The regular periodontal practice of scaling and root planing produces
a smear layer on the root surface that is detrimental to the readhesion of
tissues during subsequent regeneration therapy. Although it has been
demonstrated that gels containing the chelating agent
ethylenediaminetetraacetic acid (EDTA) can assist in the removal of this
contaminating layer, no quantitative method is yet available by which to
evaluate the efficiency of the treatment. In this article, the power of
atomic force microscopy (AFM) as a technique for monitoring and mapping
the surfaces of dentinal roots is demonstrated. Roughness parameters of
teeth that had been scaled and root planed were determined from AFM images
acquired both before and after treatment with EDTA. The results confirmed
that EDTA is an efficient cleaning agent and that dentinal samples free
from a smear layer are significantly rougher than the same samples covered
by a contaminating layer. AFM analysis is superior to alternative methods
involving scanning electron microscopy because the same sample section can
be analyzed many times, thus permitting it to be used as both the control
and the treatment surface.