Prophylaxis tips-tricks

Hygiene Edge
27 Oct 201407:33
EducationalLearning
32 Likes 10 Comments

TLDRThe video script details a dental professional's meticulous approach to scaling teeth, emphasizing efficiency and patient comfort. The process begins with an extra oil filter and focuses on molars, utilizing a mirror for better illumination. The technique involves accessing hard-to-reach areas with an extra lip if necessary. The dental hygienist moves systematically from mesial to distal areas, favoring an efficient workflow. Attention is given to the buccal surfaces and canines, with a methodical progression from canine to canine to prevent oversight. The presence of a lingual bar is acknowledged, with a strategy to treat the area as if the bar were a contact point. The video also addresses the importance of avoiding discomfort by using an oblique stroke near contacts and employing finger assistance for precision. The procedure concludes with a thorough scaling of the maxillary arch, highlighting the use of different strokes and visual techniques for a comprehensive cleaning.

Takeaways
  • 🦷 Use an extra oil filter for efficiency and better flow.
  • πŸ” Start on the molars and use a mirror for better illumination when needed.
  • πŸ“ Utilize an extra lip if access to certain areas is difficult.
  • 🦷 Approach the lower teeth from the mesial and then move to the distal for efficiency.
  • πŸ‘€ Count canines with the distal of posterior teeth to avoid missing any teeth during cleaning.
  • πŸ› οΈ Switch instruments when transitioning from posterior to anterior teeth.
  • πŸ“ Begin cleaning from canine to canine to ensure all teeth are covered.
  • πŸ”¨ Be cautious with lingual bars; treat them as if they are not there and scale underneath.
  • πŸ‘… Use a finger-assisted stroke at the back of the thumb for interiors.
  • ⚠️ Avoid painful contact by using an oblique stroke across the tooth instead of a vertical one.
  • πŸ”„ Switch to different instruments for various areas, such as posterior teeth, and use an external fulcrum for indirect vision.
Q & A
  • What is the purpose of using an extra oil filter in dental procedures?

    -The extra oil filter is used to enhance the efficiency of the dental cleaning process by providing a smoother flow of the instrument and better access to hard-to-reach areas in the mouth.

  • Why does the speaker start on the molars?

    -Starting on the molars allows for a systematic approach to cleaning, ensuring that no areas are missed and that the procedure is carried out in an organized manner.

  • How does using a mirror aid in dental cleaning?

    -A mirror provides additional illumination, helping the dental professional to better visualize and access areas that may be difficult to see directly.

  • What technique is used to clean the lower teeth more efficiently?

    -The speaker suggests coming in from the mesial and then moving over the tissue to clean the distal of the next tooth, which streamlines the process and avoids unnecessary reinsertion of the instrument.

  • Why does the speaker sometimes include the canines with the distal of the posterior teeth?

    -Including the canines with the distal of the posterior teeth can help ensure that no teeth are missed during the cleaning process, especially when working on areas that are closely grouped.

  • How does the presence of a lingual bar affect the scaling process?

    -The speaker advises to treat the lingual bar as if it's not there and to scale everything underneath it as if the bar was a contact point, which helps maintain consistency in the cleaning technique.

  • What is the importance of starting the anterior cleaning from canine to canine?

    -Starting from canine to canine helps to ensure that no teeth are skipped, as it's easy to miss canines if the cleaning starts from a different point in the mouth.

  • Why is it necessary to switch instruments during the cleaning process?

    -Switching instruments allows the dental professional to use the most appropriate tool for different areas of the mouth, enhancing the effectiveness of the cleaning and addressing specific needs of each tooth.

  • What is the significance of using an exploratory stroke in certain areas?

    -An exploratory stroke is used to gently feel for any irregularities or areas that may require more attention. If something is detected, the stroke is then activated to address that specific area.

  • How can patients be spared discomfort when the instrument is used between contacts?

    -To prevent discomfort, the speaker suggests using a stroke that is always directed towards the contact and performing an oblique stroke across the tooth rather than a vertical stroke that could get stuck between contacts.

  • What is the benefit of using an external fulcrum and indirect vision for accessing certain areas?

    -Using an external fulcrum and indirect vision allows for better access to areas that are not directly in the line of sight, such as the upper left area mentioned in the script, and can help in achieving a more thorough cleaning.

  • How does treating the distal of canines as if they were posterior teeth simplify the scaling process?

    -By treating the distal of canines as posterior teeth, the dental professional can easily adapt their posterior instruments to these areas, streamlining the scaling process and ensuring a more uniform approach to cleaning.

Outlines
00:00
🦷 Dental Hygiene Techniques for Molars and Canines

The first paragraph focuses on dental hygiene procedures, specifically detailing the process of cleaning molars and canines. The speaker emphasizes the use of an extra oil filter and a mirror for better illumination. They describe a methodical approach, starting with the molars and moving to the anterior teeth, using different instruments as needed. The importance of starting from canine to canine to avoid missing any teeth is highlighted. Additionally, the speaker addresses the issue of cement from braces and the need for a dentist to smooth it out if necessary. They also provide tips on dealing with lingual bars and scaling techniques to ensure thorough cleaning without causing discomfort to the patient.

05:01
πŸ” Advanced Scaling Techniques and Instrument Switching

The second paragraph delves into more advanced dental scaling techniques, including the use of different instruments and the importance of indirect vision and an external fulcrum for hard-to-reach areas. The speaker demonstrates how to adapt posterior instruments for cleaning the distal of canines and emphasizes the completion of scaling with a switch to a different instrument. They also explain the use of an exploratory stroke to detect and address areas that need more attention. The paragraph concludes with the speaker completing the scaling process on the maxillary arch, showcasing a comprehensive approach to dental hygiene.

Mindmap
Keywords
πŸ’‘Extra oil filter
An extra oil filter is an additional component used in oil-based cleaning or maintenance processes to enhance the filtration efficiency. In the context of the video, it is used metaphorically to describe the meticulous approach to dental hygiene, suggesting the use of extra care or tools to ensure thorough cleaning.
πŸ’‘Molars
Molars are the large, flat teeth at the back of the mouth used for grinding food. The script mentions starting on the molars, indicating the importance of focusing on these teeth during dental cleaning due to their role in the process of mastication and their tendency to accumulate plaque.
πŸ’‘Illumination
Illumination refers to the provision of light to make an area clearly visible. In the video, the speaker uses a mirror for extra illumination to better see and access hard-to-reach areas of the teeth during the cleaning process, highlighting the importance of visibility in dental hygiene.
πŸ’‘Mesial
Mesial is a term used in dentistry to describe the direction or position towards the midline of the dental arch. The script mentions coming in from the mesial, which refers to the technique of approaching the tooth from the side closest to the center of the mouth, a common approach in dental cleaning.
πŸ’‘Distal
Distal is the opposite of mesial and refers to the direction or position away from the midline of the dental arch. In the context of the video, the speaker discusses moving to the distal of the next tooth, which means cleaning the side of the tooth farthest from the center of the mouth.
πŸ’‘Buccal
Buccal pertains to the cheek side of the teeth. The script mentions moving over to the buccal, which involves cleaning the outer surfaces of the teeth that face the cheeks, emphasizing the comprehensive nature of dental cleaning that includes all aspects of the teeth.
πŸ’‘Canines
Canines are the pointed teeth located on either side of the incisors, used for tearing food. The video script includes a mention of counting canines in with the posterior teeth, indicating the inclusion of these teeth in the cleaning process due to their sharpness and potential for plaque accumulation.
πŸ’‘Lingual bar
A lingual bar is a component of braces that spans across the lower teeth on the tongue side. The speaker discusses scaling underneath the lingual bar as if it were not there, which means cleaning the area beneath the bar without letting its presence interfere with the dental hygiene procedure.
πŸ’‘Exploratory stroke
An exploratory stroke is a gentle, probing motion used to assess the condition of the teeth or gums. The video mentions using an exploratory stroke without hard activation, which means feeling for any abnormalities or plaque buildup before applying more pressure to clean the area.
πŸ’‘Fauces
The fauces are the area at the back of the mouth where the oral cavity meets the pharynx. The script refers to going back and getting the fauces, which involves cleaning the area at the very back of the mouth, an often overlooked part of dental hygiene.
πŸ’‘Instrument
In the context of the video, an instrument refers to a dental tool used for cleaning or scaling the teeth. The speaker mentions switching instruments, which could mean changing to a different tool for different parts of the teeth or for different stages of the cleaning process, showcasing the variety of tools used in dental care.
πŸ’‘External fulcrum
An external fulcrum is a point of support or leverage used when performing dental procedures. The video script discusses using an external fulcrum for accessing certain areas of the mouth, which helps in stabilizing the hand and instrument for more precise and effective cleaning.
Highlights

Use of an extra oil filter for efficiency

Starting on the molars for initial procedure

Utilization of a mirror for improved illumination

Technique of accessing hard-to-reach areas with an extra lip

Efficient approach by moving from mesial to distal without retraction

Inclusion of canines in the distal scaling of posterior teeth

Switching instruments to address the anterior teeth

Dealing with cement residue from braces

Starting scaling from canine to canine to avoid missing teeth

Scaling beneath lingual bars by treating them as contacts

Technique for accessing the fauces by adjusting the practitioner's head position

Selective use of hard activation strokes based on exploratory findings

Using finger assistance for the stroke at the back of the thumb

Preventing patient discomfort by avoiding instrument insertion between contacts

Executing oblique strokes across the tooth instead of vertical ones

Changing instruments for posterior teeth scaling

Using an external fulcrum and indirect vision for upper left area access

Adapting techniques for different tooth types and areas

Completion of scaling using an opposite arch fulcrum technique

Transcripts
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