Burnished Calculus: How to Avoid It, How to Remove It & 2021 Update on Advanced Instrumentation
Anna Pattison, RDH, MS
PLEASE NOTE: This course is an on-demand webinar presented over 5 days. You can watch at your own pace over the 5 day period.
This course was recorded in March and updated in January 2021. Since then we know so much more about aerosols and the infectivity of COVID-19. In these lectures, I still discuss ultrasonic and air polishing techniques. We all know now that we MUST NOT use these in practice until reliable in-office testing and 100 percent effective air filtration is feasible OR a vaccine plus testing becomes widely available. Unless your office is made safe for all staff and patients, DO NOT USE ULTRASONIC SCALING,AIR POLISHING, RUBBER CUP POLISHING (splatter), OR YOUR AIR WATER SYRINGE. For an indefinite period, we must use MORE STRINGENT PPE, HAND INSTRUMENTATION ONLY and a DISPOSABLE LARGE PLASTIC SYRINGE for gentle rinsing while using HIGH VOLUME EVACUATION, not just a saliva ejector.
Residual burnished calculus is a significant, persistent problem for all clinicians. Detecting and removing tenacious, burnished calculus is one of the most frustrating and challenging tasks we face. Anna Pattison discusses the most common errors that cause burnishing and describes the best instrumentation techniques to avoid this.
This update for dentists and dental hygienists will show you the newest hand instruments and ultrasonic units and tips for patients with moderate to advanced periodontitis and/or implants. Periodontal endoscopy videos will show the effectiveness of various ultrasonic tips and hand instruments on residual, burnished calculus. New Pattison Institute videos will demonstrate alternative fulcrums, new instruments and advanced techniques. The newest titanium mini-bladed hand instruments and smallest titanium ultrasonic tips for implants will be shown along with subgingival air polishing with erythritol and irrigation with antimicrobials.
- Root debridement: what are the latest concepts?
- Residual burnished subgingival calculus
- The influence of the dental endoscope on instrument selection and sequence
- Video comparing hand and ultrasonic instrumentation
- Use of the new Pattison Gracey Lite Curets, Mini Fives™, Micro Mini Fives, Montana Jack and Nevi sickles, diamond-coated files, Quetin furcation curets, titanium implant instruments and other new periodontal instruments
- Comparison of magnetostrictive and piezoelectric ultrasonic units and best tip designs for periodontal and implant scaling.
- New subgingival air polishing technique for periodontal and implant maintenance.
- Efficacy of subgingival irrigation with antimicrobials.
- Innovative extraoral, reinforced, cross arch and opposite arch fulcrums and positions
- NEW videos with detailed close ups of advanced instrumentation showing the most effective techniques for accessing deep, heavy or residual burnished calculus in furcations and deep narrow pockets plus the use of magnetostrictive and piezoelectric ultrasonic tips.
Upon completion of this course the enrollee should be able to:
- Describe the objectives of periodontal debridement
- Identify the causes of burnished calculus by hand and ultrasonic instrumentation.
- Identify the best hand instruments, beveled ultrasonic tips and techniques for removal of burnished calculus.
- Describe the characteristics of the dental endoscope
- Recognize the design, indications and sequence for use of universal curets, new types of Gracey curets, mini-bladed Gracey curets, new sickles, diamond coated instruments, furcation curets, and various types of implant instruments
- Describe the differences between magnetostrictive and piezoelectric ultrasonic devices and tips for periodontal and implant scaling
- Recognize the indications for new operator positions and extraoral, opposite arch or other alternative fulcrums
- Discuss the efficacy of subgingival air polishing compared to hand and ultrasonic instrumentation of implant surfaces.
PLEASE NOTE: THIS ON-DEMAND WEBINAR IS AN 8-HOUR COURSE AVAILABLE TO WATCH AT YOUR OWN PACE FOR 5 DAYS, NOV 13-17, 2020.