Advances in abrasive technology--prophylaxis pastes.

A newly developed prophylaxis paste that contains perlite as an abrasive medium was compared to conventional prophylaxis pastes with regard to relative dentin and enamel abrasion, cleaning ability, and polishing power. Rubber cups and nylon brushes were used as paste carriers. Water, flour of pumice, and a dentin polishing paste served as controls. The Prophylaxis Paste Index was created to assess the clinical potential of the various prophylaxis pastes more accurately. The index was computed for dentin as cleaning ability divided by relative dentin abrasion x surface roughness (in Ra) x 10, and for enamel as cleaning ability divided by relative enamel abrasion x surface abrasion (in Ra). On dentin and enamel, the perlite-based prophylaxis paste consistently yielded low relative dentin and enamel abrasion values, a good cleaning ability, and low surface roughness scores with both rubber cups and nylon brushes. Of all tested prophylaxis pastes, the perlite-based prophylaxis paste excelled in the Prophylaxis Paste Index on dentin and enamel and with both rubber cup and nylon brush applications. Therefore, a perlite-containing prophylaxis paste may have broad professional therapeutic indications and may be used universally as a single paste to clean and polish both dentin and enamel.