Syntette

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The syntette combines the benefits of a universal curette and a Gracey curette in one. It is a dental instrument used by dentists and dental hygienists to remove calculus subgingivally on the mesial and distal surfaces on all teeth throughout the mouth.

The syntette is held parallel to the tooth and pushed under the gingiva, rotated slightly and moved upwards in a ‘pull’ stroke (vertical movement). Care must be taken not to get it stuck between the contact points of the teeth. The correct seating positions must be used, which position depends on where in the mouth you are working. Fulcrums (resting one finger on an adjacent tooth for stability) must always be used, preferably with the shank resting on the fulcrum finger.

The syntette has two elliptical cutting edges and a rounded toe. Double ended – one end for buccal/labial surfaces, the other for palatal/lingual surfaces.

The syntette was created by Leif Ericsson, Västervik Hospital, Västervik, Sweden in the 1980s. Leif Ericsson himself describes the inventing process and naming of the instrument as follows:

"Special finishing curettes Gracey 11/12 and 13/14 had been on the market since many years. Two popular instruments which, however, demanded switching instrument in the same interproximal space: Gracey 11/12 for mesial surfaces and Gracey 13/14 for distal surfaces. A simple thought – combine the instruments! A synthesis of two curettes – a Syntette." [1] [2]

The Syntette has been featured in several peer reviewed articles. [3] [4] [5] [6] [7]

In addition to the original Syntette, a similar design was introduced under the brand names Scandette and Double Gracey.

Related Research Articles

<span class="mw-page-title-main">Periodontal disease</span> Medical condition

Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. In its early stage, called gingivitis, the gums become swollen and red and may bleed. It is considered the main cause of tooth loss for adults worldwide. In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost, and the teeth may loosen or fall out. Bad breath may also occur.

<span class="mw-page-title-main">Calculus (dental)</span> Form of hardened dental plaque

In dentistry, calculus or tartar is a form of hardened dental plaque. It is caused by precipitation of minerals from saliva and gingival crevicular fluid (GCF) in plaque on the teeth. This process of precipitation kills the bacterial cells within dental plaque, but the rough and hardened surface that is formed provides an ideal surface for further plaque formation. This leads to calculus buildup, which compromises the health of the gingiva (gums). Calculus can form both along the gumline, where it is referred to as supragingival, and within the narrow sulcus that exists between the teeth and the gingiva, where it is referred to as subgingival.

<span class="mw-page-title-main">Root canal</span> Hollow part of the root of a tooth

A root canal is the naturally occurring anatomic space within the root of a tooth. It consists of the pulp chamber, the main canal(s), and more intricate anatomical branches that may connect the root canals to each other or to the surface of the root.

<span class="mw-page-title-main">Cementoenamel junction</span>

Cementoenamel junction (CEJ) is defined as the area of the union of cementum and enamel at the cervical region of the tooth. It is a slightly visible anatomical border identified on a tooth. It is the location where the enamel, which covers the anatomical crown of a tooth, and the cementum, which covers the anatomical root of a tooth, meet. Informally it is known as the neck of the tooth. The border created by these two dental tissues has much significance as it is usually the location where the gingiva attaches to a healthy tooth by fibers called the gingival fibers.

Periodontology or periodontics is the specialty of dentistry that studies supporting structures of teeth, as well as diseases and conditions that affect them. The supporting tissues are known as the periodontium, which includes the gingiva (gums), alveolar bone, cementum, and the periodontal ligament. A periodontist is a dentist that specializes in the prevention, diagnosis and treatment of periodontal disease and in the placement of dental implants.

<span class="mw-page-title-main">Oral irrigator</span> Dental care device

An oral irrigator is a home dental care device which uses a stream of high-pressure pulsating water intended to remove dental plaque and food debris between teeth and below the gum line. Regular use of an oral irrigator is believed to improve gingival health. The devices may also provide easier cleaning for braces and dental implants. However, more research is needed to confirm plaque biofilm removal and effectiveness when used by patients with special oral or systemic health needs.

<span class="mw-page-title-main">Mandibular first molar</span>

The mandibular first molar or six-year molar is the tooth located distally from both the mandibular second premolars of the mouth but mesial from both mandibular second molars. It is located on the mandibular (lower) arch of the mouth, and generally opposes the maxillary (upper) first molars and the maxillary 2nd premolar in normal class I occlusion. The function of this molar is similar to that of all molars in regard to grinding being the principal action during mastication, commonly known as chewing. There are usually five well-developed cusps on mandibular first molars: two on the buccal, two lingual, and one distal. The shape of the developmental and supplementary grooves, on the occlusal surface, are described as being M-shaped. There are great differences between the deciduous (baby) mandibular molars and those of the permanent mandibular molars, even though their function are similar. The permanent mandibular molars are not considered to have any teeth that precede it. Despite being named molars, the deciduous molars are followed by permanent premolars.

<span class="mw-page-title-main">Veterinary dentistry</span> Branch of veterinary medicine

Veterinary dentistry is the field of dentistry applied to the care of animals. It is the art and science of prevention, diagnosis, and treatment of conditions, diseases, and disorders of the oral cavity, the maxillofacial region, and its associated structures as it relates to animals.

This is a list of definitions of commonly used terms of location and direction in dentistry. This set of terms provides orientation within the oral cavity, much as anatomical terms of location provide orientation throughout the body.

Gingivectomy is a dental procedure in which a dentist or oral surgeon cuts away part of the gums in the mouth.

The periodontal curette is a type of hand-activated instrument used in dentistry and dental hygiene for the purpose of scaling and root planing. The periodontal curette is considered a treatment instrument and is classified into two main categories: universal curettes and Gracey curettes. Periodontal curettes have one face, one or two cutting edges and a rounded back and rounded toe. They are typically the instrument of choice for subgingival calculus removal.

<span class="mw-page-title-main">Periodontal scaler</span> Dental tool

Periodontal scalers are dental instruments used in the prophylactic and periodontal care of teeth, including scaling and root planing. The working ends come in a variety of shapes and sizes, but they are always narrow at the tip, so as to allow for access to narrow embrasure spaces between teeth. They differ from periodontal curettes, which possess a blunt tip.

<span class="mw-page-title-main">Gingivitis</span> Inflammation of the gums

Gingivitis is a non-destructive disease that causes inflammation of the gums; ulitis is an alternative term. The most common form of gingivitis, and the most common form of periodontal disease overall, is in response to bacterial biofilms that are attached to tooth surfaces, termed plaque-induced gingivitis. Most forms of gingivitis are plaque-induced.

<span class="mw-page-title-main">Debridement (dental)</span> Removal of plaque and calculus from teeth

In dentistry, debridement refers to the removal by dental cleaning of accumulations of plaque and calculus (tartar) in order to maintain dental health. Debridement may be performed using ultrasonic instruments, which fracture the calculus, thereby facilitating its removal, as well as hand tools, including periodontal scaler and curettes, or through the use of chemicals such as hydrogen peroxide.

Height of curvature in the tooth can be defined as the line encircling a tooth at its greatest bulge to a selected path of insertion. The height of curvature is the same as the height of contour.

Chronic periodontitis is one of the seven categories of periodontitis as defined by the American Academy of Periodontology 1999 classification system. Chronic periodontitis is a common disease of the oral cavity consisting of chronic inflammation of the periodontal tissues that is caused by the accumulation of profuse amounts of dental plaque. Periodontitis initially begins as gingivitis and can progress onto chronic and subsequent aggressive periodontitis according to the 1999 classification.

Aggressive periodontitis describes a type of periodontal disease and includes two of the seven classifications of periodontitis as defined by the 1999 classification system:

  1. Localized aggressive periodontitis (LAP)
  2. Generalized aggressive periodontitis (GAP)
<span class="mw-page-title-main">Peri-implantitis</span> Inflammatory disease

Peri-implantitis is a destructive inflammatory process affecting the soft and hard tissues surrounding dental implants. The soft tissues become inflamed whereas the alveolar bone, which surrounds the implant for the purposes of retention, is lost over time.

<span class="mw-page-title-main">Tooth mobility</span> Medical condition

Tooth mobility is the horizontal or vertical displacement of a tooth beyond its normal physiological boundaries around the gingival area, i.e. the medical term for a loose tooth.

References

  1. "Syntette™". LM-Dental. Retrieved 2024-02-05.
  2. "LM Dual Gracey™ curettes". LM-Dental. Retrieved 2024-02-05.
  3. Preus, Hans R.; Dahlen, Gunnar; Gjermo, Per; Baelum, Vibeke (July 2015). "Microbiologic Observations After Four Treatment Strategies Among Patients With Periodontitis Maintaining a High Standard of Oral Hygiene: Secondary Analysis of a Randomized Controlled Clinical Trial". Journal of Periodontology. 86 (7): 856–865. doi:10.1902/jop.2015.140620. ISSN   0022-3492. PMID   25762359.
  4. Larsen, Patryk Daniel (2013-05-26). Pig model vs sheep model in undergraduate periodontal surgical training (Master thesis thesis). Universitetet i Tromsø.
  5. Kuit, Coen (2013-09-01). "De zeroflap". Tandartspraktijk (in Dutch). 34 (9): 4–11. doi:10.1007/s12496-013-0099-9. ISSN   1875-6808. S2CID   255572965.
  6. みゆき, 宇井 (2023). "ラポール確立の重要性を再認識した広汎型慢性歯周炎Stage IV Grade Cの一症例". 日本歯周病学会会誌. 65 (2): 58–68. doi:10.2329/perio.65.58.
  7. Esberg, Anders; Isehed, Catrine; Holmlund, Anders; Lindquist, Susanne; Lundberg, Pernilla (December 2021). "Serum proteins associated with periodontitis relapse post-surgery: A pilot study". Journal of Periodontology. 92 (12): 1805–1814. doi:10.1002/JPER.21-0089. ISSN   0022-3492. PMID   33813739.