Podcast
Questions and Answers
What is the primary purpose of using a fulcrum during periodontal therapy?
What is the primary purpose of using a fulcrum during periodontal therapy?
Which of the following motions is NOT utilized in hand-instrumentation?
Which of the following motions is NOT utilized in hand-instrumentation?
What does the term 'handle roll' refer to in the context of periodontal instrumentation?
What does the term 'handle roll' refer to in the context of periodontal instrumentation?
When undertaking sub-gingival instrumentation, what is a critical step to ensure effectiveness?
When undertaking sub-gingival instrumentation, what is a critical step to ensure effectiveness?
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What should be considered when selecting the appropriate end of an instrument to use?
What should be considered when selecting the appropriate end of an instrument to use?
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What is a key aspect of utilizing different strokes for effective instrumentation?
What is a key aspect of utilizing different strokes for effective instrumentation?
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Why is it important to manipulate pressure during periodontal instrumentation?
Why is it important to manipulate pressure during periodontal instrumentation?
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Which of the following is NOT an intended learning outcome for the clinical periodontal session?
Which of the following is NOT an intended learning outcome for the clinical periodontal session?
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What is the aim of emphasizing the technicalities in periodontal therapy?
What is the aim of emphasizing the technicalities in periodontal therapy?
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In periodontal therapy, which component is most critical for ensuring control during instrumentation?
In periodontal therapy, which component is most critical for ensuring control during instrumentation?
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What is crucial to ensure when controlling the working end of an instrument?
What is crucial to ensure when controlling the working end of an instrument?
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Which aspect is essential for effective working during instrumentation?
Which aspect is essential for effective working during instrumentation?
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What does full coverage of the root detail ensure?
What does full coverage of the root detail ensure?
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In which direction should the working end of the instrument be moved for effective coverage?
In which direction should the working end of the instrument be moved for effective coverage?
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What is not a recommended action when using the working end of an instrument?
What is not a recommended action when using the working end of an instrument?
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Which factor is critical to ensure optimum results during instrumentation?
Which factor is critical to ensure optimum results during instrumentation?
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How should pressure be applied during the stroke of instrumentation?
How should pressure be applied during the stroke of instrumentation?
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What aspect is important to remember about the junctional epithelium during instrumentation?
What aspect is important to remember about the junctional epithelium during instrumentation?
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What is the primary focus of sub-gingival scaling?
What is the primary focus of sub-gingival scaling?
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What might indicate ineffective working in instrumentation?
What might indicate ineffective working in instrumentation?
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Which step is NOT part of preparing for effective instrumentation?
Which step is NOT part of preparing for effective instrumentation?
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Which term describes the technique of adapting the instrument to the tooth surface during scaling?
Which term describes the technique of adapting the instrument to the tooth surface during scaling?
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What is indicated by 'pressure' in the context of scaling?
What is indicated by 'pressure' in the context of scaling?
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What is meant by 'multi-tasking' in the context of dental hygiene practices?
What is meant by 'multi-tasking' in the context of dental hygiene practices?
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What is the purpose of positioning during scaling procedures?
What is the purpose of positioning during scaling procedures?
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What does the term 'bulbosity' refer to in dental hygiene?
What does the term 'bulbosity' refer to in dental hygiene?
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What is the significance of 'exploratory grip' during scaling?
What is the significance of 'exploratory grip' during scaling?
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During the removal phase of scaling, which of the following is most vital?
During the removal phase of scaling, which of the following is most vital?
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When starting again in a scaling procedure, what is essential?
When starting again in a scaling procedure, what is essential?
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What does the pressure release technique help achieve in scaling?
What does the pressure release technique help achieve in scaling?
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What combination of pressures is associated with stability and effective deposit removal?
What combination of pressures is associated with stability and effective deposit removal?
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Which scenario results in trauma and poor detection?
Which scenario results in trauma and poor detection?
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What type of pressure is described as effective for detection?
What type of pressure is described as effective for detection?
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Which combination is likely to cause a sharps injury?
Which combination is likely to cause a sharps injury?
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What is the effect of using heavy lateral pressure?
What is the effect of using heavy lateral pressure?
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How does moderate pinch pressure interact with lateral pressure for effective detection?
How does moderate pinch pressure interact with lateral pressure for effective detection?
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What is the result of light pinch pressure combined with a heavy lateral pressure?
What is the result of light pinch pressure combined with a heavy lateral pressure?
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Which pressure combination leads to the highest risk for practitioners?
Which pressure combination leads to the highest risk for practitioners?
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Which statement about pinch pressure is most accurate?
Which statement about pinch pressure is most accurate?
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What does a moderate pinch pressure combined with a firm fulcrum and lateral pressure achieve?
What does a moderate pinch pressure combined with a firm fulcrum and lateral pressure achieve?
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Study Notes
Intended Learning Outcomes
- Students should be able to revise the steps for starting a periodontal clinical session
- Students should be able to demonstrate the use of a fulcrum
- Students should be able to revise and demonstrate the side-selection of an instrument
- Students should be able to demonstrate hand instrument motions (pivoting, wrist-motion activation, handle roll).
- Students should be able to explain the different instrumentation techniques
- Students should be able to demonstrate the manipulation of pressure during instrumentation
- Students should be able to explain and demonstrate the use of curettes and complete effective sub-gingival instrumentation sessions
Recap
- Diagrams show different parts of a tooth, including enamel, biofilm, and bone.
- Diagrams show a healthy oral cavity, health, and various molar orientations and dimensions.
Instruments
- Diagrams show instruments, including sickle scalers, curettes, and other tools.
- Diagrams illustrate different angle measurements (90°,70°) and cutting edges on instruments.
Adaptation - Starting Position
- Images show the correct starting position for instrument use on model teeth.
Wrist Motion Activation
- Diagrams and explanations of how to use the wrist appropriately during instrument use.
- This encompasses pivot, elbow and forearm movement.
Digital Motion Activation
- Diagrams show how to activate hand instruments at a digital level.
Handle Roll
- Diagrams show how to apply handle rolls for instruments on teeth
Pivoting
- Diagrams show how pivoting movements should be performed while using instruments on teeth.
Why the technicality
- Diagrams show the technical reasoning behind instrument strategies and techniques.
Pressure Application
- Diagrams demonstrate different types of pressure including pinch pressure and fulcrum.
- Figures provide illustrations for correct and incorrect usage regarding pressure.
Pressure
- Diagrams show lateral pressure to be applied to teeth
- Diagrams provide examples for correct and incorrect pressure application.
Different Pressures
Assessment, Pinch pressure, Neutral, Ring finger advanced, Fulcrum, Palm open & relaxed.
Calculate
- Formulas and explanations on calculating pressure and stroke technique for effective removal of dental deposits.
Stroke Direction
- Explanations about assessment and proper use of strokes.
Assessment - What do we mean by stroke?
- Explanations of what constitutes a good working stroke, pressure technique, and instruments to remove material.
Removal
- Explanations regarding the definition of good instrumentation strokes.
Activation and Surface Coverage
- Instructions for instrument activation, surface coverage, and instrument techniques.
What are you doing?
- Chart showing instrument selection, positioning, and engagement with instrument, Pressure, Release, and Roll processes.
You are supra-gingival scaling
- Illustration showing proper usage of instruments for supra-gingival scaling.
Sub-gingival
- Illustration and explanations for sub-gingival scaling techniques.
Adaptation, Angulation Activation
- Instructions and illustrations for the use of angulation and activation strategies for insertion and removal of instruments.
Image References
- List of various websites with supplementary information related to the subject matter. These are provided as possible reference materials.
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Description
This quiz focuses on the essential techniques for conducting a periodontal clinical session. It covers the use of instruments, hand motions, and the manipulation of pressure during instrumentation. Review key concepts including the anatomy of the tooth and effective techniques for sub-gingival instrumentation.
