module 26- on exam 3 Flashcards
use a rapidly vibrating irrigated working-end to dislodge calculus from the tooth surface, disrupt plaque biofilm and flush out bacteria from the periodontal pocket
powered instrumentation devices
a powered ultrasonic device may consist of:
an ultrasonic generator and a handpiece with interchangeable instrument working-ends or inserts
convert air pressure into high frequency sound waves that produce vibrations of the powered working-end; low frequency of 3000 to 8000 cycles per second-driven by compressed air from dental unit
sonic powered device
convert electrical energy into high frequency sound waves that produce rapid vibrations of the powered working end. 18000 to 50000 cycles per second
ultrasonic powered devices
ultrasonic divided into
piezo and magneto devices
use electrical energy to activate crystals within the handpiece to produce vibrations of the powered working-end
piezoelectric devices
transfer electrical energy to metal stacks or a ferrous rod to produce vibrations of the powered working-end
magnetostrictive devices
constant flushing action within the periodontal pocket is termed
fluid lavage
the formation of tiny bubbles when the water stream contacts the vibrating working end
cavitation
when the tiny bubbles collapse, they produce shock waves that may alter of destroy bacteria by
tearing the bacterial cell walls
the measure of how many times a powered working-end vibrates per second
frequency
a measure of how far the powered working end moves back and forth during one cycle
amplitude
the ______ of a powered instrument is primarily determined by a combination of frequency and amplitude
cleaning efficiency
a combination of low frequency(few vibrations) and amplitude(short strokes) is ideal for
disruption of plaque biofilm from the root surface(deplaquing)
a combination of high frequency(many vibrations) combined with high amplitude(long strokes) is ideal for the removal of
tenacious calculus deposits
what strokes are better for calculus removal?
slow, overlapping vertical and oblique strokes
are larger in size and have shorter shank lengths than slim perio working-ends. comparable to sickle scalers and universal curets in function
standard working-ends
are up to 40% smaller in size and have longer, more complex shanks than standard working-ends
slim perio working-ends
these working ends are used for heavy deposit removal; supragingival use and subgingival deposits easily accessed without undue tissue distension(moderate to heavy use)
standard working ends
these working ends are used for light to moderate deposits and deplaquing; instrumentation of root concavities and furcation areas; used for not alot of calculus
slim perio working ends
working ends that have a rectangular, trapezoidal, or beveled cross section are most effective for what
calculus removal
working ends that are round in cross section are most effective at removal of
plaque biofilm (deplaquing)
used for removal of light to moderate calculus deposits on root concavities, convexities, and furcations at low power setting
curved slim perio tips
powered instrument working ends coated with what for instrumentation of dental implants
nonmetallic plastic or carbon material
1 mm of wear of wear results approximately how much percent of loss of efficiency
25 %
2mm of wear results in how much percent of loss of efficiency?
50%– should be discarded
the powered working end is positioned with the lateral surface in a transverse (crosswire) orientation to the long axis of the tooth
transverse working end orientation
can be used when removing calculus deposits above or slightly below the gingival margin
transverse working end orientation
the powered working-end is positioned with the lateral surface against the tooth surface, in a similar manner to a universal curet in a toe-down position
vertical working end orientation
used for calculus removal and deplaquing when instrumenting shallow or deep periodontal pockets
vertical working end orientation
what strokes are most effective for medium calculus deposits
vertical and oblique
what strokes are most effective for subgingival biofilm removal
horizontal strokes