Podcast
Questions and Answers
What is the primary purpose of applying a lubricant, such as water, to a sharpening stone during instrument sharpening?
What is the primary purpose of applying a lubricant, such as water, to a sharpening stone during instrument sharpening?
- To harden the metal of the instrument, making it easier to sharpen.
- To help prevent metal shavings from adhering to the stone, reducing its effectiveness. (correct)
- To disinfect the instrument and the sharpening stone simultaneously.
- To increase the friction between the instrument and the stone for faster sharpening.
Which of the following best describes the correct method for caring for sharpening stones after use?
Which of the following best describes the correct method for caring for sharpening stones after use?
- Clean the stone with disinfectant wipes and store in a sealed container.
- Clean the stone with an ultrasonic scaler or scrub with a brush and hot water, dry it on a paper towel and sterilize it in an autoclave bag or instrument cassette. (correct)
- Air dry the stone and store it in a drawer to protect it from dust.
- Soak the stone in oil overnight to maintain its lubrication and then wrap in a cloth.
What is the potential consequence of not maintaining the original contours (rounded backs and toes) when sharpening curettes?
What is the potential consequence of not maintaining the original contours (rounded backs and toes) when sharpening curettes?
- The instrument will become too flexible and break easily.
- The instrument's cutting edge will become too sharp, increasing the risk of tissue damage.
- The instrument handle will become unbalanced, making it difficult to control.
- The instrument may lose its effectiveness in accessing and removing subgingival calculus, and may cause tissue trauma. (correct)
What can result from improper sharpening techniques that flatten the cutting edge of a dental instrument?
What can result from improper sharpening techniques that flatten the cutting edge of a dental instrument?
What is the purpose of finishing sharpening strokes with a downward motion?
What is the purpose of finishing sharpening strokes with a downward motion?
In the 'clock system', what relative positions would a right-handed clinician typically use to sharpen sickles and universal curettes?
In the 'clock system', what relative positions would a right-handed clinician typically use to sharpen sickles and universal curettes?
Why is it important to sterilize sharpening stones after cleaning?
Why is it important to sterilize sharpening stones after cleaning?
During lateral surface sharpening, what should the table top be positioned to?
During lateral surface sharpening, what should the table top be positioned to?
Which action helps to prevent metal spurs from remaining on an instrument after sharpening?
Which action helps to prevent metal spurs from remaining on an instrument after sharpening?
When assessing an instrument to determine if it should be sharpened or replaced, what factor is MOST critical?
When assessing an instrument to determine if it should be sharpened or replaced, what factor is MOST critical?
What is the primary goal when sharpening periodontal instruments?
What is the primary goal when sharpening periodontal instruments?
Why does using sharp instruments reduce clinician fatigue?
Why does using sharp instruments reduce clinician fatigue?
What is the primary difference between a sharp cutting edge and a dull cutting edge on a periodontal instrument?
What is the primary difference between a sharp cutting edge and a dull cutting edge on a periodontal instrument?
When evaluating the sharpness of a periodontal instrument, what conditions are optimal for assessment?
When evaluating the sharpness of a periodontal instrument, what conditions are optimal for assessment?
What contributes to the blunting of a periodontal instrument's cutting edge during use?
What contributes to the blunting of a periodontal instrument's cutting edge during use?
Which of the following is a direct benefit of using sharp periodontal instruments during treatment?
Which of the following is a direct benefit of using sharp periodontal instruments during treatment?
What is one key consideration for clinician when sharpening?
What is one key consideration for clinician when sharpening?
What term describes the technique used to verify instrument sharpness during a procedure, involving assessment of the instrument's ability to 'catch' or engage the calculus?
What term describes the technique used to verify instrument sharpness during a procedure, involving assessment of the instrument's ability to 'catch' or engage the calculus?
Why is maintaining the original characteristics of a periodontal instrument important during sharpening?
Why is maintaining the original characteristics of a periodontal instrument important during sharpening?
Which of the following is LEAST likely to be achieved through regular instrument sharpening?
Which of the following is LEAST likely to be achieved through regular instrument sharpening?
Flashcards
Benefits of Sharp Instruments
Benefits of Sharp Instruments
Using sharp instruments reduces the number of strokes needed, increases patient comfort, reduces clinician fatigue, enhances detection, is less traumatic, and maintains the instrument.
Sharp Cutting Edge
Sharp Cutting Edge
A sharp cutting edge allows for effective and efficient removal of calculus and biofilm.
Dull Cutting Edge
Dull Cutting Edge
A dull cutting edge is rounded and ineffective for calculus removal.
Cause of a Dull Cutting Edge
Cause of a Dull Cutting Edge
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Objectives of Sharpening
Objectives of Sharpening
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Assessing Sharpness
Assessing Sharpness
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Instrument Bluntness
Instrument Bluntness
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Dull Cutting Edge
Dull Cutting Edge
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Instrument Sharpening
Instrument Sharpening
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Parts of an Instrument
Parts of an Instrument
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Sharpening Armamentarium
Sharpening Armamentarium
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Care of Sharpening Stones
Care of Sharpening Stones
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Sharpening Surfaces
Sharpening Surfaces
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Lubrication during Sharpening
Lubrication during Sharpening
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Instrument Face Position
Instrument Face Position
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Restoring Curette Shape
Restoring Curette Shape
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Metal Spurs (Burs)
Metal Spurs (Burs)
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Ending Sharpening Stroke
Ending Sharpening Stroke
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Errors in Sharpening
Errors in Sharpening
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Sharpening Angle
Sharpening Angle
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Study Notes
Intended Learning Outcomes
- Explain the benefits of using sharp cutting edges for periodontal instrumentation
- Differentiate between the terms "sharp cutting edge" and "dull cutting edge"
- Demonstrate methods to identify a sharp cutting edge
- Revise the micro and macro characteristics of the working end
- Explain and demonstrate sharpening methods
- Describe the care of the sharpening stone
Why Sharpen?
- Less traumatic for the patient
- Enhances detection during procedures
- Reduces clinician fatigue
- Maintains the integrity of the instrument
- Increases patient comfort
- Reduces the number of strokes needed
What is the goal of sharpening?
- To transition an instrument edge from dull to sharp
- Accomplished by removing minimal metal
- Maintains the instrument's original characteristics
Properties of Sharp Instruments
- Strength and longevity are maintained by sharpening
- A dull cutting edge is created when metal is worn away from the cutting edge
How Instruments Become Blunt
- Stroking against a tough tooth surface causes the delicate metal edge to wear away, resulting in a rounded edge instead of a fine line
Assessing sharpness
- Use "light and bite" method
- Use magnification
- Use bright light
- Be present and aware while working
Frequency of Sharpening
- Sharpen during the session and before treatment to maintain optimal sharpness from the factory finish
Armamentarium For Sharpening
- Gauze
- Static work surface
- Magnifying glass
- Sharpening stone
- Good light source
- Guide to maintain correct angles
- Lubricant
- PPE (Personal Protective Equipment)
Types of Stones
- Ceramic medium grit stones
- Arkansas flat hard fine grit stones
- India wedge shape medium grit stones
- Arkansas bates hard fine grit stones
- Arkansas thick wedge hard, fine grit stones
- Arkansas conical super-fine grit stones
- Ceramic cylindrical fine grit stones
- Luxating elevator fine grit stones
- Dual grit stones
Care of Stones
- Clean in an ultrasonic scaler or scrub with a brush and hot water to remove metal particles
- Dry the stone on a paper towel
- Place in an autoclave bag instrument cassette for sterilisation
Sharpening Methods
- Face sharpening
- Lateral surface sharpening
The Nievert Whittler
- A specialized instrument for sharpening
Loss Of Metal Distribution
- Sharpening methods aim to address the loss of metal
- Lateral Surface: Stone is applied to the side
- Face: Stone is applied to the face
Lubrication
- Usually water is applied to the surface of the sharpening stone
- Prevents metal shavings from sticking to the stone surface
- Metal shavings can become embedded, reducing the stone's Effectiveness
- Reduces frictional heat between stone and metal
Sharpening Guide
- *Graceys: 110°
- *Sickles/Universals: 90°
Instrument & Stone Positions
- The face of the instrument should be parallel with the desk top
Table Top Sharpening
- Stone is placed on a solid black line
- Countertop is aligned along the edge
- Position the race with the dotted black line
- Position instrument to keep the edge to be sharpened
Tips For Lateral Surface Sharpening
- Preserve the original curve of the blade
- Maintain rounded backs and toes
- Re-contour rounded toes and backs of curettes
- Remove metal from the back and toe to restore curvature
Clock System
- Used as a guide for stone and/or instrument positioning
Errors in Sharpening
- Working end design errors
- Flattening cutting edge
- Metal Removal
- Altered shape
Metal Spurs From Sharpening
- Consists of minute metal burs that project from the cutting edge
- Burs can cause gouging of cementum
- Avoid by finishing with a downward stroke
- Visually confirm removal or clear with a cylindrical sharpening stone
- Wipe your instrument
Ending on a Downward Stroke
- Use downward strokes to avoid errors
Sharpen or Replace Instruments
- Scalers have a limited use-life and should be discarded eventually
- Frequent sharpening combined with careful handling and sterilisation prolong instrument lifespan
- Discard instruments with thin working ends to prevent fracture in the mouth
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