07: Power Driven Scalers Flashcards

1
Q

Driven by Compressed Air
Orbital Tip movement
2,500-7,000 cps

A

Sonic Scaler
Inexpensive
Low power
Rarely used except where money is a very high concern

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2
Q

What is the threshold for Ultrasonic?

A

20,000 Hz

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3
Q

Driven by Ceramic Transducer
Linear Tip Movement
Only the Sides of the Tip are active
29,000-50,000

A

PiAzo

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4
Q

Driven by Madnetostrictive transducer
Elliptical Pattern
20,000-42,000 cps
All sides active

A

Ultrasonic Scaler (Cavitron)

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5
Q

What don’t you want to do with a Cavitron?

A

Put the apical end of the tip directly on the tooth

Too hot

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6
Q

What is the nickname for the dark metal magnetostrictive transducer

A

Stack

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7
Q

Can you clean an ultrasonic in the ultrasonic bath?

A

Nope. Autoclave

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8
Q

What is microstreaming

A

picks up blood and debris from the sulcus and washes it out

Endotoxins too

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9
Q

What is irrigation

A

The tip is water cooled.

You want a steady stream without drowning the patient

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10
Q

What is cavitation

A

Water bubbles implode due to high frequency.
This builds heat and energy
This energy destroys biofilm/tartar

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11
Q

What are the three adjustable variables

A

Amplitude
Frequency
Power

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12
Q

Magnitude of change in the oscillating variable

A

Amplitude

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13
Q

Measure of the number of occurrences of a repeating event per unit of time

A

Frequency

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14
Q

The ability to increase or decrease the amplitude

A

Power

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15
Q

What is important to do before using a cavitron on the patient?

A

Tell the patient what you are going to do.
No cutting surface
Turn it on and show them
Warm them about water spray

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16
Q

Prep

A

Flush water line for 60-90 seconds

17
Q

What is very important due to the high volume of water

A

Suction management

Isovac

18
Q

What is a pre-procedural rinse?

A

Reduces the amount of bacterial aerosols

19
Q

How do you decide what tip to use?

A

Heavy tips for calculus

Light tips for biofilm

20
Q

What do you have to do after finishing the ultrasonic

A

Go back and check with hand instruments

21
Q

Can you put ultrasonics on porcelain crowns or composites?

A

No

22
Q

Can you use this on a pacemaker?

A

Yes, if it is shielded

23
Q

Can you use on an HIV patient

A

Yes, but if they have AIDS it might be too dangerous for the patient

24
Q

What is a major benefit of a power instrument vs. hand instruments

A

More efficient

Removes Endotoxin

25
Q

What is a major detriment of a power instrument vs. hand instrument

A

Noise can hurt hearing after a long time (potentially)
Less effective in deep pockets
Can’t use in patients with COPD and breathing issues