Principles of Periodontal Instrumentation - Part 1 PDF

Principles of Periodontal Instrumentation – Part 1 Learning Outcomes By the end of this session students should be able to: Be familiar with historic and contemporary periodontal instrumentation terms Explain the anatomical location of instrumentation techniques Explain the basic object...

Principles of Periodontal Instrumentation – Part 1 Learning Outcomes By the end of this session students should be able to: Be familiar with historic and contemporary periodontal instrumentation terms Explain the anatomical location of instrumentation techniques Explain the basic objectives of different periodontal instrumentation techniques Outline the basic framework of ‘principles’ that are associated with periodontal instrumentation 2 Take 15 minutes and research the following  Share your experiences of ‘terms’ you have heard clinicians use to the patient or each other  Look on dental practice websites and have a look at how periodontal treatment is termed or ‘hygiene’ services 1. Put ‘terms’ in the Principles of Instrumentation chat 2. What do you understand by them? 3. Do we talk the same language as patients and each other? 3 Periodontal Instrumentation Terminology Scaling Root Planing  ….removal of dental plaque, calculus and then smoothing of roots surfaces, removing dentine or cementum.’ Grant et al 1988 4 Periodontal Terminology Curettage Curettage  ‘………remove the soft tissue lining of the periodontal pocket with a curette, leaving only a gingival connective tissue lining.... Gingival curettage, as originally conceived, was designed to promote new connective tissue attachment to the tooth, by the removal of pocket lining and junctional epithelium’. American Academy report 2002 5 Sub Gingival Scaling Supra Gingival Scaling 6  Fine Scale  To remove the remaining build-up and stain removal  More appropriate for patients with heavy deposits but minimal bone involvement and probing depths less than 3mm 7  Gross Scale  Common for patients that have not had their teeth cleaned professionally in a long time.  This allows for evaluation  Facilitates home cleaning  Can work against you? How so? 8 Non-surgical Periodontal Instrumentation 9  Prophylaxis  For patients with healthy gum (gingival) tissue.  Removal of plaque, calculus and (extrinsic) stains from the tooth structures  Intended to help the patient maintain a healthy mouth. 