A specialized dental bur designed to easily enter the periodontal pocket to perform root planing and curettage without the need for incisions has a cutting head attached to a shank. The cutting head has a combined structure of a narrow, hemispherical tip, cylindrical portion of larger diameter and a transition portion having a curved surface between them. Color coding or marking enables bur segregation and enables depth determination. The bur can be used for abrading tooth root, gingiva, and bone structures without gingival incisions.
1. An improved dental bur of the type having a cylindrical shank of a selected diameter and a cutting head attached to the shank wherein the cutting head comprises:
a cylindrical portion extending from the shank, and having a first diameter;
a hemispherical tip at a distal end of the cutting head, the tip having a tip diameter of from 0.25 mm to 0.75 mm, the tip diameter being less than the first diameter; and
a transition portion connecting the tip to the cylindrical portion, the transition portion having a diameter at an end attached to the cylindrical portion which is equal to the first diameter and having as second diameter at an opposite end which is equal to the tip diameter wherein a line along an outer surface of the transition portion from the cylindrical portion to the hemispherical tip forms an arc.
2. The improved dental bur of claim 1 wherein the arc is a segment of a circle having a radius of from 2 mm to 8 mm.
3. The improved dental bur of claim 2 wherein the radius is 4 mm.
4. The improved dental bur of claim 1 wherein the transition portion has a length of from 0.25 mm to 2 mm.
5. The improved dental bur of claim 4 wherein the length is 1 mm.
6. The improved dental bur of claim 1 wherein the shank has a length of from 15 mm to 30 mm.
7. The improved dental bur of claim 6 wherein the length is one of 19 mm, 22 mm and 25 mm.
8. The improved dental bur of claim 1 also comprising depth indicators on the cutting head or shank.
9. The improved dental bur of claim 8 wherein the depth indicators are concentric rings.
10. The improved dental bur of claim 8 wherein the depth indicators are regions of different colors on the cutting head or shank.
11. The improved dental bur of claim 1 also comprising at least one marking on the shank, the marking being an indicator of at least one of shank length and cutting head size.
12. The improved dental bur of claim 1 wherein the cutting head has a length of from 2 mm to 7 mm.
13. The improved dental bur of claim 1 wherein the cutting head has cutting edges which are cross cut or straight.
14. A method of abrading at least one of a root surface of a tooth and granulation tissue from a gingival pocket surrounding the tooth comprising:
selecting a bur having a cylindrical shank of a selected diameter and a cutting head attached to the shank wherein the cutting head comprises:
a cylindrical portion extending from the shank, and having a first diameter;
a hemispherical tip at a distal end of the cutting head, the tip having a tip diameter of from 0.25 mm to 0.75 mm, the tip diameter being less than the first diameter; and
a transition portion connecting the tip to the cylindrical portion, the transition portion having a diameter at an end attached to the cylindrical portion which is equal to the first diameter and having a second diameter at an opposite end which is equal to the tip diameter wherein a line along an outer surface of the transition portion from the cylindrical portion to the hemispherical tip forms an arc;
inserting the bur into the gingival pocket surrounding the tooth; and
abrading at least one of a root surface of a tooth and granulation tissue from the gingival pocket surrounding the tooth.
15. The method of claim 14 wherein an outer contaminated root layer is removed.
16. The method of claim 14 wherein the root surface is abraded and no surgical incisions are made to abrade the root surface.
17. A method of planing a root surface of a tooth comprising:
selecting a bur having a cylindrical shank of a selected diameter and a cutting head attached to the shank wherein the cutting head comprises:
a cylindrical portion extending from the shank, and having a first diameter;
a hemispherical tip at a distal end of the cutting head, the tip having a tip diameter of from 0.25 mm to 0.75 mm, the tip diameter being less than the first diameter; and
a transition portion connecting the tip to the cylindrical portion, the transition portion having a diameter at an end attached to the cylindrical portion which is equal to the first diameter and having as second diameter at an opposite end which is equal to the tip diameter wherein a line along an outer surface of the transition portion from the cylindrical portion to the hemispherical tip forms an arc;
inserting a portion of the bur into the gingival pocket surrounding the tooth; and
planning the root surface.
18. The method of claim 17 wherein the method is performed without using hand instruments or ultrasonic devices.