Ultrasonic Scaling Technique

Types of Inserts Canulas external internal FSI - “Focused Spray Inserts” FSI slimline TFI - “Thru Flow Inserts” Canulas - external and internal FSI - internal canula, focuses spray where it is needed most. TFI - Thru flow series, internal canula

External Canulas

Periodontal Therapy Hand scale vs. Ultrasonic scale Prophylaxis vs. Periodontal health

Key Benefits of Ultrasonic Scaling debride deplaque lavage cavitation Ultrasonics remove plaque, calculus and free-floating bacteria quickly and effectively Ultrasonics have a lethal effect on subgingival bacteria Lavage removes the secreted endotoxin from the root surface only power scalers deliver bacteria killing soundwaves and deep cleansing lavage.

Which insert is most effective? FSI slimline - FSI 10 , TFI 10, P10 TFI 1000 - (Straight Triple-Bend)

FSI Slimline (subgingival use) Straight or Paired Patented focus spray, Extra thin design provides maximum subgingival access can be used for preventive care, gingivitis, patients with minimal bone loss. Working with RDH, there are some times where this is appropriate with class 1 patients, Discuss this with your instructor Limited use in this clinic because of expense and critical need for root planing patients.

TFI - 10 General deposit removal All sides active Most available in most clinics Ideal for general deposit removal throughout the mouth and has been the industry leader in insert utilization. Use the face, back, and sides of the insert with a light touch and push/pull strokes.

TFI 1000 Straight Triple Bend Quick removal of moderate to heavy calculus triple bend allows increased access to line angles and interproximal surfaces This general use insert with a triple bend design allows increased access to line angles and interproximal surfaces. It is ideal for quick removal of moderate to heavy calculus. Use a light touch and push/pull strokes.

Proper Scaling Technique Patient Preparation review medical history diseases spread by aerosols respiratory conditions older, unshielded pacemakers Revies Handout

Do not use in areas of extreme decalcification restorations extreme sensitivity

Provide pre-procedural mouthrinse, eyewear, patient napkin

Explain the procedure Position Patient Position saliva ejector Type of rinse is debatable, Listerine probably as good as Chlorhexadine Provide extra napkin to catch spills, retract with 2x2’s also helpful to manage spray Turn head to side that ejector is on to far back may have problem with gaggers or people with respiratory problems

Clinician Preparation appropriate eyewear, gloves and protective apparel High bacterial filtration efficiency mask position for maximum visibility Test mask by seeing if it will hold water eyewear needs side shields. Position patient to suit your needs here

Six Criteria for Insert Selection The Purpose of Treatment The Patients oral health status The location of the deposits The degree of the deposits Insert design Insert tip diameter The Purpose of Treatment - preventive or therapeutic care The Patients oral health status The location of the deposits supragingival or subgingival The degree of the deposits lt, mod, heavy Insert design insert tip diameter

Fill handpiece with water Place insert in handpiece Set power control Setting Up your Unit Fill handpiece with water Place insert in handpiece Set power control Set water control Adjust control until the water flows with a rapid drip Fill handpiece with water Place insert in handpiece GENTLY turn until the o-ring snaps in place Set power control to match degree of calculus removal Set Water control cool the tip flush out bacteria remove debris from the work area Adjust control until the water flows with a rapid drip

The Advantages Speed Efficiency Comfort

Pen or Modified pen grasp Eliminate drag of cord Pen or Modified pen grasp “FEATHER-LIGHT” eliminate drag by draping handpiece cord over arm or between little and ring fingers Pen or modified pen grasp FEATHER-LIGHT -should be able to remove from your Hand as you are working

Fulcrum - Intra - Oral Extra - Oral

direct insert point AWAY from tooth all surfaces are active Adaptation direct insert point AWAY from tooth all surfaces are active direct insert point AWAY from tooth face, lateral borders or back surfaces are parallel to the tooth surface

“cross-hatch” strokes no pressure keep in contact with deposit Pressure/Stroke “cross-hatch” strokes no pressure keep in contact with deposit use smooth, overlapping strokes touch tooth surface very lightly keep in contact with the deposit using light touch - transfer of energy

Activation Continual Motion like a violin bow

recheck surface with explorer Evaluate your Surface recheck surface with explorer insert does not provide adequate sensitivity

Insert Cleaning and Sterilization rinse insert steam autoclave paper side up leave in sealed pouch DO NOT USE COLD STERILIZATION rinse under water water or mild ultrasonic solution steam autoclaving preferred method of sterilization paper side up , do not use totally plastic autoclave sleeves leave in sealed pouch do not use cold sterilization

1-800-877-0020 ext.471 - for more information or questions