Dental Polishing Revision PDF

Dental polishing  Some have fluoride incorporated within...

Dental polishing  Some have fluoride incorporated within Smooth surface for Dental Polishing = Patient motivation easier cleaning Technique used to remove Benefits of polishing plaque and stains from the coronal surface of the teeth Fluoride better Slows formation accepted by enamel Stain & biofilm removal of new deposits Main ways of polishing Air-flow (becoming more common practice), NOT about using the Conventional most abrasive Polish NOT material required at Equipment for conventional polishing: every Polishing handpiece (20,000-25,000rpm) appointment Rubber cup (webbed) Polishing paste LOAD PASTE Gauze Not recommended Recommended to clean INTO WEB AND pits/fissures with prior to Floss routinely - too abrasive, KEEP FLAT can cause trauma sealant OR if latex allergy Polishing process: Methodical method to control saliva in oral cavity (upper B & P then lower B & L) Rubber cup splaying web Moves down Compresses paste between web and tooth surface Polishing paste: Flavour (makes difficult to control saliva in oral cavity) Recommended for polishing - takes Grit (x.coarse, coarse, medium, fine, x.fine) contour of tooth Use the paste that will produce the least Less pressure, less abrasion amount of abrasion to tooth surface Abrasion The more paste used, Slow rotation of cup, less abrasion the more abrasion Patient preparation for polishing ALWAYS check Check medical history for any contraindications rubber cup is Drape patient with waterproof bib (can be messy) secure, give a Provide patient with eyewear tug first Ask patient to remove any dental appliances Explain procedure to patient and answer any questions Polishing process 1. Fill polishing cup with polishing paste. (FLATTEN) 2. Establish lighting, finger rest and retraction. 3. Stroke from gingival third towards incisal third. 4. Apply to tooth for 4-6 seconds. 5. Use light pressure to make edges of polishing cup flare slightly. 6. Use wiping notation and overlapping strokes. MUST wrap cup around bulbosity’s of all teeth After polishing Flossing — removes paste and debris lodged in contact points. Evaluation of polish — teeth are glossy and reflect light, no evidence of gingival trauma. History taking Most patients expect polish from patient at appointment, can be Education on cause attendance reason of stain Stain prevention Referral for intrinsic stain Advice on how to keep stain away from