DENTAL INSTRUMENTATION Cheat Sheet

by ohelinka via [Link]/169601/cs/35525/

fundam​entals of instru​men​tation

Stabil​ization = correct grasp and more bends in the shank, more area specific
fulcrum
instru​ments ADAPTA​TION, ANGULA​TION, ACTIVATION

# indicates the specific design of the working end and the are of the dentition indicated for use
area specific only adapts to certain surfaces in certain areas of the mouth
universal used on any area of the mouth (both anterior and posterior)
weight lighter handles enhance TACTILE SENSIT​IVITY and lessen fatigue related to a tighter grasp, ideally less
than 15.0g
diameter 6.5mm- 10mm. thin handles can lead to RSI (repet​itive stress injury). ergonomic instru​ments have 10mm
diameter
texture textured provide better control, increase tactile sensit​ivity

shape straight: anterior teeth. angled complex: proximal surfaces of posterior teeth
length most instru​ments: 35-40mm
rigidity stronger: remove calculus. flexible: remove fine deposits of calculus

PROBING

Design, Charac​ter​istics calibrated in millimeter increments (NOT all probes have the same marking patterns)
blunt, rod-shaped working that may be circular or rectan​gular in cross section
workin​g-end and the shank meet in defined angle that is >90 degrees
stainless steel, titanium or plastic
Function MAIN detect period​ontal pockets to determine the health status of the period​ontist
measure clinical attachment loss
measure extent of recession of the gingival margin
measure the width of the attached gingiva
measure the size of intramural lesions
assess bleeding on probing

By ohelinka Published 9th December, 2022. Sponsored by [Link]

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 DENTAL INSTRUMENTATION Cheat Sheet
by ohelinka via [Link]/169601/cs/35525/

PROBING (cont)

determine mucogi​ngival relati​onship

monitoring the response of the period​ontium to treatment
Probing depth the distance in millim​eters from the gingival margin to the base of the sulcus or period​ontal pocket as measures with a probe
Base of sulcus is at the junctional epithelium
round up to nearest full millimeter
Healthy State 1-3 mm
the probe touches the tooth near the CEJ at the JE
Disease State greater than 3 mm
probe tip touches somewhere below the CEJ

MIRROR

function of 1. indirect to see tooth surfaces or intramural structures that CANNOT be seen using direct vision
the mirror vision
2. retraction hold the pt's cheek, lip or tongue see tooth surfaces
3. indirect reflect light onto a tooth surface in a dark area o the mouth
illumi​nation
4. transi​llu​‐ directing light off to the mirror surface and through the ANTERIOR TEETH (helps aid in detection of inter
min​ation proximal caries) LOOKING DIRECTLY ON THE TOOTH
CLASSI​FIC​ATION OF INSTRU​MENTS Columbia 13/14 EXPLORER

assessment mirror, explorer, probes curet Function determine the health of the
treatment scalers, hoes, chisels, files, crown and roots period​ontal tissues, tooth
curets (unive​rsa​l/area anatomy and the texture of
universal
specific), powered scalers tooth surfaces.
BOTH posterior and anterior
detect by TACTILE means,
ALL surfaces
N137 SCALER the texture and character if
tooth surfaces debone
crowns ONLY
Gracey 11/12
during and after period​ontal
Universal in design, area specific in use
curet instru​men​tation to assess
anterior ONLY (sextant 5 mostly) the programs and comple​‐
crowns and roots
all surfaces (BEST in proximal surfaces) teness of instru​men​tation
area specific
Design flexible metal conduct
posterior ONLY
N137 CURET vibrations form the working
lingual, medial, buccal (every​thing but the
BOTH crowns and roots end to the clinicians fingers.
distal)
Universal in design, area specific in use working- end is 1 to 2 mm in
outer working edge- fattest from the handle
length and referred to as the
Anteriors
explorer tip
ALL SURFACES Gracey 13/14
11/12 side of the explorer tip is
curet Explorer applied to the tooth surface
204SD "​small and dainty​"
crowns and root Surface suprag​ingival (above the
Scaler
area specific Assessment gingival) subgin​gival (below
Crowns ONLY
posterior ONLY the in the gingival margin)
Universal
distal surfaces ONLY Explorer Shepard hook, straight,
BOTH anterior and posterior Types curved, pigtail and cowhorn,
inner edge- closest to the handle
ALL SURFACES ( BEST in proximal orban-​type, 11/12 type
premolar and anterior)
Gingival Pocket

Gingival enlarg​ement and coronal migration

N135
of the gingival margin
scaler
No loss of clinical connective tissue
crowns ONLY
attachment
universal
Junctional epithelium has not migrated
BOTH posterior and anterior apically
ALL SURFACES (BEST in proximal of
posterior) Period​ontal Pocket

A gingival sulcus that has been deepened

by disease; depth is greater than 3mm
Forms from apical migration of the
junctional epithelium and of period​ontal
fibers

By ohelinka Published 9th December, 2022. Sponsored by [Link]

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