Prophylaxis Tips with the Ultrasonic

Hygiene Edge

18 Jan 201610:03

EducationalLearning

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TLDRThis instructional video script covers the proper use of ultrasonic dental instruments for effective dental hygiene. It emphasizes the importance of correct suction setup, using a curved and not kinked tip, and maintaining a light touch to avoid sensitivity. The speaker demonstrates techniques for scaling, including retracting with suction and using a sequence for efficiency. Tips are given for patient comfort, such as explaining the procedure and adjusting water temperature for sensitive patients. The script also advises on handling indirect vision, managing water splatter, and checking the ultrasonic tip's length for optimal performance. The goal is to provide a thorough cleaning while minimizing discomfort and maximizing efficiency.

Takeaways

🧽 Ensure suction is working properly before using the ultrasonic device.
🤲 Hold the suction tip with a curved finger and use the thumb to push, avoiding kinks.
💧 Use a light grasp and avoid strong lateral pressure for effective ultrasonic cleaning.
🌫️ Maintain a fine mist of water to prevent the instrument from overheating.
📍 Work at a consistent 9:00 position for visibility and ergonomic stability.
👄 Inform patients about the ultrasonic tool, its noise, and water usage for their comfort.
🦠 Use the ultrasonic to flush out bleeding areas to help with gingivitis and bacterial destruction.
🔍 Regularly check the length of the ultrasonic tip to maintain its efficiency.
👅 Be cautious when working around sensitive areas like recessions or demineralized zones.
⏱️ Use a sequence for scaling to increase efficiency and reduce physical strain.
👵 Adjust patient position or suction technique for comfort, especially with geriatric patients.

Q & A

What is the first step to ensure before using an ultrasonic device in dental hygiene?
-The first step is to make sure that the suction is working correctly. This involves taking the suction tip, curving your fingers around it, and using your thumb to push without creating a kink to ensure smooth operation.
How should you hold the suction tip to avoid creating a kink?
-Hold the suction tip by curving your fingers around it and use your thumb to push gently, ensuring a smooth curve is created in the section tip to prevent kinking.
What technique is demonstrated for retracting with suction while using the ultrasonic device?
-The technique involves retracting with suction and using an extraoral fum, starting with a curette style on the facial side, then adapting to a probe style, and using a curette style in inner proximal areas.
Why is it recommended to let the patient close every two to three teeth when using ultrasonic devices?
-This practice helps reduce the movement required when using the ultrasonic device, making the procedure more comfortable for the patient and more efficient for the dental professional.
What is the 'slim line' tip used for and at what power setting should it be used?
-The 'slim line' tip is used for dental ultrasonic scaling and should be used at a low to medium power setting.
Why is it important to use the lateral sides of the ultrasonic instrument rather than the face or back side?
-Using the lateral sides of the instrument is more effective for scaling and prevents damage to the tooth surface. It also helps to avoid overheating the instrument.
How should you position the suction when working on the lingual surfaces of the teeth?
-The suction should be positioned to catch water without directly touching the cheek tissue to avoid causing trauma. It should aim towards the lingual of the tooth surface, hanging down into the throat area but not so far as to cause gagging.
What should you do if a patient experiences discomfort or sensitivity while using the ultrasonic device?
-If a patient experiences discomfort, consider using warm water, skipping the area with the ultrasonic and hand instrumenting it instead, or getting the area numb if necessary.
Why is it suggested to stay in one area with the ultrasonic device if bleeding is observed?
-Staying in the area where bleeding is observed allows for flushing with water and the ultrasonic's cavitation effect, which helps destroy bacteria and is beneficial for treating gingivitis.
How can you prevent splatter on your mirror while working with indirect vision and ultrasonic scaling?
-To prevent splatter, spray your mirror with the ultrasonic tip to create a water film that absorbs any splatter, improving visibility.
What is the recommended approach for working on anterior teeth with the ultrasonic device?
-The recommended approach is to work on multiple teeth at a time (four or five) before giving the patient a break, ensuring the power is not too high and the water is flowing to prevent discomfort.
How often should you check the length of your ultrasonic tip and why?
-The length of the ultrasonic tip should be checked regularly because the instrument shortens over time with use, which can reduce its efficiency in removing calculus.

Outlines

00:00

😀 Ultrasonic Use Preparation and Technique

The paragraph outlines the initial steps for using an ultrasonic device in dental hygiene, emphasizing the importance of proper suction functioning. The speaker demonstrates how to hold the suction tip, create a smooth curve, and retract it using a slab ejector. They also discuss the use of different techniques (curette and probe styles) for various areas of the mouth, the importance of patient comfort, and the ergonomics of holding the ultrasonic device. The Slim Line tip is introduced for low to medium power settings, and the technique of using the lateral sides of the instrument is highlighted. The speaker also addresses how to manage water temperature for sensitive patients, the need for a light grasp, and the importance of explaining the procedure to the patient. Additionally, they cover how to handle areas of recession, demineralization, and open lesions, and the strategy of scaling with a sequence for efficiency.

05:03

😉 Advanced Ultrasonic Scaling Tips and Considerations

This paragraph delves into more advanced techniques and considerations for ultrasonic scaling. The speaker advises on the management of bleeding areas by flushing them out with water and the benefits of using the ultrasonic in gingivitis treatment. They also discuss the prevention of splatter on the mirror by using the ultrasonic tip to create a water film. For patient comfort, the speaker suggests adjusting the patient's position to prevent water from flowing into the throat. The paragraph also covers the use of the ultrasonic on anterior teeth, emphasizing the lack of a cutting edge and the importance of keeping the device activated for effective calculus removal. The speaker shares personal philosophies on ultrasonic use, including checking the length of the ultrasonic tip regularly for efficiency and finishing with hand instruments if necessary. They also touch on the controversy of using ultrasonic on newly erupted teeth, suggesting a low setting for specific cases. Lastly, the importance of thorough and efficient cleaning is stressed, encouraging hygienists to be meticulous and avoid rushing between areas.

Mindmap

Keywords

💡Ultrasonic

The term 'ultrasonic' refers to a dental instrument that uses high-frequency vibrations to remove dental plaque and calculus. It is central to the video's theme, which is about the proper use of ultrasonic devices in dental hygiene. The script mentions various techniques for using the ultrasonic, such as retracting with suction and using it at low to medium power settings, to ensure effective cleaning without causing discomfort to the patient.

💡Suction

Suction is a mechanism used to remove fluids, such as water and saliva, during dental procedures. In the context of the video, suction plays a crucial role in maintaining a clear field of operation and preventing the patient from swallowing excess water. The script illustrates the importance of ensuring suction is working correctly before using the ultrasonic and demonstrates techniques like retracting with suction to manage water during the procedure.

💡Suction Tip

A 'suction tip' is a component of the suction system used in dental procedures. The script emphasizes the correct handling of the suction tip to avoid kinking, which can obstruct the flow of air or fluids and impede the dental cleaning process. The proper use of the suction tip is highlighted as part of the ergonomic and efficient technique for dental hygiene.

💡Curette Style

The 'curette style' is a technique used with dental instruments, including ultrasonic devices, to scrape off plaque and calculus from tooth surfaces. The video script describes using a curette style in different areas of the mouth, such as the inner proximal surfaces, to effectively remove debris and contribute to the overall dental cleaning process.

💡Probe Style

The 'probe style' is another dental technique mentioned in the script, which involves a more gentle and exploratory movement of the instrument. This style is contrasted with the curette style and is recommended for use on the facial surfaces of the teeth to prevent damage while still effectively cleaning these areas.

💡Slim Line

'Slim Line' is a specific type of ultrasonic tip mentioned in the script. This tip is used at low to medium power settings and is designed to reach tight spaces in the mouth. The script emphasizes the importance of using the correct type of tip for different dental procedures to ensure both effectiveness and patient comfort.

💡Ergonomics

Ergonomics refers to the study of designing equipment and devices to fit the human body, ensuring comfort and efficiency. In the video, ergonomics is discussed in the context of holding the suction and ultrasonic devices in a way that is steady and comfortable for the dental professional, which in turn allows for better patient care.

💡Lateral Sides

The 'lateral sides' of the instrument refer to the sides of the ultrasonic tip that are used for cleaning. The script advises using the lateral sides rather than the face or back side of the instrument to avoid causing discomfort or damage to the tooth surface, highlighting the importance of technique in dental hygiene.

💡Saliva Ejector

A 'saliva ejector' is a tool used to manage saliva and water during dental procedures. The script describes placing the saliva ejector in the patient's cheek to catch excess water, which helps to prevent the patient from choking or feeling uncomfortable due to the accumulation of fluids in the mouth.

💡Sequence

In the context of dental hygiene, a 'sequence' refers to a systematic order in which teeth are cleaned. The video script emphasizes the importance of following a sequence when scaling teeth to increase efficiency and reduce the physical strain on the dental professional. This approach helps in covering all areas systematically and节约时间.

💡Recession

Gum 'recursion' is a condition where the gums pull back or recede from the teeth, exposing more of the tooth and potentially causing sensitivity. The script advises being cautious around areas of recession when using the ultrasonic to avoid causing pain or discomfort to the patient, which is an important consideration in patient care.

💡Indirect Vision

Indirect vision refers to the technique of using a dental mirror to see areas of the mouth that are not directly visible. The script mentions using indirect vision when working with the ultrasonic device to manage splatter on the mirror, ensuring that the dental professional can maintain a clear view of the work area.

💡Hand Instruments

Hand instruments are dental tools used manually by the dental professional for various procedures, including scaling and cleaning. The script suggests that after using the ultrasonic device, there may be a need to touch up certain areas with hand instruments for a more thorough cleaning, indicating the complementary use of both manual and ultrasonic techniques in dental hygiene.

Highlights

Ensure the suction is working correctly before using the ultrasonic device.

Use a curved, not a kinked, suction tip to prevent material from getting stuck.

Twist the suction tip and use a slab ejector to retract while working.

Utilize a combination of curette and probe styles when using the ultrasonic on different areas of the teeth.

Allow the patient to close every two to three teeth to reduce movement during ultrasonic use.

Stay at a 9:00 position to work on the buckles of Quad 4 and retract the suction as needed.

Use the slim line tip at low to medium power settings with a fine mist of water.

Apply ultrasonic technique using the lateral sides of the instrument, not the face or back.

Maintain a light grasp on the ultrasonic device to prevent reduced effectiveness from strong pressure.

Explain the ultrasonic tool and its operation to the patient before use.

Place the saliva ejector carefully in the patient's cheek to avoid causing trauma.

Learn to feel calculus with the ultrasonic tip and evaluate work with exploratory strokes.

Scaling with a sequence is more efficient than scaling by arch.

Be cautious around areas of recession to avoid causing pain to the patient.

Warm the water for sensitive patients to prevent discomfort from cold.

Consider hand instrumenting or numbing sensitive areas if ultrasonic use is tender for the patient.

Stay on bleeding areas a bit longer while using the ultrasonic to flush and destroy bacteria.

Spray the mirror with the ultrasonic tip to prevent splatter for better visibility.

Adjust patient position or use techniques to prevent water from flowing into the throat.

Regularly check the length of the ultrasonic tip to maintain instrument efficiency.

Transcripts

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Takeaways

Q & A

What is the first step to ensure before using an ultrasonic device in dental hygiene?

How should you hold the suction tip to avoid creating a kink?

What technique is demonstrated for retracting with suction while using the ultrasonic device?

Why is it recommended to let the patient close every two to three teeth when using ultrasonic devices?

What is the 'slim line' tip used for and at what power setting should it be used?

Why is it important to use the lateral sides of the ultrasonic instrument rather than the face or back side?

How should you position the suction when working on the lingual surfaces of the teeth?

What should you do if a patient experiences discomfort or sensitivity while using the ultrasonic device?

Why is it suggested to stay in one area with the ultrasonic device if bleeding is observed?

How can you prevent splatter on your mirror while working with indirect vision and ultrasonic scaling?

What is the recommended approach for working on anterior teeth with the ultrasonic device?

How often should you check the length of your ultrasonic tip and why?