Periodontal debridement includes all of the following except removal of:

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Removal of cementum or surface dentin that is rough or impregnated with calculus is the definition of root planing as a definitive procedure in itself; root planing does not preserve as much tooth surface as periodontal debridement. Removal of clinically detectable plaque retentive factors is part of periodontal debridement and is necessary to meet the purposes of NSPT. These factors include calculus, overhanging restorations, and cement adjacent to implants. Detectable calculus or embedded cementum is removed to the extent that the therapeutic endpoint of debridement is reached. This endpoint can only be established through reevaluation. Removal of subgingival plaque and its byproducts is a component of periodontal debridement to help achieve the therapeutic endpoint of NSPT. Plaque biofilm remains the main etiologic factor in most periodontal diseases. Periodontal debridement is also the treatment for inflammation adjacent to implants, just as it is with natural teeth. Inflammation is bacteria induced from plaque biofilm, calculus, or residual cement adherence to the implant.

Periodontal Debridement Includes All of the Following Except Removal Of