Dental Polishing - DTH24_SV PDF

Dental Polishing Foundations for Clinical Skills and Practice Intended Learning Outcomes By the end of the session students should be able to: Define the procedure of polishing Describe the benefits of polishing (any modality) Discuss the equipment used during a conventional polishing se...

Dental Polishing Foundations for Clinical Skills and Practice Intended Learning Outcomes By the end of the session students should be able to: Define the procedure of polishing Describe the benefits of polishing (any modality) Discuss the equipment used during a conventional polishing session Demonstrate patient preparation for a polish Demonstrate safe clinical practice when undertaking a polish Demonstrate assessment of polish and provide appropriate advice to prevent stain occurrence. 2 GDC Learning outcomes 2013 1.1.2 Describe oral diseases and their relevance to prevention, diagnosis and treatment 1.2.4 Recognise abnormalities of the oral cavity and the rest of the patient and raise concerns where appropriate 1.8.1 Recognise the risks around the clinical environment and manage these in a safe and efficient manner 1.10.4 Advise on and apply a range of preventive materials and treatment as appropriate 1.11.3 Undertake non-surgical treatments, under prescription where appropriate, to remove hard and soft deposits stains using a range of methods 3 Assessment Formative Summative Quiz FCSP handbook Practical Class discussion   Recall Dental Stains Lecture How will you remove dental stains? How do stains adhere to the tooth? Classify dental stains by location Which class of stains can be removed by you?  Polishing A technique used to remove plaque and stains from the coronal surface of teeth A polishing handpiece, rubber cup and abrasive agent are used Most common method of stain removal What are the benefits of Polishing? Smooth surface Patient easier to clean motivation Stain removal Slows formation Fluoride better of new deposits accepted by enamel 8 Main ways of polishing Conventional Air-Flow 9  Polishing Handpiece Rubber Cup Polishing paste Conventional Polishing Equipment Gauze Floss 10 Rubber Cup vs Bristle Brush Rubber cup Bristle brush Soft rubber Natural (animal hair) Webbed inside Synthetic (nylon) Closer look 12 Polishing process Rubber cup Rubber cup web Paste Rubber cup splaying Web moves down Compressing paste between web and tooth 13  How can you overcome Saliva these? All surfaces Do you need any tools? Control Order Comment on Padlet board Infection control  Heavy Stains (tobacco and chlorhexidene) Pits and Fissures in enamel surfaces Latex allergy? Brushes can cause severe gingival trauma so must be used with care Brushes are not recommended for use on cementum or dentine – why?  Abrasives are available in extra coarse, coarse, medium, fine, and extra fine The coarser the agent, the more abrasive the surface Even a fine-grit agent removes small amounts of the enamel surface Use the abrasive agent that will produce the least amount of abrasion to the tooth surface  The more agent used, the greater the degree of abrasion – do we want to be abrasive? The lighter the pressure, the less abrasion The slower the rotation of the cup, the less abrasion  Check the patient's medical history for any contraindications Drape the patient with a waterproof bib Ask the patient to remove any dental prosthetic appliance he or she may be wearing Provide the patient with protective eyewear Explain the procedure to the patient & answer any questions Safety 19  Fulcrum provides stability for the operator & must be placed in such a way as to allow for movement of the wrist & forearm The fulcrum is repositioned throughout the procedure as necessary May either be intraoral or extraoral Polishing Strokes Fill the polishing cup with the polishing agent Establish a finger rest and place the cup almost in contact with the tooth Stroke from the gingival third toward the incisal third Use the slowest speed & then apply the revolving cup lightly to the tooth surface for 1 to 2 seconds Use light pressure to make the edges of the polishing cup flare slightly Use a patting, wiping motion and an overlapping stroke Stroke from the gingival third with just sufficient pressure to make the cup flare After Polishing? Flossing Evaluation of Polish Removes abrasive or debris Teeth are glossy and reflect light lodged in contact point There is no evidence of trauma  For most patients, removal of stain is the reason they attend Education on cause of stain Advice on how to keep stains away Referral for intrinsic stain Image references https://www.dentistrytoday.com/news/todays-dental-news/item/6082-who-cdc-and-fda- offer-ppe-updates-for-the-covid-19-outbreak https://www.cosmedent.com/shop-by-department/finishing-and-polishing-products/ flexibrush/products/flexibrush/ https://gavinismydentist.com/blog/airflow-tooth-polishing https://www.shutterstock.com/search/tooth+polishing https://www.kerrdental.com/en-ae/prevention-products/probrush-cups-and-brushes 30