Full Mouth Probing Sequence

Hygiene Edge
12 Nov 201505:43
EducationalLearning
32 Likes 10 Comments

TLDRThe script details a dental professional's technique for examining and treating patients, emphasizing the use of mirrors and fulcrums for effective visualization. It describes the process of adjusting the patient's position and utilizing various fulcrums, both extra- and intra-oral, to access and probe different tooth surfaces. The importance of staying in the patient's line of sight for accurate readings and the use of indirect vision are highlighted. The script also mentions the importance of patient comfort and communication during the procedure.

Takeaways
  • 🪞 The speaker uses a mirror to view the backside of a tooth by flipping it upside down and adjusting the patient's head position.
  • 🕒 The clock position method is preferred to avoid moving the patient's head, instead, the dentist adjusts the mirror and patient's position accordingly.
  • 🔢 The speaker would call out numbers in threes to an assistant to indicate the specific areas to be worked on, such as '3 2 3' for the buccal aspect.
  • 🗣️ Communication with an assistant is key, with instructions given for patient positioning, such as turning towards the dentist and opening the jaw.
  • 👅 The patient is instructed to move their tongue to assist in better visibility of the dental area.
  • 🔄 The use of an extra oral fulcrum is mentioned for better visibility, and the speaker also switches to an extra roll for different angles.
  • 🦷 The importance of probing multiple teeth until there is a change in measurement is highlighted, documenting consistent results and noting changes.
  • 📝 The process of documenting probe measurements involves noting consistent readings and only recording changes in measurement.
  • 👄 The speaker discusses the use of intraoral and extraoral fulcrums and indirect vision for better access and visibility of lingual and buccal surfaces.
  • 🤚 The patient's cooperation in adjusting their mouth opening is crucial for the dentist to have enough room to work effectively.
  • 👁️ The speaker emphasizes the importance of staying in the patient's line of sight and using indirect vision to ensure accurate readings and patient comfort.
Q & A

  • What is the purpose of flipping the mirror upside down during dental procedures?

    -Flipping the mirror upside down allows the dentist to see the backside of the tooth, providing a clear view of areas that are not easily visible directly.

  • What does the 'clock position method' refer to in dental examinations?

    -The clock position method is a technique used to position the patient's head in a way that minimizes the need to move the patient's head during the procedure, making it easier to access different areas of the mouth.

  • Why is it important to use an extra oral fulcrum during dental procedures?

    -An extra oral fulcrum provides additional leverage and stability, allowing the dentist to see and work on the tooth more effectively without causing discomfort to the patient.

  • How does the dentist communicate with an assistant during the procedure described in the script?

    -The dentist calls out numbers in threes to indicate the specific areas to be worked on, and instructs the assistant to adjust the patient's head position, jaw opening, and tongue placement for optimal access and visibility.

  • What is the significance of probing the entire lingual surface in the script?

    -Probing the entire lingual surface helps the dentist to identify consistent probe depths across multiple teeth, which can be documented once a change in depth is detected, such as a 4 or a 2 to 2.

  • Why does the dentist instruct the patient to close their mouth slightly during the procedure?

    -Closing the mouth slightly provides more room on the buccal tissue for the dentist to retract, which is necessary for better access to the lingual aspects of the teeth.

  • What is the role of indirect vision in dental procedures as described in the script?

    -Indirect vision allows the dentist to see the working area without having to twist or contort their body, providing a more comfortable and precise way to perform dental work.

  • How does the dentist ensure they are staying within the 'sole cos' during the procedure?

    -The dentist uses a fulcrum and indirect vision to stay adapted to the tooth, ensuring they are within the correct locus for accurate readings and avoiding incorrect probe measurements.

  • What is the purpose of using an intraoral fulcrum and indirect vision when working on the lingual aspect of a tooth?

    -Using an intraoral fulcrum and indirect vision enables the dentist to access and work on the lingual aspect of a tooth without needing to change their body position drastically, maintaining comfort and precision.

  • How does the dentist ensure patient comfort and accuracy during the probing process?

    -The dentist instructs the patient to raise their hand if they feel a pinch, allowing for immediate adjustment of the instrument. This ensures patient comfort and maintains the accuracy of the probing process.

  • What is the benefit of using a mirror to swipe the inside of the patient's cheek during the procedure?

    -Swiping the mirror on the inside of the patient's cheek helps to keep the area clean and clear, providing a better view for the dentist and ensuring accurate examination and treatment.

Outlines
00:00
🦷 Dental Examination Techniques

This paragraph describes a dental professional's approach to examining a patient's teeth using a mirror and various positioning techniques. The dentist explains how to adjust the mirror to view different angles of the teeth, such as the backside of a tooth, and prefers the clock position method to minimize patient discomfort. The dentist also discusses the use of an extra oral fulcrum for better visibility and the importance of indirect vision in dental examination, including the use of an intraoral fulcrum for accessing posterior surfaces. The process of probing for dental issues is detailed, emphasizing the importance of consistent probing until a change in condition is detected, and the use of patient feedback to adjust the examination technique.

05:01
👁️‍🗨️ Enhancing Visibility with Intraoral Fulcrum

In this paragraph, the focus is on the use of an intraoral fulcrum to enhance visibility during dental procedures without the need for the dentist to contort their body or strain their vision. The dentist demonstrates how to place their thumb in the vestibule for better visibility and the use of indirect vision, which is a valuable skill in dental practice. The importance of maintaining a proper stance and using indirect vision to avoid physical discomfort and ensure accurate dental assessments is highlighted.

Mindmap
Keywords
💡Mirror
A mirror is a reflective surface used to view objects that are not directly in line of sight. In the context of the video, the mirror is used by the dentist to view the backside of a patient's teeth. The script mentions flipping the mirror to see the back of a tooth, which is crucial for dental procedures and demonstrates the importance of indirect vision in dental examinations.
💡Clock Position Method
The clock position method is a technique used to describe the orientation of the patient's head relative to the dentist. It helps in maintaining a consistent position and minimizes the need for the dentist to move around the patient. The video script refers to this method when instructing the patient to turn left or right, which facilitates easier access to different areas of the mouth for dental work.
💡Extra Oral Fulcrum
An extra oral fulcrum is a point of support outside the mouth that helps stabilize dental instruments, such as a mirror or a probe. In the video, the dentist mentions using an extra oral fulcrum to see better, which is an example of how this technique can enhance visibility and precision during dental procedures.
💡Intraoral Fulcrum
An intraoral fulcrum is a point of support inside the mouth, typically against the cheek or tongue, used to stabilize a dental instrument. The script describes the dentist using an intraoral fulcrum to probe the lingual aspect of a tooth, illustrating how it aids in maintaining a stable position for accurate measurements and treatment.
💡Indirect Vision
Indirect vision refers to the technique of using a mirror to view areas of the mouth that are not directly visible. The video script emphasizes the use of indirect vision for examining the patient's teeth, which is a common practice in dentistry to achieve a clear view without physically repositioning the patient or the dentist.
💡Probing
Probing is the act of using a dental probe to measure the depth of pockets between the teeth and gums, which is essential for diagnosing periodontal disease. The script describes the dentist probing the lingual surface of teeth and documenting the findings, which is a critical step in assessing a patient's oral health.
💡Fulcrum
A fulcrum is a point of support or pivot point used to apply force in a controlled manner. In dentistry, both extraoral and intraoral fulcrums are mentioned in the script as essential for stabilizing instruments and improving access to different areas of the mouth for treatment or examination.
💡Locus
In the context of dentistry, locus refers to the specific area in the mouth where a dental instrument is being used. The script mentions the importance of staying in the locus to get a correct reading, emphasizing the precision required in dental procedures to avoid inaccuracies.
💡Retraction
Retraction is the act of pulling back or moving tissue out of the way to expose the area being treated. The dentist in the video uses retraction to create more room for accessing the lingual aspects of the teeth, demonstrating a common technique to improve visibility and access during dental procedures.
💡Anterior Teeth
Anterior teeth are the front teeth of the mouth, including the incisors and canines. The script refers to probing the facial and lingual surfaces of the anterior teeth, which is part of a comprehensive dental examination to assess the health and alignment of these visible teeth.
💡Indirect Vision
As mentioned earlier, indirect vision is the use of a mirror to see areas of the mouth not directly visible. The script also uses the term to describe the dentist's approach to examining the lingual side of the teeth, highlighting the reliance on this technique for a thorough dental assessment.
Highlights

Using a mirror to see the backside of a tooth by flipping it upside down.

Preferencing the clock position method to avoid moving the patient's head during dental procedures.

Flipping the mirror to cut a wisdom tooth while maintaining visibility of the backside.

Utilizing an extra oral fulcrum to improve visibility during dental work.

Calling out numbers in threes for an assistant to adjust patient position during dental procedures.

Instructing the patient to turn, open jaw, and drop chin for better access to dental areas.

Using the patient's tongue to assist in retraction for dental visibility.

Switching between extra and intra oral fulcrums for different dental procedures.

Probing multiple teeth consistently until a change in measurement is detected.

Adjusting patient's mouth opening to optimize dental instrument retraction.

Using indirect vision and intraoral fulcrum for better access to lingual aspects of teeth.

Maintaining the locus of the probe for accurate dental measurements.

Using a mirror to clean the inside of the patient's cheek for clearer visibility.

Employing an intraoral fulcrum and indirect vision for anterior teeth probing.

Monitoring patient comfort during dental procedures and adjusting as needed.

Using the thumb in the vestibule for better retraction and visibility at 12 o'clock position.

The importance of direct vision as a skill needed for dental professionals.

Transcripts

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Related Tags
Dental TechniquesPatient CareTooth ExaminationMirror FlippingFulcrum UseIndirect VisionOral HealthDental AssistantProcedure GuidanceClinical Skills