Podcast
Questions and Answers
What is the purpose of starting the adaptation position with the lower terminal shank parallel to the midline plane?
What is the purpose of starting the adaptation position with the lower terminal shank parallel to the midline plane?
Which motion component involves the activation of the wrist?
Which motion component involves the activation of the wrist?
What does correct aspect usage of an instrument refer to?
What does correct aspect usage of an instrument refer to?
Why is handle roll an important motion in instrument handling?
Why is handle roll an important motion in instrument handling?
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Which of the following statements about digital motion activation is true?
Which of the following statements about digital motion activation is true?
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What is the primary focus of ergonomics in instrument use?
What is the primary focus of ergonomics in instrument use?
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When is it most appropriate to use wrist motion activation?
When is it most appropriate to use wrist motion activation?
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What is the role of pivot in motion components?
What is the role of pivot in motion components?
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Which movement is least likely to be involved in instrument adaptation?
Which movement is least likely to be involved in instrument adaptation?
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What is the main reason for ensuring an atraumatic approach in instrumentation?
What is the main reason for ensuring an atraumatic approach in instrumentation?
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What is the primary purpose of using an intra-oral fulcrum in clinical practice?
What is the primary purpose of using an intra-oral fulcrum in clinical practice?
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Where is the pad of the ring finger positioned when utilizing an intra-oral fulcrum?
Where is the pad of the ring finger positioned when utilizing an intra-oral fulcrum?
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What angle considerations are mentioned for using an intra-oral fulcrum?
What angle considerations are mentioned for using an intra-oral fulcrum?
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What is one potential risk associated with the use of an extra-oral fulcrum?
What is one potential risk associated with the use of an extra-oral fulcrum?
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In which location is an extra-oral fulcrum typically stabilized?
In which location is an extra-oral fulcrum typically stabilized?
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Which of the following statements is true about an intra-oral fulcrum?
Which of the following statements is true about an intra-oral fulcrum?
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What is a common feature of both intra-oral and extra-oral fulcrums?
What is a common feature of both intra-oral and extra-oral fulcrums?
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What should be considered for hand positioning when using an intra-oral fulcrum?
What should be considered for hand positioning when using an intra-oral fulcrum?
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Which of the following is NOT a reason to use an intra-oral fulcrum?
Which of the following is NOT a reason to use an intra-oral fulcrum?
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What is the primary purpose of having a fulcrum during periodontal therapy?
What is the primary purpose of having a fulcrum during periodontal therapy?
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Which of the following best describes an intra-oral fulcrum?
Which of the following best describes an intra-oral fulcrum?
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Which statement correctly explains the role of finger rests in periodontal procedures?
Which statement correctly explains the role of finger rests in periodontal procedures?
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What is the significance of the lower terminal shank when identifying the appropriate working end of an instrument?
What is the significance of the lower terminal shank when identifying the appropriate working end of an instrument?
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In what scenario would you use different types of instrumentation motion during therapy?
In what scenario would you use different types of instrumentation motion during therapy?
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What is a key benefit of properly utilizing a fulcrum during treatment?
What is a key benefit of properly utilizing a fulcrum during treatment?
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Which characteristic is ideal for a finger rest?
Which characteristic is ideal for a finger rest?
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Which of the following is NOT a reason for using a fulcrum?
Which of the following is NOT a reason for using a fulcrum?
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How does a finger rest contribute to patient safety during periodontal therapy?
How does a finger rest contribute to patient safety during periodontal therapy?
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What is a crucial aspect to consider when conducting a clinical periodontal session?
What is a crucial aspect to consider when conducting a clinical periodontal session?
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Study Notes
Intended Learning Outcomes
- Students should be able to revise steps for a good clinical periodontal session
- Explain the rationale for a fulcrum
- Recognize and demonstrate intra-oral and extra-oral fulcrums
- Identify and demonstrate appropriate working ends using the lower terminal shank
- Explain the appropriate usage and situation for different instrumentation motions
- Demonstrate usage of instrumentation motions
Recap
- Diagrams show healthy teeth with intact enamel and supragingival, subgingival biofilms and homeostatic inflammation.
- Diagrams display various angles and application points, including elbow, knee, head of fibula to floor.
Instruments
- Images of various dental instruments are presented.
Stability & Safety
- Key elements for stability & safety include a fulcrum and finger rests
- Intra-oral and extra-oral fulcrums are described
Fulcrum
- A fulcrum supports your hand and provides safety for both you and the patient
- It allows hand movement and precise movements.
Finger Rests
- The document questions what features are ideal for a finger rest, and also what is the ideal structure for a finger rest.
Intra-oral Fulcrum
- Used to stabilize the clinician's dominant hand inside the mouth
- Use a pad of the ring finger near the tooth being instrumented.
- This decreases likelihood of injury for both patient and clinician.
- Focus on the incisal edge or occlusal surface, and occlusobuccal or occluso-lingual angles of a stable tooth.
Extra-oral Fulcrum
- Stabilizes the clinician's dominant and non-dominant hands outside the mouth.
- Commonly used on the cheek or chin.
- Students should consider potential risks.
Which End Do I Use?
- This section discusses the use of instruments.
- The cyclic process between Instrument action, Ergonomics, Detection and Grip is visible in a circular diagram.
Lower Terminal Shank
- The bent section of the shank closest to the working end is described
- Placement of the lower terminal shank is parallel with the midline plane
- Covering the whole tooth surface, atraumatic, and use of the correct aspect of the instrument are stressed.
Starting Position
- Use the lower terminal shank parallel with midline plane.
- Ensure to cover the whole tooth surface, avoiding trauma.
- Correct instrument aspect should be used.
Start Midpoint—The Move But Look Closer
- Visual aids illustrating the midpoint of movement are provided.
Which End Do I Use?
- The document displays visual examples, illustrating the correct end for the instrument's use for treatment.
Motion
- Four components (pivot) of the motion are diagrammed.
- Wrist motion activation, digital motion activation, and handle roll are included in the illustration.
Digital Motion Activation
- Explains when and why digital motion activation is used.
- Visual aids depict the procedure.
Wrist Motion Activation
- Discusses when and why wrist motion activation should be used.
- Visual aids are presented to illustrate the procedure.
Handle Roll
- When and why handle roll motion activation is conducted is discussed
- Depicted visually, the procedure is illustrated.
Look Closely and Piece It Together
- This section illustrates how to visualize and conceptualize the process more completely.
- It shows how parts relate to the whole.
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