Lecture 6 Dental prophylaxis and periodontal therapy Flashcards
What are indications for dental prophylaxis?
gingivitis and mild periodontal disease (preventative, cosmesis
moderate to severe periodontal disease–clean slate, clean before surgery
What areas should you avoid setting up dental area near?
- sterile surgical room/area
2. away from kennels–gross aerosolization
What pre- or intraoperative antibiotics are used in dental prophylaxis?
penicillin/cephalosporin (e..g cefazolin)
used to decrease bacteriemia, bacterial seeding
What should you be cautious with with mouth gags?
- cautious
- not too wide
- not for extended periods–give breaks, tmj issues
How do you do supragingival scaling?
ultrasonic scaler
then hand scaler
What are the two types of ultrasonic scalers?
- magnetorestrictive (warms up more)
2. piezoelectric
What is the principle of ultrasonic scaling?
keep parallel to toth or 15degree angle
contact on the quadrant!–important when using equipment in oral cavity
make sure there is water flow to decrease heat
light touch! touch calculus and tartar
keep in constant motion–max 12-15 sec/tooth
lowest power
modified pen grasp
What are the features of hand scaling?
- slow
- sharp
- modified pen grasp
- rotary and wrist motion
- contact on quadrant
- pull stroke
- 2-4mm increments
- always used AFTER mechanical scalers for interproximal areas, fissures, and grooves
What are the types of subgingival currettes?
universal
area specific pull
area specific push (not common)
Which has a rounded tip and is used for subgingival scaling?
currette
currette instrument number means what?
angulation
the lower currette numbers (less angled) are used for what?
incisors
More angulation of currettes are used for what?
in order of increasing angulation
incisor
What is closed root plan
What is subgingival curettage?
face toeward the gingiva and gently apply pressure
