Dental Root Planing 101 - Step-by-Step
TLDRThis informative video script is a guide for dental professionals on root planning and calculus removal. The presenter begins by emphasizing the importance of engaging with the content and subscribing for more educational videos. They introduce the necessary instruments for root planning, including a perio probe, an 11/12 explorer, and various Gracey curettes for different tooth surfaces. The script details the correct technique for using these instruments, such as finding the right cutting edge, using a modified pen grasp, and making deliberate strokes with medium lateral pressure to avoid burnishing the calculus. The presenter also discusses the importance of post-operative care, including patient follow-up, oral hygiene reinforcement, and warning patients about potential discomfort. The video concludes with tips on maintaining instrument sharpness, applying proper pressure, and avoiding finger flexing to ensure effective calculus removal and patient comfort.
Takeaways
- ๐ **Engagement is Key**: Like and subscribe to the video to help it reach a wider audience of dental professionals who can benefit from the content.
- ๐ **Baseline Assessment**: Use a perio probe to conduct a periodontal chart before root planning to establish a baseline for gum disease severity.
- ๐ ๏ธ **Essential Instruments**: Invest in an 11/12 explorer and various Gracey curettes for effective subgingival and supergingival calculus detection and removal.
- ๐ **Correct Instrument Positioning**: Hold the instrument with the lower shank perpendicular to the floor to identify the correct cutting edge for calculus removal.
- ๐ค **Modified Pen Grasp**: Utilize a modified pen grasp and position fingers close to the working area for better control and precision.
- ๐๏ธ **Hugging Technique**: When inserting the instrument, hug the tooth at 0 to 40 degrees to the tooth surface before going beneath the calculus deposit.
- ๐ **Deliberate Strokes**: Execute deliberate strokes at 60 to 80 degrees between the instrument face and tooth to effectively remove calculus without burnishing.
- ๐ซ **Avoid Back-and-Forth Motions**: Prevent burnishing calculus by avoiding non-purposeful back-and-forth strokes; use calculated, upward strokes instead.
- ๐ **Post-Procedure Follow-up**: Schedule a follow-up approximately three months after root planning to assess progress, reinforce oral hygiene, and check for gum disease healing.
- โ ๏ธ **Post-Op Instructions**: Inform patients about the possibility of discomfort after the procedure and provide them with appropriate post-operative care instructions.
- ๐ง **Ergonomic Technique**: To prevent hand fatigue, use the whole hand and arm while performing root planning, avoiding excessive finger flexing and pivoting on the fulcrum.
Q & A
What was the main topic of the last video the speaker made?
-The last video was about hand scaling.
Why is it important to hit the like button on the video?
-Hitting the like button helps to push the video out to more clinicians who need to see this content, as the algorithm favors engagement.
What is the first instrument mentioned for root planning?
-The first instrument mentioned is a perio probe, which is used to take a periodontal chart before root planning.
Why is it necessary to have a periodontal chart before root planning?
-A periodontal chart is necessary to establish a baseline of pocket depths and the severity of gum disease, allowing for comparison and assessment of improvement after treatment.
What is the purpose of using an 11/12 explorer?
-The 11/12 explorer is used to detect subgingival and supergingival calculus due to its thin and delicate design.
How should the face of the instrument be positioned when hugging the tooth before calculus removal?
-The face of the instrument should be positioned at 0 to 40 degrees with the tooth surface.
What is the correct technique to avoid burnishing calculus during root planning?
-The correct technique involves hugging the tooth, inserting the instrument beneath the calculus, opening the instrument to 60 to 80 degrees, and making a deliberate stroke upwards with medium lateral pressure.
Why is it crucial to use sharp instruments during root planning?
-Sharp instruments prevent burnishing calculus, ensure meaningful and purposeful strokes, and allow for effective removal of calculus.
How often should a patient be reviewed after root planning?
-A patient should be reviewed approximately three months after root planning.
What is the significance of making each stroke during root planning meaningful and purposeful?
-Meaningful and purposeful strokes ensure effective calculus removal and prevent the instrument from just smoothing out the calculus, which is known as burnishing.
What should a dental professional do if they suspect they have burnished calculus during root planning?
-If calculus has been burnished, the dental professional may need to start the procedure again to properly remove the calculus and allow for healing.
Why is it important to relax the hand between strokes during root planning?
-Relaxing the hand between strokes prevents strain on the hand, wrist, and body, and ensures each stroke is purposeful and effective.
Outlines
๐ Introduction and Root Planning Overview
The speaker, addressing dental professionals, expresses gratitude for the support and feedback received since their last video on hand scaling. They introduce the topic of the current video, which is root planning and calculus removal for a model named Ginger. The speaker emphasizes the importance of engaging with the video by liking and subscribing to ensure the content reaches a wider audience. They also promise to share valuable tips and tricks on route planning towards the end of the video. The necessary instruments for root planning are introduced, including a perio probe for assessing gum disease depth, an 11/12 explorer for detecting calculus, and various Gracey curettes for removing calculus from different areas of the teeth.
๐ ๏ธ Instrument Techniques and Calculus Removal
The paragraph demonstrates the proper use of dental instruments for calculus removal. It details the technique of using the Gracey curette, starting with finding the correct cutting edge and working end. The speaker illustrates how to engage the instrument with the tooth at 0 to 40 degrees, insert it beneath the calculus, and then open the instrument to 60 to 80 degrees before making a deliberate stroke to remove the calculus. They also explain how to avoid burnishing calculus by using the correct technique and applying moderate lateral pressure. The process is shown for both mesial and distal surfaces of anterior and posterior teeth.
๐ฆท Advanced Calculus Removal on Posterior Teeth
This section focuses on the removal of subgingival calculus from a posterior tooth, specifically tooth number seven. The speaker outlines the use of three different Gracey instruments: the 11-12 for mesial surfaces, the 13-14 for distal surfaces, and the 7-8 for the buccal surface. They demonstrate the correct technique for each surface, including the angulation and pressure required for effective calculus removal without damaging the gums. The speaker also addresses the removal of calculus from the palatal surfaces using the same technique and stresses the importance of using the correct cutting edge.
๐ Post-Procedure Advice and Best Practices
The speaker advises on the importance of following up with patients approximately three months after root planning to assess gum disease healing and reinforce oral hygiene. They highlight the need for another periodontal chart to compare with the initial one and to provide post-operative instructions to the patient. The speaker cautions about the possibility of post-procedure discomfort and the need to warn patients about it. They also discuss the concept of burnishing calculus, emphasizing the importance of using sharp instruments and applying the correct pressure during root planning. The speaker offers advice on avoiding burnishing and the necessary steps to take if calculus has been accidentally burnished. They conclude with a reminder to use the whole hand and arm to reduce strain and to make each stroke purposeful. The video ends with an invitation for feedback and further video requests.
Mindmap
Keywords
๐กHand Scaling
๐กRoot Planning
๐กCalculus Removal
๐กPerio Probe
๐กGracie Curettes
๐กModified Pen Grasp
๐กSubgingival Calculus
๐กBurnishing Calculus
๐กPost-Operative Instructions
๐กPeriodontal Disease
๐กFinger Rest
Highlights
The importance of using a perio probe to establish a baseline for periodontal pocket depth before root planning.
The necessity of engaging with content through likes and subscriptions to increase its visibility to clinicians.
The use of an 11 12 explorer for detecting subgingival and supergingival calculus with a modified pen grasp technique.
The different types of Gracey curettes (1-2, 7-8, 11-12, 13-14) and their specific applications for calculus removal on various tooth surfaces.
The correct way to identify the cutting edge of a Gracey curette by holding it perpendicular to the floor.
Technique of hugging the tooth with the instrument at 0 to 40 degrees before inserting it beneath the calculus deposit.
Opening the instrument to 60 to 80 degrees to create a space for calculus removal without causing damage to the tooth.
Executing deliberate strokes with medium lateral pressure to effectively remove calculus without burnishing.
Avoiding back and forth strokes which can lead to burnishing and instead using a technique that ensures calculus removal.
The three-month follow-up with patients after root planning to assess gum disease healing and reinforce oral hygiene.
Giving patients post-operative instructions, including a warning about possible discomfort after the procedure.
Advice on avoiding burnishing calculus by using sharp instruments, applying moderate pressure, and ensuring meaningful strokes.
The importance of hand and wrist care during root planning by using the whole hand and arm, and relaxing the hand between strokes.
Tips and tricks shared for correct route planning and ensuring the best results in dental procedures.
Encouragement for viewers to comment on what other videos they would like to see in the future.
The significance of liking the video to encourage the creation of more educational content.
Transcripts
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