied to the tooth surface during operation of the device, along with particles of tartar and saliva, is removed from the oral cavity using a saliva ejector. First, the visible part of the crowns is cleaned of soft deposits, then tartar along the gum border is removed, and finally, periodontal pockets are curetted;

4. Upon completion of the plaque removal procedure, the doctor polishes the surface of the teeth with a special polishing paste, this makes the enamel smooth and prevents plaque from re-attaching;

5. The next stage (performed if necessary) is the treatment of teeth with a fluoride-containing gel, which strengthens the enamel and restores its structure. The composition is also able to protect the enamel from external influences and reduce tooth sensitivity;

6. If there is inflammation on the gums, they are treated with anti-inflammatory drugs. The patient continues to care for his gums at home using products recommended by the dentist: this can be rinsing or treating the gums with gels and solutions purchased at the pharmacy.

How a tooth is removed during ultrasound treatment

In fact, this technique is not so different from the classical one. The main difference is that during the operation the doctor uses ultrasonic tips rather than standard dental instruments.

Conventionally, the whole process can be divided into a number of stages:

1. 
   Diagnostic measures. The doctor examines the patient's oral cavity and decides on surgery.

2. Submission of laboratory tests. It is necessary if a person has systemic diseases or increased body temperature.
3. Delete. First, anesthesia is administered. When the anesthetic takes effect, they immediately proceed to the operation. As a result of the treatment of hard tissues with a wave, the gums are exfoliated from the roots. This allows them to be removed with minimal invasiveness and little blood loss.
4. Processing the hole. Once the roots are removed, the surgical wound is washed with an antiseptic.

Healing with this method of tearing out occurs much faster, since ultrasonic exposure makes antiseptic and anti-inflammatory solutions more effective.

Comprehensive hygienic cleaning

For more effective cleaning of the dental surface, we recommend that our patients undergo comprehensive oral cleaning, which includes:

1. Ultrasonic cleaning of teeth from tartar;
2. Air Flow cleaning – removal of micro-roughness remaining on the enamel surface after removing tartar. Cleaning is carried out with a special abrasive mixture, which is supplied under high pressure. Also, with the help of Air Flow, pigment spots and “smoker’s plaque” are removed, the tooth surface becomes much lighter;

3. Polishing the enamel surface with paste;
4. Deep fluoridation of tooth enamel (if necessary).

If the patient, after comprehensive hygienic cleaning of the oral cavity, follows the rules for caring for the oral cavity, then he reduces the likelihood of re-formation of tartar, because prevents the hardening of soft dental deposits that inevitably accumulate on the surface of the teeth. Therefore, during the next preventive examination, teeth cleaning may be limited to using the Air Flow method to remove stained plaque.

For periodontal pockets deeper than 5 mm, it is recommended to undergo a procedure for removing hard deposits using a vector device.

Caring for your teeth after ultrasonic cleaning

After the procedure, especially if a lot of plaque has been removed, there is a slightly increased sensitivity of the teeth to temperature and chemical irritants, so for 24 hours after cleaning, patients are advised to refrain from eating excessively hot, cold, sour and salty foods. It is advisable to follow a “white diet” for a couple of days, as after teeth whitening, to exclude strongly coloring foods from the diet (red wine, coffee, black tea, beets, some bright fruits and juices from them) so that the cleaned enamel does not absorb food dyes, and on the contrary, enrich it with solid and fiber-containing products that will prevent the appearance of plaque and stones (fruits, vegetables, nuts, etc.).

If sensitivity is severe, it is recommended to replace your regular toothbrush with a soft-bristled brush for several days and purchase toothpaste that reduces sensitivity.

After each meal, you need to rinse your mouth with clean water - this rule must be observed not only after ultrasonic cleaning, but also constantly.

On the first day or two, it is also recommended to brush your teeth after every meal.

What results can be achieved

Upon completion of the necessary dental procedures, the patient may notice that:

• His teeth became much whiter and acquired an even, uniform color.

  
  The gray spots, which are an accumulation of pigment particles, disappeared without a trace.

• There are no deposits along the gums.
• The tooth surface became perfectly smooth and even, pleasant to the touch.
• The interdental spaces have cleared, so it may even seem that they have increased. In fact, there are simply no more stones in them.
• Bad breath no longer appears.

Often after ultrasonic teeth whitening, the dentist notices tiny cavities that were previously closed. Then he immediately treats them.

The most frequently asked questions from patients about the procedure

How painful is it?
(click to expand) Ultrasound teeth cleaning is a painless procedure, but it may be accompanied by minor discomfort in the presence of subgingival dental deposits - to remove them you need to slightly disturb the gums. Patients with increased sensitivity of the enamel may also complain of pain. In such cases, the doctor will perform cleaning with maximum comfort for the patient, using local anesthesia.

Is ultrasonic cleaning whitening? (click to expand) No, whitening is a completely different procedure, it is carried out using special whitening compounds that are applied to the tooth. A slight lightening of the enamel is due to the fact that after ultrasonic cleaning, the surface of the teeth is polished; sometimes the difference in color is clearly visible.

Is it true that plaque appears on teeth faster after ultrasonic cleaning? (click to expand) No, that's not true. On the contrary, after ultrasonic cleaning followed by polishing the enamel, plaque appears more slowly. Maintaining oral hygiene helps prevent its occurrence: responsible brushing of teeth at least 2 times a day, rinsing the mouth after meals, choosing the right toothpaste. Smoking, excessive consumption of tea and coffee, and metabolic disorders in the body contribute to the rapid appearance of plaque.

Can cleaning damage the enamel? (click to expand) If the procedure is carried out correctly, damage to tooth enamel is excluded. After cleaning, weak and thin enamel is additionally strengthened with remineralizing gels, the enamel is actively saturated with microelements, and it becomes stronger.

What should I do if I have an acute inflammatory process on my gums? (click to expand) Acute inflammation of the gums, accompanied by bleeding, in most cases is a contraindication to ultrasonic teeth cleaning until acute symptoms are relieved. We offer our patients tartar removal simultaneously with gum treatment using the Vector device. This is a specially designed ultrasonic scaler that is equipped with a unique Paro tip that creates special ultrasonic vibrations. The device allows for deeper treatment of periodontal pockets if the patient is diagnosed with periodontitis; Simultaneously with the removal of dental plaque, the enamel is polished with a special polishing liquid. After its use, supragingival and subgingival deposits, inflammation of soft tissues and bleeding are completely eliminated, bad breath disappears, and oral health is restored.

Is the procedure allowed during pregnancy? (click to expand) Ultrasonic teeth cleaning is not only allowed for pregnant women, but is also recommended for mandatory use. This is explained by the frequent occurrence of problems with teeth and gums in pregnant women due to hormonal changes and the need to sanitize the oral cavity before childbirth. The procedure is completely safe for the health of the expectant mother and her baby, but you still need to consult a gynecologist before performing it.

How often should you resort to ultrasonic teeth cleaning? (click to expand) We recommend that our patients have their teeth cleaned with ultrasound every 6-12 months; sometimes, if there is an increased tendency to form plaque, cleaning is done more often. The best solution is to carry out a comprehensive oral hygiene cleaning, which helps maintain oral health and fresh breath.

Ultrasonic teeth cleaning helps prevent the development of many dental diseases, so do not neglect this procedure.

In what cases should you use this type of cleaning?

The presence of tartar and complex plaque on the teeth is a contraindication for prosthetics. Therefore, before serious treatment, the dentist will definitely recommend undergoing an ultrasonic cleaning procedure. This helps prevent complications and speeds up the treatment of periodontal disease and caries. Cleaning the tooth cavity improves the quality of the filling procedure. Using ultrasonic cleaning, you can rinse periodontal pockets and clean the canals before treatment. This procedure reduces the risk of infection after tooth extraction.

Most patients learned about the effectiveness of ultrasonic cleaning in such cases. But those who care about oral health do it regularly. In many cases, ultrasonic cleaning is carried out in conjunction with other procedures, such as teeth whitening and polishing, fluoridation and protective film coating. Often after this, the dentist prescribes special treatment to relieve gum inflammation.

Cost of ultrasonic teeth cleaning

One of the first questions that patients are interested in is how much does ultrasonic teeth cleaning cost? This procedure is one of the most affordable in dentistry, its cost depends on the individual characteristics of the body, in particular, in some people, tartar is almost completely dissolved by saliva, in some people periodontal pockets do not form, or the opposite example, in the presence of severe curvature of the teeth, Hard plaque forms so heavily that it will take an hour or more to thoroughly remove it.

In our clinic, the cost of ultrasonic teeth cleaning is fixed and unchanged. For complex cases, our clear recommendation is to use the vector device.

Prices for ultrasonic teeth cleaning in Dental World dentistry.

Key rules and recommendations

To get a truly good result, most patients are strictly recommended to follow the following rules:

• the procedure must be carried out in a professional dental clinic and a specially equipped office;
• ultrasonic cleaning must be carried out by a qualified specialist using specialized equipment;
• During the day, the patient should stop drinking strong tea/coffee, as well as smoking;
• Periodic repetition of the procedure should be carried out at least once a year.