Periodontal Instrumentation Techniques

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Questions and Answers

What is the primary purpose of using a fulcrum during periodontal therapy?

  • To reduce the number of strokes needed
  • To provide stability and control for movements (correct)
  • To enhance pressure during instrumentation
  • To facilitate the selection of instruments

Which of the following motions is NOT utilized in hand-instrumentation?

  • Digital motion activation
  • Inclination adjustment (correct)
  • Wrist motion activation
  • Pivoting

What does the term 'handle roll' refer to in the context of periodontal instrumentation?

  • A method for increasing pressure exerted
  • A technique for adjusting instrument position (correct)
  • A way to stabilize the fulcrum
  • A movement to enhance tactile feedback

When undertaking sub-gingival instrumentation, what is a critical step to ensure effectiveness?

<p>Adapting the starting position of the instrument (C)</p> Signup and view all the answers

What should be considered when selecting the appropriate end of an instrument to use?

<p>The specific area being treated (D)</p> Signup and view all the answers

What is a key aspect of utilizing different strokes for effective instrumentation?

<p>To adapt to the anatomical variations of the patient's mouth (A)</p> Signup and view all the answers

Why is it important to manipulate pressure during periodontal instrumentation?

<p>To increase effectiveness of the removal of deposits (B)</p> Signup and view all the answers

Which of the following is NOT an intended learning outcome for the clinical periodontal session?

<p>Explain the use of different dental materials (D)</p> Signup and view all the answers

What is the aim of emphasizing the technicalities in periodontal therapy?

<p>To ensure thorough understanding and skills development (D)</p> Signup and view all the answers

In periodontal therapy, which component is most critical for ensuring control during instrumentation?

<p>Fulcrum placement (D)</p> Signup and view all the answers

What is crucial to ensure when controlling the working end of an instrument?

<p>Maintaining a laterally adjusted pressure (B)</p> Signup and view all the answers

Which aspect is essential for effective working during instrumentation?

<p>Regularly adjusting the pressure as needed (D)</p> Signup and view all the answers

What does full coverage of the root detail ensure?

<p>Comprehensive cleaning without leaving any debris (B)</p> Signup and view all the answers

In which direction should the working end of the instrument be moved for effective coverage?

<p>Coronally with controlled pressure (D)</p> Signup and view all the answers

What is not a recommended action when using the working end of an instrument?

<p>Excessive force on junctional epithelium (A)</p> Signup and view all the answers

Which factor is critical to ensure optimum results during instrumentation?

<p>Thinking about the optimum interaction with the patient (B)</p> Signup and view all the answers

How should pressure be applied during the stroke of instrumentation?

<p>Maintain a steady pressure with no abrupt changes (A)</p> Signup and view all the answers

What aspect is important to remember about the junctional epithelium during instrumentation?

<p>Any contact should be avoided to prevent damage (B)</p> Signup and view all the answers

What is the primary focus of sub-gingival scaling?

<p>Elimination of plaque below the gum line (C)</p> Signup and view all the answers

What might indicate ineffective working in instrumentation?

<p>Failure to adjust pressure during the procedure (D)</p> Signup and view all the answers

Which step is NOT part of preparing for effective instrumentation?

<p>Ignoring patient positioning and comfort (D)</p> Signup and view all the answers

Which term describes the technique of adapting the instrument to the tooth surface during scaling?

<p>Angulation (A)</p> Signup and view all the answers

What is indicated by 'pressure' in the context of scaling?

<p>The intensity of the grip on the instrument (D)</p> Signup and view all the answers

What is meant by 'multi-tasking' in the context of dental hygiene practices?

<p>Simultaneously scaling and providing patient education (A)</p> Signup and view all the answers

What is the purpose of positioning during scaling procedures?

<p>To optimize visibility and access to the teeth (D)</p> Signup and view all the answers

What does the term 'bulbosity' refer to in dental hygiene?

<p>The rounded surfaces of the teeth (D)</p> Signup and view all the answers

What is the significance of 'exploratory grip' during scaling?

<p>It allows the clinician to assess the presence of calculus (A)</p> Signup and view all the answers

During the removal phase of scaling, which of the following is most vital?

<p>Consistent angulation (C)</p> Signup and view all the answers

When starting again in a scaling procedure, what is essential?

<p>Reset the angle of approach (D)</p> Signup and view all the answers

What does the pressure release technique help achieve in scaling?

<p>Reduction of patient discomfort (D)</p> Signup and view all the answers

What combination of pressures is associated with stability and effective deposit removal?

<p>Moderate pinch pressure + firm fulcrum + moderate lateral pressure (B)</p> Signup and view all the answers

Which scenario results in trauma and poor detection?

<p>Moderate pinch + light fulcrum + moderate lateral pressure (A)</p> Signup and view all the answers

What type of pressure is described as effective for detection?

<p>Light pinch + light fulcrum + light lateral pressure (C)</p> Signup and view all the answers

Which combination is likely to cause a sharps injury?

<p>Moderate pinch + light fulcrum + moderate lateral pressure (A)</p> Signup and view all the answers

What is the effect of using heavy lateral pressure?

<p>Leads to ineffective removal and potential trauma (D)</p> Signup and view all the answers

How does moderate pinch pressure interact with lateral pressure for effective detection?

<p>It should always be used with a firm fulcrum (D)</p> Signup and view all the answers

What is the result of light pinch pressure combined with a heavy lateral pressure?

<p>Risk of trauma (A)</p> Signup and view all the answers

Which pressure combination leads to the highest risk for practitioners?

<p>Moderate pinch + light fulcrum + moderate lateral pressure (A)</p> Signup and view all the answers

Which statement about pinch pressure is most accurate?

<p>Moderate pinch pressure can be effective if used correctly (D)</p> Signup and view all the answers

What does a moderate pinch pressure combined with a firm fulcrum and lateral pressure achieve?

<p>Consistency in assessment outcomes (D)</p> Signup and view all the answers

Flashcards

Periodontal Session Steps

The steps to effectively begin a clinical periodontal session.

Fulcrum Use

Using a fulcrum to apply force effectively during periodontal procedures.

Instrument Side Selection

Correctly choosing the side of the instrument suitable for the procedure.

Hand-Instrumentation Motions

The various motions (pivoting, wrist, handle roll) used in hand-instrumentation tools.

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Instrumentation Strokes

Different types of strokes to clean efficiently under the gums.

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Pressure Manipulation

Adjusting pressure during instrumentation to safely and effectively clean the teeth.

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Sub-gingival Instrumentation

Cleaning below the gum line.

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Curette Use

Using curettes to clean calculus from below the gum line.

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Adaptation (Starting Position)

Proper initial position of the instrument to effectively start subgingival scaling and root planing.

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Instrument End Selection

Determining which instrument end to use for optimal effectiveness.

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Pinch pressure

A type of pressure used in assessment and deposit removal.

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Fulcrum pressure

A supporting pressure point in assessment.

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Lateral pressure

Pressure applied to the side in assessment.

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Assessment pressure

Pressure used to evaluate a subject.

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Deposit removal

Procedure to remove deposits.

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Stability & effective

A desirable outcome of correct pressure application.

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Trauma and poor detection

Results from incorrect pressure application.

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Sharps injury

Injury from improper handling of sharps.

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Stroke Direction

The direction of a stroke during assessment.

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Assessment

The process of evaluating or determining.

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Working End

The tip of the instrument used for cleaning or removing plaque and calculus.

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Junctional Epithelium

The thin layer of tissue that connects the gum to the tooth.

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Full Coverage

Ensuring the entire tooth surface is cleaned, including below the gum line.

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Control

Maintaining a steady hand and consistent pressure during instrumentation.

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No Contact

Preventing the instrument from scraping against soft gum tissue.

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Optimum You

Ensuring you are physically and mentally prepared for an effective session.

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Optimum Patient

Ensuring the patient is comfortable and relaxed for a successful session.

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Optimum Instruments

Using the right tools for the job, in good working condition.

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Supra-gingival Scaling

Cleaning the tooth surface above the gum line.

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Sub-gingival Scaling

Cleaning the tooth surface below the gum line.

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Adaptation (Instrumentation)

The process of positioning the instrument on the tooth surface for effective cleaning.

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Angulation (Instrumentation)

The angle at which the instrument is held against the tooth surface.

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Activation (Instrumentation)

The motion used to move the instrument across the tooth surface.

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Insertion (Instrumentation)

The process of carefully placing the instrument into the sulcus or pocket.

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Removal (Instrumentation)

The process of removing the instrument from the sulcus or pocket.

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Pressure (Instrumentation)

The force applied to the instrument during cleaning.

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Multi-tasking (Instrumentation)

Combining different techniques and motions simultaneously during cleaning.

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Bulbosity (Instrumentation)

The rounded or bulging shape of the tooth root.

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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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Non-Surgical Periodontal Therapy 2 Past Paper PDF

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