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Aims: To compare hand versus ultrasonic scaling and root planning (SRP) on the clinical parameters of periodontal disease and to assess left over calculus by open ap approach. Methods And Material: The study sample consisted of random selection of 30 patients with the evidence of chronic inammatory periodontal disease. Two groups were made in each patient by split mouth design. Pre treatment measurements recorded were plaque index (PI) , calculus index(CI) and probing pocket depth(PPD). Post treatment measurements recorded were PI , PPD and left over calculus after ap elevation Results: In hand instrumentation group (HIG),, mean percentage of plaque score was slightly lesser as compared to ultrasonic but not signicant.. Overall mean reduction in PPD after instrumentation in HIG was greater as compared to ultrasonic, but it was not statistically signicant (p>0.05). The percentage efciency in removal of calculus of HIG was greater compared to ultrasonic but it was also not statistically signicant (p>0.05). There was no signicant difference between HIG and ultrasonic for number of sites with residual calculus and moreover no. of sites increased apically. Conclusions: There was signicant post-treatment change in the clinical parameters taken in the present clinical study in both HIG & UIG and also slightly more favourable with HIG but not statistically signicant.

COMPARATIVE ANALYSIS BETWEEN ULTRASONIC TIPS AND HAND INSTRUMENTS ON THE CLINICAL PARAMETERS OF PERIODONTAL DISEASE.