Calculus Removal Stroke
TLDRThe video script outlines a meticulous procedure for removing calculus deposits from teeth using a controlled, short biting stroke. It emphasizes the importance of mastering subgingival instrumentation, a critical dental skill, and suggests practicing on a typodont before treating patients. The process involves a step-by-step approach, starting from positioning the curette, inserting it gently beneath the gingival surface, and executing a precise calculus removal stroke. The technique requires angling the curette correctly, locking the working end against the tooth, and making a series of deliberate, upward strokes to effectively snap off the calculus. The script also highlights common errors, such as rapid back-and-forth strokes, which are not only ineffective but also stressful for the clinician. Instead, it advocates for a methodical approach with pauses and relaxation between each stroke to minimize strain and ensure precision in calculus removal.
Takeaways
- 🦷 Use a controlled, short biting stroke to remove calculus deposits from teeth.
- 📏 Practice calculus removal on a typodont before attempting it on a patient to perfect the technique.
- 🧤 It's helpful to practice without gloves to better assess your grasp and technique.
- 📍 Position the curette working end at the middle third of the facial surface for insertion.
- 🔄 Tilt the lower shank toward the tooth surface to establish an 80-degree angle for correct angulation.
- 🔒 Lock the toe third of the working end against the tooth surface before making a removal stroke.
- ✋ Apply a tiny biting stroke upward against the calculus deposit, then stop the stroke with precision.
- 🕒 Pause and relax your hand after each stroke to lessen strain on your muscles.
- 🔄 Reposition the working end under a new calculus deposit with a zero-degree angulation before each stroke.
- ❌ Avoid rapid back and forth strokes; they are ineffective and stressful.
- 🔁 Make each calculus removal stroke distinct, precise, and follow with a pause and repositioning.
Q & A
What is the purpose of the removal stroke in calculus removal?
-The removal stroke is used to remove calculus deposits from the tooth using a very short controlled biting stroke to snap the deposit off the tooth.
What type of curette is recommended for subgingival instrumentation?
-A periodontal curette, such as a Type 4 or Type 5 (twitflash), is recommended for subgingival instrumentation.
Why is it important to practice calculus removal on a typodont before attempting it on a patient?
-Practicing on a typodont allows the clinician to perfect the technique without causing discomfort to a patient and helps to avoid potential damage to the patient's oral tissues.
Why is it helpful to work without gloves when practicing on a typodont?
-Working without gloves helps the clinician to better assess their grasp and the precision of their movements, which is crucial for mastering the technique.
What is the initial step in the calculus removal process?
-The initial step is to get ready by placing the working end in the get-ready zone on the middle third of the facial surface.
How should the working end be positioned during insertion?
-The working end should be positioned so that the face is hugging the facial surface at a zero-degree angulation, with the curette toe pointing toward the gingival margin.
What is the correct angulation for the curette face to the root surface during calculus removal?
-The correct angulation is 80 degrees, established by tilting the lower shank toward the facial surface.
How should the clinician lock the working end against the tooth surface?
-The clinician should apply pressure with their thumb to lock the toe third of the working end against the tooth surface.
What is the correct technique for making a calculus removal stroke?
-The correct technique involves making a tiny biting stroke upward against the calculus deposit while keeping the toe third locked against the tooth surface, followed by stopping the stroke with precision using the fulcrum finger.
Why is it important to pause and relax at the end of each stroke?
-Pausing and relaxing at the end of each stroke helps to lessen the strain on the muscles of the hand, ensuring a more comfortable and less stressful procedure.
What is the most common technique error made during calculus removal strokes?
-The most common error is the use of rapid back and forth instrumentation strokes, which are ineffective and place a lot of stress on the clinician's muscles.
How should the clinician reposition the working end for a series of calculus removal strokes?
-The clinician should make a light stroke to reposition the working end, prepare for a second stroke, make one short biting stroke, and repeat the process, ensuring each stroke is distinct and precise.
Outlines
🦷 Calculus Removal Technique
The first paragraph outlines the process of removing calculus from teeth using a controlled, short biting stroke. Key points include the use of a periodontal probe and a universal curette for subgingival instrumentation. The technique involves a step-by-step approach with specific steps such as preparing for insertion, inserting the working end, and making precise calculus removal strokes. The importance of pausing and relaxing the hand after each stroke to reduce strain on the hand is emphasized. The paragraph also warns against rapid back and forth strokes, which are ineffective and stressful.
📝 Summary of Calculus Removal Process
The second paragraph summarizes the calculus removal technique, emphasizing the step-by-step approach where each stroke is distinct and precise. It reiterates the importance of pausing and relaxing the hand after each stroke to minimize strain on the fingers and hand. The paragraph concludes by highlighting the effectiveness of the technique in removing calculus deposits while being less strenuous on the clinician's muscles.
Mindmap
Keywords
💡Calculus Removal
💡Removal Stroke
💡Subgingival Instrumentation
💡Universal Curette
💡Angulation
💡Gingival Margin
💡Zero Degree Angulation
💡Locking the Toe
💡Precision
💡Rapid Back and Forth Instrumentation
💡Relaxed Grasp
Highlights
Calculus removal stroke is a controlled technique used to remove deposits from the tooth.
The stroke is performed in a step-by-step manner for precision.
A periodontal probe and a universal curette are recommended for subgingival instrumentation.
Practicing on a typodont (teiko dot) is crucial before attempting on a patient.
Gloves are not necessary for practicing on a typodont to better assess grasp.
The working end of the instrument should be placed on the middle third of the facial surface.
The curette toe should point toward the gingival margin during insertion.
Insert the working end gently to the base of the pocket, hugging the tooth surface.
Tilt the lower shank for an 80-degree face to root surface angulation.
Lock the toe third of the working end against the tooth surface before making a removal stroke.
Make a tiny biting stroke upward against the calculus deposit to snap it off.
End the stroke with precision by pressing down with the fulcrum finger against the tooth.
Pause and relax the hand after each stroke to lessen strain on the muscles.
Each calculus removal stroke should be distinct and precise.
Avoid rapid back and forth instrumentation strokes for effectiveness and to reduce stress on the clinician.
Correct technique involves a series of separate, deliberate upward strokes with pauses in between.
The technique is effective for removing calculus deposits and places less strain on the clinician's hand muscles.
Repositioning the working end is essential for each stroke to be effective.
The summary emphasizes the step-by-step approach, precision, and relaxation for optimal calculus removal.
Transcripts
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