How to HandScale for the WHOLE day
TLDRThe speaker, a dental professional and aromatherapist, expresses excitement about returning to work post-lockdown and addresses the shift to using hand scalars for calculus removal due to restrictions on aerosol-producing equipment. The tutorial covers selecting the right instrument, understanding its components, and the proper technique for using hand scalars effectively and safely. Emphasis is placed on the modified pen grasp, positioning, and leveraging the whole arm to avoid hand fatigue. The importance of using sharp instruments and moving around the patient to prevent missed areas and back injuries is highlighted. The speaker also shares a study by Gusta Wall that validates the effectiveness of hand scalars compared to ultrasonic instruments, and encourages viewers to practice and maintain proper technique for optimal results.
Takeaways
- 🎬 The speaker is excited to return to dental practice after a hiatus, emphasizing the shift back to a form of normality despite restrictions.
- 🚫 Due to restrictions on aerosol production, dental professionals are advised to use hand scalars instead of ultrasonic or EMS instruments for calculus removal.
- 🛠️ Hand scalars are recommended over Gracey curettes for supragingival calculus removal due to the thicker and harder deposits that require more robust instruments.
- 📚 A study by Gusta Wall in 1987 showed that hand scaling can achieve results comparable to ultrasonic instruments, but it is technique-dependent.
- 🔍 The correct instrument for supragingival calculus removal is a sickle scaler or a mini sickle, which can handle the load of thicker deposits.
- 🤲 The modified pen grasp technique is crucial for using hand scalars effectively, with all fingers working together and the fourth finger acting as a fulcrum.
- 📏 Proper positioning of the instrument is key, ensuring the lower shank is parallel to the tooth surface and the functional shank is correctly aligned.
- 🔪 The calculus should be removed using the tip and third of the instrument with short, sharp strokes, applying moderate lateral pressure.
- 🧽 Gauze should be used to wipe the instrument clean during the procedure to avoid handling calculus and blood with bare hands.
- 💺 The dental professional should move around the patient to access different surfaces and prevent back and neck injuries, rather than staying in one position.
- 💪 Use the whole arm and shoulder to remove calculus, avoiding finger flexing to prevent hand and finger fatigue.
- 🔥 Sharpening instruments is essential before use to ensure efficiency and effectiveness in calculus removal.
Q & A
What is the speaker excited about in the beginning of the transcript?
-The speaker is excited about going back to work and seeing patients again after a period of staying at home.
What are the restrictions mentioned that dental professionals are still facing?
-Dental professionals are still restricted from producing aerosols and are unable to use ultrasonics, PMS, and KaVo Ron's calculus removal instruments.
What is the main focus of the tutorial provided by the speaker?
-The main focus of the tutorial is to teach dental professionals how to use hand scalars effectively, without causing harm to themselves or their patients.
What is the recommended instrument for supragingival calculus removal according to the speaker?
-The recommended instrument for supragingival calculus removal is a sickle scaler or a mini sickle.
Why should dental professionals avoid using Gracey curettes for supragingival calculus removal?
-Dental professionals should avoid using Gracey curettes for supragingival calculus removal because they are not designed for it. Supragingival calculus is thicker and harder, and using a curette may risk breaking the instrument in a patient's mouth.
What is the modified pen grasp technique mentioned in the script?
-The modified pen grasp technique involves all fingers working together as one unit, with the thumb and index finger opposite each other on the handle, the third finger on the shank, and the fourth finger acting as a fulcrum and finger rest.
How should the instrument be positioned correctly for calculus removal?
-The instrument should be positioned with the lower shank parallel to the distal surface of a posterior tooth and the functional shank coming up and over the tooth.
What type of strokes are recommended for removing calculus with a hand scaler?
-Short, sharp strokes are recommended for removing calculus with a hand scaler. These can be vertical, oblique, or horizontal.
What is the importance of moving around the patient while performing calculus removal?
-Moving around the patient is important to prevent back and neck injuries and to ensure that all areas, especially those that may have been missed, are thoroughly cleaned.
What is the speaker's educational background and current profession?
-The speaker is an aromatherapist who graduated from Melbourne University about 12 years ago, has worked in private practice for most of their career, completed a master's degree, and is currently pursuing a PhD.
Why is it important to sharpen hand scalers before using them for calculus removal?
-It is important to sharpen hand scalers before using them to ensure efficiency and prevent the need for excessive pressure, which can lead to fatigue and potential injury.
What advice does the speaker give regarding the use of gauze during calculus removal?
-The speaker advises using a 7.5 by 7.5 nonwoven gauze, folded to reduce the risk of pricking oneself, to wipe the instrument clean of blood and calculus deposits during the procedure.
Outlines
😀 Returning to Work and Hand Scaling Tutorial
The speaker, a dental professional, expresses excitement about returning to work post-lockdown and emphasizes the need to adapt to new restrictions, such as avoiding aerosol production. The focus is on using hand scalars for calculus removal, which the speaker acknowledges might be unfamiliar to many. The paragraph outlines the structure of a tutorial on how to effectively and safely use hand scalars, including choosing the right instrument, understanding its components, positioning, and body mechanics to prevent injury and achieve results comparable to ultrasonic or EMS tools. The speaker also mentions their educational background and passion for dental hygiene.
🛠️ Mastering the Art of Hand Scaling
The paragraph delves into the specifics of hand scaling, starting with the correct instrument choice for supragingival calculus removal—a sickle scaler or mini sickle. The speaker explains the importance of using the right tool to avoid breakage and the anatomy of the sickle scaler. The tutorial continues with a demonstration of the modified pen grasp, identifying the correct working end of the instrument by positioning it against a tooth. The speaker then details the technique for removing calculus, emphasizing short, sharp strokes with moderate pressure, and the importance of using the whole arm and body to prevent fatigue. The paragraph concludes with advice on instrument maintenance, specifically the need to sharpen hand scalars for efficiency and patient comfort.
📚 Tips for Effective and Safe Hand Scaling
The speaker provides practical advice for dental professionals returning to hand scaling after a period of restricted practice due to COVID-19. The focus is on using the whole arm and shoulder to reduce hand fatigue and prevent injury. The importance of instrument sharpness is highlighted, with a caution against using blunt instruments that could prolong procedures and demotivate practitioners. The speaker also encourages viewers to engage with the content by liking and subscribing for more helpful tutorials, emphasizing the value of sharing knowledge to improve clinical practice.
Mindmap
Keywords
💡Hand Scalers
💡Ultrasonics
💡Calculus Removal
💡Sickle Scaler
💡Modified Pen Grasp
💡Supragingival Calculus
💡Technique Dependent
💡Sharpening Instruments
💡Fatigue Prevention
💡Restorative Work
💡Gingival Health
Highlights
Excitement about returning to work after COVID-19 restrictions and the challenges of adapting to new safety protocols.
Restrictions on the use of aerosol-producing instruments such as ultrasonics, EMS, and Cavitron due to COVID-19.
Importance of using hand scalers properly to avoid self-injury and ensure patient safety.
Tutorial on the correct technique for using hand scalers, including instrument selection, body positioning, and hand placement.
Explanation of different components of a sickle scaler and their functions.
Emphasis on the modified pen grasp technique for effective and safe calculus removal.
Step-by-step instructions on identifying the correct working end of the instrument.
Demonstration of calculus removal using short, sharp strokes with the tip of the instrument.
Discussion on different types of strokes (vertical, oblique, horizontal) and their appropriate use.
Tips for maintaining instrument sharpness and the importance of using sharp instruments.
Advice on positioning around the patient to avoid fatigue and ensure thorough cleaning.
Recommendation to use the whole arm and body for movement rather than just fingers to avoid fatigue.
Reminder to check for missed areas of calculus by changing positions frequently.
Personal anecdotes and professional background of the speaker to establish credibility.
Encouragement to like and subscribe to the channel to support the content and spread the information to more clinicians.
Transcripts
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