Root conditioning

1. ROOT CONDITIONING/ROOT
BIOMODIFICATION

2. • PERIODONTAL DISEASE main etiology BACTERIAL PLAQUE-gram
negative bacteria
• Pocket –soft tissue wall and hard tissue wall
• Hard tissue –root surface (cementum) –gram negative bacteria

8. • SCALING AND ROOT PLANING ALONE IS NOT
ADEQUATE TO REMOVE ENDOTOXINS FROM PERIODONTALLY
AFFECTED ROOT SURFACE ……. ROOT CONDITIONING

9. • SO….ROOT CONDITIONING IS DONE AS AN ADJUNCT
TO MECHANICAL DEBRIDEMENT

10. •FOLLOWING MECHANICAL
DEBRIDEMNT –SMEAR LAYER IS
FORMED… PHYSICAL BARRIER…

12. These are called root conditioning agents

14. CITRIC ACID
• Studies by Urist

17. TETRACYCLINE HCL

22. EDTA

24. FIBRONECTIN

26. ENAMEL MATRIX PROTEIN