Principles of Periodontal Instrumentation Part 2 PDF

Principles of Periodontal Instrumentation Part 2 Learning Outcomes By the end of this session students should be able to: Explain keys components involved in delivering non-surgical instrumentation Conceptualise the challenges associated with non-surgical instrumentation Recognise proce...

Principles of Periodontal Instrumentation Part 2 Learning Outcomes By the end of this session students should be able to: Explain keys components involved in delivering non-surgical instrumentation Conceptualise the challenges associated with non-surgical instrumentation Recognise processes to address with identified challenges to support positive treatment outcomes Determine the key objectives of instrumentation 2 Principles of Instrumentation Patient compliance Accessibility Visibility, Illumination & retraction Condition of instruments Clean field Operator Action – Stabilisation, activation & stroke 3 Patient Compliance No Disease disease Host Defence & susceptibili Host ty Defence & susceptibili Bacterial ty Load Bacterial Local / Lo a d Systemic factor 4 Patient Compliance 5  No Disease disease Host Defence & susceptibili Host ty Defence & susceptibili Bacterial ty Load Bacterial Local / Load Systemic factor Accessibility during Instrumentation 7 Accessibility continued – linked to Operator and Patient Positions in Dentistry  Ergonomics – clinician and nurse  Increases visibility  Increases opportunity of using ‘power’ / ‘leverage’ in a safe, effective and efficient manner  Operator fatigue  Reduce risk of trauma to patient  Reduce risk of RSI  Four handed dentistry  Surgery design 8 Visibility, Illumination & Retraction - linked to Operator and Patient Positions in Dentistry  Can you see?  How wide can the patient open?  Direct vision  Indirect vision – when do you use this?  Retraction – of what? Why?  How? 9 Condition of Instrument  Sharpness  Working end features  Warping  Bent – trauma from sterilisation  Inappropriate storage 10 Clean field  Working in an area that is wet  Wet with what?  Pooling of saliva / bleeding  What is the issue?  Resolved how? 11 Operator Action linked NSPT 1,2 & 3  Stabilisation  Action  Stroke 12 Automaticity 13  Objectives of Non-Surgical Periodontal Instrumentation  To remove and disrupt biofilm  To remove hard deposits – example?  To eliminate or reduce inflammation  To promote soft tissue attachment  Presenting an optimal tooth surface which is as biocompatible with the host as possible 14  Motivation Behaviour change Praise Ownership Coaching Monitoring Educate 15 Reading References  No turning back: posture in dental practice | BDJ Team (nature.com)  Gehrig, J. (2020). Fundamentals of Periodontal Instrumentation. 7th ed. 16