How to HandScale for the WHOLE day
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- Опубліковано 23 лип 2024
- Darina walks us through step-by-step on how to dental handscale all day every day without hurting yourself or your patients. This is an information packed tutorial for dentists, hygienists and oral health therapists.
Topics Covered:
Hands on Demonstration
Instrumentation
Ergonomics
Pivoting on a Fulcrum
Angulation and Calculus removal
Instrument Design
TimeStamps:
Introduction: 0:00
Covid-19 Restrictions: 0:20
Summary of Topics: 1:47
Limitations: 2:02
Darina's Credentials: 2:18
Research Evidence for HandScaling: 2:50
Choosing the Correct Instrument: 3:32
Why shouldn't you use a Gracey Currette Supragingivally: 4:04
Instrument Design: 4:30
How to hold the instrument correctly: 4:52
Choosing the correct working end: 5:10
Correct finger-rest position: 5:59
Instrumentation angulation and removal: 6:12
Stroke Types: 7:33
Gauze Usage: 8:22
Ergonomics and Seating Position: 8:50
Preventing Fatigue: 9:32
Importance of Sharpening Instruments: 10:25
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/ drtiv
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![Hu-Friedy's It's About Time Sharpening [FULL]](http://i.ytimg.com/vi/z05sQSYpxJs/mqdefault.jpg)
Great video. Perfect for my scaling assessment 👌
great video, thank you!
Dr tiv, your video is very valuable even for seniors
Thank you so much, it was so helpful, me as a student was very stressed if i would perform well iny tests for scalling..this helped alot 🙏
loved it great video
That's awesome that you're an oral health therapist. Florida hasn't recognized that profession yet but it would offset the imbalance of oral health care providers and community needs.
Your tips on engaging the arm and shoulders when debriding were super helpful!
I'm so glad it helped! It's so important & is not always stressed at university 😊
Thank u, looking forward to ur subgingival techniques:)
Thank you. I'll endeavour to make one on root planing soon. Make sure you subscribe so you get notified when it comes up if you haven't done so already 💕
Here is the link to the Subgingival techniques in case you missed it last year - ua-cam.com/video/WTSNwQ9qrT0/v-deo.html
Thanks for the fantastic tips Darina! Will definitely have to review this video again before going back to clinic 🙂 Any tips on how to tackle sub gingival calculus with hand scalers would definitely be appreciated! How do you know if you’re removing rather than just burnishing it?
Thank you Jack, so glad it was helpful. Feel free to share it with your demonstrators and fellow students. You ask a great question! Once the calculus has been burnished it can be very difficult to identify. In the long term the area simply won't heal, so if the patient has great OH & no systemic health contributing factors it's likely there's burnished culculus present. I find the 11/12 Explorer (culculus detector) extremely helpful, use it with very light strokes with a modified pen grasp so you can feel the vibrations on your 3rd finger. If it's supragingival you can blow air with the triplex on the surface & burnished calculus may be visible. The most important thing is to avoid burnishing in the first place by using sharpened instruments & correct technique. Open your blade to a 70-80° angle before activating your working strokes, to avoid shaving the calculus. Also apply moderate lateral pressure, instead of light pressure back & forth. Make each stroke deliberate & precise. This also helps reduce tissue trauma.
Hi Darina, great job! Can you please do one on the different types of hand instruments and their applications for root planing? Thanks
Thank you. I'll endeavour to make one on root planing soon. Make sure you subscribe so you get notified when it comes up if you haven't done so already 💕
Here is the root planing video - ua-cam.com/video/WTSNwQ9qrT0/v-deo.html
Oh I am super pleasantly surprised when you said that you studied in Melbourne Uni, so you are located in Melbourne? Nice!!! Do you mean right now in Melbourne no dentist can use ultrasonic for root planing, only can do hand scaling?
My dental assistant didn't inform me that ultrasonic scalars were not to be used. She just started cleaning the old fashion way. I had to guess at the reason. I felt as if I was getting a less than optimal cleaning.
Need the subgingival video please!!
Hey Grant. Check out the Chanel as there are heaps of great videos on it. Here is the link to the subgingival root planing one:
ua-cam.com/video/WTSNwQ9qrT0/v-deo.html
Do you apply numbing gel on patients with hand scaling? Or do you use LA injections for it? Is it painful doing root planing with hand scaling without any form of numbing??
Great question! I personally administer LA for perio pockets 5mm+ and if they're less than 4mm depending on the patient I usually apply a strong topical anaesthetic that a compounding pharmacy makes for us. Oh & yes I'm located in Victoria 😊
@@darinanirmalann4849 😊 I am in victoria too
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One can remove calculus. However. I have had patients with calculus so hard it did not come off with an ultrasonic. Usually African Americans.
Teeth and gum care DIY is a major UA-cam subject. A mains powered Waterpik's jet of water is at 100psi. It doesn't matter which mains powered Waterpik one buys they all have the same 100psi. Battery Waterpiks are at 75psi. What I want to buy is a machine that has a 500psi or 1000psi. This extra power will remove tartar, stains and leave my teeth super-clean and glowing white. Unfortunately no one sells such a machine. Nature has not provided humanity with a super-clean dental health method. Can someone answer this crucial question: At what water-jet psi power are gums at risk from injury? Surely, no harm can be done at 500psi.
Hi Bertie. Once bacteria has been calcified water alone will not remove it. This becomes even more problematic as the hardened bacteria nests below the gum line - the pressured water just can't get to it under the gums. The water may remove softer bacteria that is less than a day old, but brushing and flossing have been proven to be very effective in this as well. You also want to be careful that you don't roughen the tooth surface as this will make the issue worse as bacteria can now stick to the tooth and root surface easier. Also be aware that gums are quite fragile and if you damage them or the underlying bone you may get permanent gum recession - causing sensitivity. I'm not aware of any research on super high water pressure on gum tissue but you can search pub-med and see if you get a hit. My best advice would be to discuss this idea with your personal dentist as they would know you personal circumstances and oral needs better than anyone. Good luck
@@DrTiv ... Thank you, DrTiv for your detailed response. The UK population has serious problem with its National Health Service (NHS) Dentists. Currently, they make huge sums of money by giving everyone unnecessary fillings. That money needs to be dropped by the UK government. It needs replacing with a dental cleaning charge. Here, everyone would have the cleanest teeth possible. The creation of tens of thousands of Dental Hygienists would come about. I'm sure you know of many applications that stop teeth from acquiring bacteria. These could be added too. The dental industry worldwide needs changing for the better.