Periodontal Instruments: Sharpening Techniques

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

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?

  • 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?

  • 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?

<p>Reduced cutting efficiency and difficulty in removing calculus. (B)</p> Signup and view all the answers

What is the purpose of finishing sharpening strokes with a downward motion?

<p>To prevent the formation of metal burs on the cutting edge. (C)</p> Signup and view all the answers

In the 'clock system', what relative positions would a right-handed clinician typically use to sharpen sickles and universal curettes?

<p>Between 10:00 and 11:00. (B)</p> Signup and view all the answers

Why is it important to sterilize sharpening stones after cleaning?

<p>To prevent cross-contamination and maintain asepsis. (A)</p> Signup and view all the answers

During lateral surface sharpening, what should the table top be positioned to?

<p>The face of the instrument should be parallel with the surface (C)</p> Signup and view all the answers

Which action helps to prevent metal spurs from remaining on an instrument after sharpening?

<p>Finishing with a downward stroke. (D)</p> Signup and view all the answers

When assessing an instrument to determine if it should be sharpened or replaced, what factor is MOST critical?

<p>The amount of metal that has been removed during previous sharpenings, potentially altering its original shape and function. (D)</p> Signup and view all the answers

What is the primary goal when sharpening periodontal instruments?

<p>To restore a sharp cutting edge while preserving the instrument's original design. (C)</p> Signup and view all the answers

Why does using sharp instruments reduce clinician fatigue?

<p>Sharp instruments require fewer strokes and less pressure, reducing physical strain. (A)</p> Signup and view all the answers

What is the primary difference between a sharp cutting edge and a dull cutting edge on a periodontal instrument?

<p>A sharp cutting edge is extremely thin and forms a fine line, while a dull edge is rounded. (A)</p> Signup and view all the answers

When evaluating the sharpness of a periodontal instrument, what conditions are optimal for assessment?

<p>Magnification and bright light are useful, as well as being present and focused. (A)</p> Signup and view all the answers

What contributes to the blunting of a periodontal instrument's cutting edge during use?

<p>Contact with hard tooth surfaces, causing the metal edge to wear away. (B)</p> Signup and view all the answers

Which of the following is a direct benefit of using sharp periodontal instruments during treatment?

<p>Enhanced tactile sensitivity and precision during calculus removal. (B)</p> Signup and view all the answers

What is one key consideration for clinician when sharpening?

<p>To remove minimal metal from the instrument during the sharpening process. (B)</p> Signup and view all the answers

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?

<p>The 'Light and Bite'. (B)</p> Signup and view all the answers

Why is maintaining the original characteristics of a periodontal instrument important during sharpening?

<p>Preserving the original shape ensures the instrument continues to function as intended. (A)</p> Signup and view all the answers

Which of the following is LEAST likely to be achieved through regular instrument sharpening?

<p>Complete prevention of instrument wear. (D)</p> Signup and view all the answers

Flashcards

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

A sharp cutting edge allows for effective and efficient removal of calculus and biofilm.

Dull Cutting Edge

A dull cutting edge is rounded and ineffective for calculus removal.

Cause of a Dull Cutting Edge

Created when metal is worn away from the cutting edge.

Signup and view all the flashcards

Objectives of Sharpening

Remove minimal metal, maintain original instrument characteristics, strength and longevity.

Signup and view all the flashcards

Assessing Sharpness

Using ‘light and bite’ to assess sharpness, you will assess the combination of a bright light and magnification.

Signup and view all the flashcards

Instrument Bluntness

Stroking against a tough tooth surface causes the delicate metal edge to be worn away until it is rounded instead of a fine line

Signup and view all the flashcards

Dull Cutting Edge

Metal is worn away from the cutting edge.

Signup and view all the flashcards

Instrument Sharpening

Remove minimal metal while sharpening

Signup and view all the flashcards

Parts of an Instrument

Cutting edge, lateral surface, face, and back.

Signup and view all the flashcards

Sharpening Armamentarium

Gauze, static work surface, magnifying glass, sharpening stone, good light, guide, lubricant, PPE.

Signup and view all the flashcards

Care of Sharpening Stones

Cleaned in an ultrasonic scaler or scrubbed with brush & hot water; dried and sterilized in an autoclave bag or instrument cassette.

Signup and view all the flashcards

Sharpening Surfaces

Face: surface of the instrument that is sharpened; Lateral surface: side of the instrument that forms the cutting edge.

Signup and view all the flashcards

Lubrication during Sharpening

Water is usually applied to the surface of the sharpening stone to prevent metal shavings from sticking and reduce frictional heat.

Signup and view all the flashcards

Instrument Face Position

The face of the instrument should be parallel with the table top.

Signup and view all the flashcards

Restoring Curette Shape

Rounded toes and backs of curettes must be re-contoured by removing metal to restore curvature.

Signup and view all the flashcards

Metal Spurs (Burs)

Minute projections from cutting edge; these can cause gouging of cementum. Can be avoided by finishing with a downward stroke.

Signup and view all the flashcards

Ending Sharpening Stroke

Finishing sharpening with a downward stroke

Signup and view all the flashcards

Errors in Sharpening

Altered working-end design, unnecessary metal removal, flattening cutting edge, altered shape.

Signup and view all the flashcards

Sharpening Angle

Maintain correct angles between stone and instrument

Signup and view all the flashcards

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

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Periodontal Instruments and Supplies Quiz
5 questions
Periodontal Instruments and Supplies Quiz
3 questions
Periodontal Instruments Overview
50 questions

Periodontal Instruments Overview

FineLookingAquamarine248 avatar
FineLookingAquamarine248
Periodontics Single-Ended Instruments
43 questions
Use Quizgecko on...
Browser
Browser