Explorers Flashcards
explorer
used to detect subgingival calculus deposits
conducts vibrations from working end to clinician’s fingers
explorer uses
examines tooth surfaces for calculus deposits, decalcified and carious lesions, dental anomalies, anatomic features of the teeth
parts of the explorer
tip: 1-2 mm of the end, side is adapted to the tooth, bent at a 90 degree angle
lower shank: section of the shank closest to tip
shepherd hook
resembles the long-curved stick used by shepherds to herd sheep
supragingival use
examines the margins of restorations
straight explorer
examines the margins of restorations
has a pointed tip
not recommended for subgingival use
curved explorer
detection in normal sulci or shallow pockets
do not injure tissue from pointed tip
pigtail and cow horn
detection in normal sulci or shallow pockets extending no deeper than the cervical third of the root
disadvantage: curved lower shank causes stretching
orban foot advantages/disadvantages and uses
tip bent at 90 degrees to lower shank, straight lower shank
advantages: bent tip allows the back of the tip to be directed against soft tissue, excellent for anterior teeth
disadvantages: straight shank makes it difficult to use on the line angles, mesial and distal surfaces of posterior teeth
uses: subgingival detection on anterior roots
11/12 advantages/disadvantages
tip bent at 90 degree angle to lower shank
long, complex shank design
advantages: smooth back of tip is in contact with soft tissue, complex shank for anterior and posterior teeth, can be used in shallow sulci and deep pockets
disadvantages: none
exploratory stroke
used to detect calculus deposits or other tooth surface irregularities on the tooth surface
light grip allows the vibrations to be felt
tactile sensitivity
the ability to detect calculus deposits by feeling vibrations transferred from the explorer tip to the instrument shank and handle
process of exploring
- explorer tip quivers as it passes over a calculus deposit on the root of the tooth
- vibrations are transmitted from tip through the instrument shank and handle
- clinician feels vibrations with fingers
- clinician recognizes vibrations as calculus deposits
subgingival exploring assessment strokes
should be short in length and involve many overlapping strokes
correct technique
keep tip in contact with root surface
keep strokes short, 2-3 mm in length
make many strokes to assess the entire root surface
technique errors of exploring
avoid a firm, tense grip
avoid applying pressure with middle finger
do not remove tip from sulcus as you make upward strokes
removing and reinserting the tip repeatedly can injure the gingival tissue
technique for exploring
continue making stroke until at least halfway across the mesial surface
the other half of the mesial surface is explored from the lingual aspect
sequence for exploring anterior teeth
explore surfaces toward you
explore surfaces away from you
divide teeth in half
how do you determine the correct working end for the posterior 11/12 explorer
observe the relationship of the lower shank to the distal surface of the tooth
lower shank should be parallel to the distal surface
shank must be straight up and down to the tooth
posterior=parallel
tooth surface sequence for posterior 11/12 exploring
start at the distofacial line and work back toward the distal surface and explore at least halfway across
now begin at the distofacial line angle and explore the facial and mesial surfaces and explore at least halfway across the mesial surface from the facial aspect
explore from the lingual
failure to detect calculus commonly occurs where
near the line angles of posterior teeth
at the midlines of anterior teeth
where are calculus deposits most easily detected by using horizontal strokes
at line angles and midlines
horizontal strokes and the sequencing
strokes made in a perpendicular direction to the long axis of the tooth
-position tip distal to the line angle and make horizontal strokes around the line angle
-make a series of short horizontal strokes across the midline of the facial or lingual surface