The decision to research the effectiveness and comparative effect various instrumentation options have on the remaining tooth structures post scaling and root planing and the potential consequences these effects can have on patient’s overall periodontal health in order to understand the effect that dental hygienists have on future patient periodontal treatments, and the instrumentation choices made in order to provide the most effective treatment. Initially the “Darby” textbook was searched in order to determine if instructional methods included in Dental Hygiene education could be analyzed and compared to the most up-to-date research to verify educational programs are in line with current standards of periodontal care. A google scholar search was completed to determine if the utilization of periodontal instrumentation had an effect on the treatment progress for periodontally compromised patients, and the effects on the tooth surface itself. A suitable amount of valid, peer reviewed research has been completed within the last 10 years. Resource Search and Selection A review of the literature was narrowed down to the effects various periodontal instruments have on the surface structures of the tooth and root, and the subsequent consequences of these effects. This limited to search to 128 full text, peer reviewed articles published after 2013. Abstracts were reviewed in detail, and 4>