Grasp and Fulcrum Flashcards
:used for holding the instrument
Handle
:rod-shaped length of metal located between the handle and working-end of an instrument
Shank
:the part of the instrument that does the work of the instrument
Working-End
: the part of the shank that allows the working-end to be adapted to the tooth surface; begins below the working-end and extends to the last bend in the shank nearest the handle
Functional shank
: the portion of the functional shank nearest to the working-end
Terminal shank
- A shank that is bent in one plane (front-to-back)
- Straight shank
- Used primarily on anterior teeth
•Simple
- A shank that has been bent in two planes (front-to-back and side-to-side)
- Angled/curved shank
- Used on posterior teeth
•Complex
•Grasp for holding periodontal instruments•Allows precise control of the working-end•Permits a wide range of movement•Facilitates good tactile conduction
Thumb and index finger hold the instrument•Middle finger stabilizes•Ring finer used to fulcrum(hinge/pivot)•Thumb is used to roll the instrument•Fingers maintain contact and work together to adapt the instrument•Movement is in the wrist
Modified pen grasp
•A stabilizing point inside the patient’s mouth against a tooth surface
INTRAORAL FULCRUM
•A stabilizing point outside the patient’s mouth (e.g., against the patient’s chin or cheek)
EXTRAORAL FULCRUM
_______ usually correlates to attachment loss, but it is always an objective measure of the distance between the base of the pocket and the crest of the gingiva regardless of the degree of attachment loss. Readings may change over time due to changes in the position of the gingival margin
Probing depth
Used to evaluate the bone support in the furcation areas of bifurcated and trifurcated teeth
Nabers (furcation) Probe
In health, the probe will stop at the _____
Junctional epithelium
In disease, the probe will stop at the _______
Connective tissue
_____= act of walking the tip of a probe along the junctional epithelium(JE) within the sulcus or pocket for the purpose of assessing the health status of the periodontal tissues
Probing