Periodontal Instrumentation
Plaque Control & Oral Hygiene instructions.
Plaque
Periodontal Examination & Periodontal Indices Classification of Diseases and Conditions Affecting the Periodontium
Non-surgical
Surgical
Emerging Terminology Periodontal debridement: Disruption of bacterial plaque and calculus from the crown and root surfaces Deplaquing: Disruption of subgingival microbial plaque from cemental surfaces and the pocket space Gross debridement: to enable an examination and diagnosis
Periodontal Probes
Explorers Scaling & Root planing Instruments Cleansing & Polishing Instruments
Periodontal Probes
Angulation
Probe is parallel to long axis of tooth
Readings
Six readings
Distal (DB & DL) Buccal (B) or Lingual (L) Mesial (MB & ML)
Periodontal Probes
Nabers probe
Explorers
Explorers
Scaling & Root planing Instruments Cleansing & Polishing Instruments
Types of Curettes
Types of Curettes
Universal Curette
Gracey Curettes
The original series contained 7 double ended instruments (1/2; 3/4; 5/6; 7/8; 9/10; 11/12; 13/14). In the 1980's, 2 modified instruments were added to the collection (15/16; 17/18).
Principles of Instrumentation
3- Condition and sharpness of Instruments 4- Maintaining clean field 5- instrument stabilization: A- Instrument grasp B-Finger rest C- Instrument Activation
A-Instrument Grasp
Modified pen grasp
Instrument Grasp
Standard pen grasp Palm& thumb
B-Finger Rest
Conventional finger rest
Intra-oral
Cross arch opposite arch Palm up
C-Instrument Activation
1-Adaptation: manner of which instrument end is placed against surface of the tooth
2-Angulation
1-o degree angle angle 2- 45 degree
10
Strokes
Exploratory stroke: light, feeling stroke to detect calculus, roughness or smoothness of root Scaling stroke A-Vertical
Scaling strokes
B-Oblique C-Horizontal
5- Grasp in light modified pen grasp, apply rest 6-Use short, light, vertical, horizontal, or oblique strokes 7-Working end should be kept in constant motion, parallel to the tooth 8-Swich off periodically 9- Finish remaining manually
0 insertion
11
Sickle Scaler
Supragingival calculus Stain Slightly subgingival (1-2mm)
Different Designs
Anterior teeth Posterior teeth
Modified shank
Design Characteristics
Straight rigid shank Two cutting edges
Straight or slightly curved
12
Universal Curets
Can adapt to all tooth surfaces 90 degree blade angulation shank curvature allows adaptation both cutting edges are used blade curved on only one plane
13