Intro to clinic

Look at pics!!

...

Nova tech

...

Recognition of instruments

...

Take 1 to 2 mm

...

Subgingival exploring technique

Adaptation and alignment is huge

Periodontal charting

All adult children if radiographic evidence Before treatment Re evaluating Updates once a year Documentation. In ink

Angulation

Angular relationship between the working end kid the instrument and the surface to be instrumented

Pressure

Application of pressure from probe to attachment needs to be even

Furcations

Bifurcations Trifurcations 1234 changes how you treat them

Working end

Blade or tip Endless variety of possibilities Varies on purpose

More probe findings

Calculus and root irregularities Development of dhdx evaluation of treatment success

Working stroke

Calculus removal Root planning Overhang removal Stain removal Used with various pressure

Explorer

Checking areas on teeth and calculus Checking work after scaling Caries

Nabors

Curved 3 mm like marquis Good for forcstions

Treatment instruments

Cuter scaler Sickle scaler Hoe File Chisel

Probe findings

Detection of recession Section of periodontal pocket Determination of attached gingiva leve

Periodontal pockets

Don't usual show on X-ray and patients is unaware

Handle

Double,single and textured for grip Hollow larger diameter lightweight

Functions of the periodontal probe

Evaluate tissue consistency Determine bleeding status of gingiva Measure lesions Measure sulcus and pocket depth

Stroke activation

Exploratory or as dement stroke Working stroke/scaling stoke

Six measurement

Facial Mesio facial Mesio buccal Lingual Disto lingual Mesio lingual

Lateral pressure

Force of instrument working into tooth light moderate or heavy

Rock and roll

Fulcrum or rest Moves wrist up and down Rolling instrument to adapt around tooth Rest can be used as pivot point

Probe procedure

Grasp Fulcrum Advancement Reading Navigating around the tooth Six segments on eag tooth Record deepest measurement on tooth

Supra gingival exploring technique

Grasp: modified pen grasp, fulcrum, light pressure Pressure: side of tip is light Stroke: short overlapping, push pull up and down horizontally or vertically

Extra oral palm down

Hand rest palm facing in toward patients face

Extra oral palm up

Hand rest palm is facing out away from patients face

Basic parts of dental instrument

Handle Shank Working end

Mirror

Improve visibility Reflect light Retract tissues Indirect vision

Terminal shank

Last curve before going into working end

Visibility

Lighted working area Direct vision Indirect vision

Selecting working end anterior

Lined up with long axis of the tooth with end wrapping around surface

Posterior sextants

Lower handle to insert

Marquis probe

Markings every 3mm certain amount of estimating

Gingival recession

Measure at margin of cej Recession is on indicator of last or present periodontal dZ because it causes apical migration

Periodontal probe

Measuring, feeling gingiva and consistency Measure depth of sulcus

Operators technique

Modified pen grasp Fulcrum Maintains contact with tooth Light grasp

Adaptation

Molars and premolars Proximal surfaces Anterior teeth

Stroke direction

Multidirectional Short and overlapping Horizontal Vertical Oblique or diagonal

File

Multiple cutting edges Crushes tenacious calculus Smooths overhangs Subgingival

The col

Not epithelized Start of periodontal dz Must angle to get into col Anterior tooth col is narrow compared to the posterior angle

Hoe

Not in kit, replaced by ultrasonic 99% angle Heavy tenacious supra gingival calculus

Lateral pressure

On scaling stoke Pushing up to side of tooth Scaling apical edge than scale coronal edge

More probe variants

Operators technique Placement Pressure

Grasping of instrument

Palm grasp Pen heaps Modified pen grasp

Assessment and diagnosis

Periodontal probe Explorer Mirror

Plastic

Plastic

Selecting working end posterior ly

Point of shank faces towards back of mouth

Purpose of the fulcrum

Power stability Control Injury prevention Comfort Stroke length limiting

Exploratory stroke

Probe and explored Used to detect irregularities Light pressure

Stroke character

Push Pull Walking Combo

Adaptation

Referring to side of the toe of the instrument being maintained in close contact with tooth

Intraoral fulcrum

Resting on surface adjacent ke near area you are scaling not on the same tooth

Williams probe

Rounded markings are colored and engraved 1 mm markings

Curet

Scraping, hard/soft deposits on teeth Supra and subgingival Removed plaque, biofilm,debree, granulation, tissue and calculud

Design features

Shank styles Tip styles Odu 11 12 Shepherds hook 3a Pigtail Orban

Shank

Short or long angled or straight Shorter straighter would be used on anterior of teeth Longer angled shank for posterior

Michigan o

Similar to Williams stops at 8

Chisel

Single straight cutting edge Supragingival

The probe

Slender tapered and round at end Metal or plastics for implants Calibrated markings engrave or colored or both Best probe is one you are most comfortable with

Stroke activation

Stroke direction Stroke character Adaptation Angulation Lateral pressure

Sickle scaler

Supragingival calculus Super sharp point

Purpose of explorer

Supragingival calculus Subgingival calculus Cementum irregularities Caries Decalcification Margins of restorations Pits and fissures Scaling effectiveness

Explorer information

Tactile most important Auditory on supra gingival calculus Visual jump of goes over calculus

Placement

Teeth aren't rectangle have cusps depressions etc

Subgingival insertion

Terminal shank needs to be as parallel as possible with working surface Proceed apical until you feel resistance Pull in coronal margin and don't come out of tissue

Probe reading variants

Tissue condition Diseased and soft or healthy and firm Type of probe Markings or diameter

Anterior sextant a

TowArds and away Towards going to be side posistion Surfaces away go back

Supragingival calculus

Visual direct and indirect Compressed air When it's dry it's shiny Linguals of Lowe anteriors Between 1 and 2nd molars on buccal surface

Subgingival calculus detection

Visual: tissue soft enough you can defect it enough with air Tactile Grasp is light and so is pressure Strokes: don't push things do all strokes