Non-Surgical Periodontal Therapy 2 Past Paper PDF

02/11/2023 Non-Surgical Periodontal Therapy 2 1 Intended Learning Outcomes By the end of this session students should be able to: ▪ Revise steps to commence a good clinical periodontal session ▪ Demonstrate use of a fulcrum ▪ Revise and demonstrate side-selection of the...

02/11/2023 Non-Surgical Periodontal Therapy 2 1 Intended Learning Outcomes By the end of this session students should be able to: ▪ Revise steps to commence a good clinical periodontal session ▪ Demonstrate use of a fulcrum ▪ Revise and demonstrate side-selection of the instrument ▪ Demonstrate motions utilised in hand-instrumentation – pivoting, wrist-motion activation and handle roll. ▪ Explain the different strokes utilised for effective instrumentation ▪ Demonstrate the ability to manipulate pressure when undertaking the different steps in instrumentation. ▪ Explain and demonstrate the use of curettes and undertake the steps to complete and effective sub-gingival instrumentation session. 2 2 1  02/11/2023 Recap 3 3 4 4 2  02/11/2023 Instruments Fulcrums 5 5 6 6 3  02/11/2023 Adaptation – starting position 7 7 Which end do I use? 8 8 4  02/11/2023 4 motion components Wrist motion activation Pivot Digital motion activation Handle roll 9 9 Pivoting 10 5  02/11/2023 Why the technicality? 11 Pressure application 12 12 6  02/11/2023 Pressure Pinch pressure Fulcrum Lateral pressure 13 13 14 14 7  02/11/2023 15 15 Different pressures Assessment Deposits removal Pinch pressure Pinch pressure Fulcrum Fulcrum Lateral pressure Lateral 16 pressure 16 8  02/11/2023 Calculate Deposit removal Assessment pressure ▪ Moderate pinch pressure + firm fulcrum ▪ Moderate pinch pressure + firm fulcrum + moderate lateral pressure = stability & + moderate lateral pressure = trauma effective and poor detection ▪ Moderate pinch pressure + light fulcrum ▪ Moderate pinch pressure + light fulcrum + moderate lateral pressure = trauma + moderate lateral pressure = sharps and poor detection injury for you and/or patient ▪ Light pinch + light fulcrum + light lateral pressure = effective detection 17 17 Stroke Direction 18 18 9  02/11/2023 Assessment Assessment What do What do we we mean mean by by stroke? detection Working end stroke? of instrument Removal Junctional Full coverage epithelium Define the of root detail of the instrumentation Control stroke over working – end ? Pressure laterally & moved coronally NO contact 19 19 20 20 10  02/11/2023 21 21 Remember you have taken steps into making sure you are working effectively: Optimum you Optimum patient Activation & Optimum instruments Think about the pressure and learning to adjust when appropriate Surface coverage 22 11  02/11/2023 What are you doing? Engagement Instrument Positioning Adaptation with Pressure Release Roll Start again selection instrument 23 23 You are supra-gingival scaling 24 24 12  02/11/2023 Sub-gingival 25 25 Adaptation, Angulation Activation Insertion Removal Follow bulbosity T T O O & O O EXPLORATORY T T GRIP & H H ‘PRESSURE’ 26 13  02/11/2023 27 28 14  02/11/2023 29 30 15  02/11/2023 31 Pressure? Multi - tasking 32 16  02/11/2023 Image references ▪ https://dimensionsofdentalhygiene.com/article/the-challenge-of-furcations/ ▪ https://www.jendodon.com/article/S0099-2399(18)30002-5/fulltext ▪ https://www.aliexpress.com/item/4001217286708.html ▪ https://www.back2health4you.com/muscle-skeletal-nerve-disorders-dental-team/ ▪ https://www.lifeloveandsugar.com/how-to-frost-a-smooth-cake-with-buttercream/ ▪ https://www.wilkdental.com/what-is-scaling-and-root-planing/ 33 33 17