Explorer Lingual of 2nd Quadrant

Cambrian College
4 Nov 201303:24
EducationalLearning
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TLDRThe video script outlines a dental procedure focusing on the lingual aspect of the maxillary anterior area in the second quadrant, specifically targeting tooth 28. The operator begins with a modified pen grasp, ensuring a neutral wrist position and a palm orientation towards the floor. Utilizing a mirror for illumination, the procedure involves full crumbing on the lingual cusp of the tooth and full primming on the maxillary interior incisal edge. The activation technique involves a diagonal stroke across the lingual, rolling and pivoting towards the mesial side of the tooth, followed by a vertical stroke. The hand position is crucial, with the wrist remaining fairly straight and the hand cupping the bottom teeth. The operator emphasizes maintaining the shank parallel to the tooth's long axis throughout the procedure, particularly when achieving the distal line angle and pivoting towards the mesial line angle. The demonstration is intended to provide clarity on the hand positioning and technique for an effective dental procedure.

Takeaways
  • 🔍 Start with the client's head in a supine position, chin up, and turned away from the operator for a clear view of the maxillary anterior area.
  • 🪞 Utilize a mirror to reflect light and focus on the area of interest, which is beneficial for visibility and precision.
  • 🤲 Adopt a modified pen grasp with the palm slightly towards the floor, maintaining a neutral wrist position.
  • 🦷 Ensure the thumb is above the baby finger to keep the hand in a comfortable and ergonomic position while working on the teeth.
  • 📍 Begin the procedure at the distal line angle of tooth 26, keeping the hand low to maintain the shank parallel to the tooth's long axis.
  • 🔧 Use diagonal strokes across the lingual surface, rolling and pivoting the instrument towards the mesial side of the tooth.
  • ↕️ Pivot upwards higher when aiming for the distal line angle and then pivot down towards the mesial line angle for precision.
  • 👐 The hand position should cup the bottom teeth, with the palm of the right hand facing downwards, for stability and control.
  • 📉 Work your way from the distal to the mesial, ensuring the shank remains parallel to the tooth for effective cleaning.
  • 🌟 Activation technique involves an upward and outward movement with the wrist, similar to the distal primer.
  • 📈 The procedure is demonstrated on tooth 26, but the technique is applicable to other teeth in the maxillary anterior region, such as tooth 28.
  • 🕒 The hand position and technique should be adapted throughout the process, particularly when transitioning from the lingual to the mesial side of the tooth.
Q & A

  • What is the patient's position during the procedure described in the script?

    -The patient is supine with their head turned away from the operator and their chin up.

  • What tool is used to reflect light during the procedure?

    -A mirror is used to reflect light during the procedure, which is helpful for better visibility.

  • What is the recommended hand position for holding the instrument when working on the maxillary anterior area?

    -The recommended hand position is a modified pen grasp with the palm slightly towards the floor, not out towards the ceiling, and the thumb is still above the baby finger to maintain a neutral wrist position.

  • What technique is used to work on the last tooth, specifically tooth 28?

    -The technique involves full crumbing on the buccal cusps of the primers to reach the very last tooth, which is tooth 28.

  • How should the hand position be adjusted when working on the maxillary interior incisal edge?

    -The hand should be kept low on the distal side to keep the shank parallel to the long axis of the tooth while working on the maxillary interior incisal edge.

  • What is the activation technique for the buccal of the first quadrant as demonstrated in the script?

    -The activation technique involves an up and out movement with the wrist, turning to bring the hand up a little and pivoting up higher to insert at the distal line angle.

  • What are the specific strokes used for the lingual of the maxillary anterior area?

    -The specific strokes include diagonal strokes across the lingual, rolling and pivoting down towards the mesial side of the tube, and then back to a vertical stroke.

  • How should the hand position be adjusted when pivoting to get the distal line angle?

    -The hand should come up higher when pivoting to get the distal line angle, and then pivot down as you're coming down towards the mesial line angle.

  • What is the purpose of keeping the shank parallel to the tooth during the procedure?

    -Keeping the shank parallel to the tooth ensures that the instrument is working effectively and efficiently on the tooth surface, reducing the risk of damage and improving the outcome of the procedure.

  • How does the hand position change when working on the mesial side of the tooth?

    -When working on the mesial side of the tooth, the hand position should be closer to the bottom teeth, maintaining the shank parallel to the tooth as you work your way down.

  • What is the significance of the hand position described at the end of the script?

    -The hand position described at the end of the script, which involves cupping the bottom teeth with the palm of the right hand and keeping the hand low on the distal and mesial, is crucial for precise control and effective tooth shaping.

Outlines
00:00
🦷 Dental Procedure: Quadrant II Examination and Treatment

The paragraph describes a dental procedure taking place in the maxillary anterior area, specifically focusing on the lingual aspect. The client's head is positioned supine with the chin up and turned away from the operator. A mirror is used for illumination and reflection, and a modified pen grasp is employed with the palm facing slightly towards the floor. The dental professional is instructed to fully crumble on the buccal cusps of the primers to access the last tooth, which is tooth 28. The technique involves inserting the instrument at the distal line angle, maintaining a low hand position to keep the shank parallel to the tooth's long axis. Activation is performed with diagonal strokes across the lingual, rolling, and pivoting towards the mesial side of the tooth, followed by vertical strokes. The hand position is demonstrated from a standing point, showing a neutral wrist position with the hand cupping the bottom teeth and pivoting up for the distal line angle and down towards the mesial line angle. The procedure emphasizes maintaining the shank parallel to the tooth throughout the process.

Mindmap
Keywords
💡Lingual
Lingual refers to the side of a tooth that faces the tongue. In the context of the video, it is important for dental procedures as it dictates the approach and technique used by the operator for dental work. The script mentions 'lingual of the second quadrant' and 'lingual obliquely,' indicating that the dental work is being performed on the inner side of the teeth.
💡Supine
Supine is a term used to describe a position where an individual is lying on their back with the face upwards. In the dental context, it is crucial for patient comfort and accessibility for the operator. The script specifies that the client's head is 'supine' to ensure the correct positioning for the procedure.
💡Mirror
A dental mirror is a tool used by dentists to view the hard-to-reach areas of a patient's mouth. In the script, the mirror is used to 'reflect the light' and 'focus on the max anterior area,' which means it is being used to illuminate and inspect the front upper teeth.
💡Pen Grasp
Pen grasp is a term describing the way a dental instrument is held, similar to how one would hold a pen. The script mentions a 'modified pen grasp,' which is a specific grip used to manipulate dental tools effectively, with the 'palm slightly towards the floor' and the 'thumb still above the baby finger,' indicating a neutral wrist position.
💡Buckle Cusps
Buckle cusps refer to the pointed tips of the teeth, particularly the molars. In the script, 'full crumbing on the Buckle cusps' suggests that the dental professional is focusing on the detailed work around these points, likely for cleaning or preparation for a dental restoration.
💡Primers
Primers in dentistry are materials used to prepare a tooth's surface for bonding of a restoration, such as a filling or a crown. The script mentions 'full primming on the max interior insal edge,' which implies that the dental professional is applying a primer to the inner, upper side of the tooth to ensure a strong bond.
💡Distal Line Angle
The distal line angle is the point where the chewing surface of a tooth meets the back side (distal surface). The script instructs to 'insert at the distal line angle,' which means the dental instrument is being placed at this specific point for a particular dental technique or procedure.
💡Activation
In the context of dentistry, activation refers to the process of making a dental material active or effective, such as curing a composite filling with a light. The script describes 'activation is the same as the Buckle of the first quadrant up and out with the wrist,' indicating a specific technique for applying or curing dental materials.
💡Shank
The shank of a dental instrument is the part that connects the handle to the working end. The script talks about keeping the 'shank parallel to the tooth,' which is important for maintaining the correct orientation of the instrument during dental procedures.
💡Mesial Line Angle
The mesial line angle is the point where the chewing surface of a tooth meets the front side (mesial surface). The script uses the term when discussing the hand position and technique, 'pivoting down towards the mesial line angle,' which is a step in the dental procedure.
💡Hand Position
Hand position is critical in dental procedures for precision and control. The script provides detailed instructions on hand positioning, such as 'your hand position is kind of cupping the bottom teeth,' which helps the operator maintain stability and access to the treatment area.
Highlights

Exploring lingual orthodontic techniques in the second quadrant.

Client positioned supine with head turned away from the operator.

Use of a mirror to reflect light and focus on the maxillary anterior area.

Modified pen grasp technique with palm slightly towards the floor.

Neutral wrist position with thumb above the baby finger.

Full crimping on the buccal cusps of the primers for the last tooth.

Demonstration of the technique on tooth number 26.

Inserting at the distal line angle to keep the shank parallel to the tooth's long axis.

Activation technique with wrist movement up and out.

Use of diagonal strokes across the lingual for activation.

Pivoting down towards the mesial side of the tube for proper shank alignment.

Vertical stroke technique with rolling and pivoting motions.

Hand position adjustment for different tooth angles.

Maintaining the shank parallel to the tooth during the procedure.

Hand position from a further back standpoint for better visualization.

Wrist position and hand cupping technique for precision.

Pivoting up higher for distal line angle and pivoting down towards the mesial line angle.

Keeping the thermal shake more parallel when working on the mesial side.

Transcripts

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Dental TechniquesMaxillary AnteriorHand PositioningMirror UsageDental ProceduresOral HealthProfessional TrainingClinical DemonstrationHealthcare IndustryDental HygieneMedical Instruction