The field of dental ultrasonics and air polishing has become mainstream as the technology has evolved. Power Instrumentation for the Dental Professional aims to bridge the gap of knowledge between education and clinical practice by allowing the student to acquire the knowledge needed to implement power technology effectively into patient care with a contemporary approach to preventive, maintenance, and non-surgical periodontal procedures.
As with any form of clinical practice, power instrumentation is best learned through continued repetition. The exercises in this textbook allow you to move at your own pace to gain proficiency. The videos that accompany the text will provide you with a chairside instructor that you can watch multiple times while developing your clinical skills.
Author(s): Lisa Mayo
Edition: 1
Publisher: Jones & Bartlett Learning
Language: English
Pages: xvi, 608
City: Burlington
Tags: MESH: Dental Care--instrumentation; Dental Care--methods; Dental Instruments
Cover
Title Page
Copyright
Dedication
Brief Contents
Contents
Preface
The Integrated Learning and Teaching Package
Acknowledgments
Reviewers
CHAPTER 1: Dental Aerosols
Introduction
Oral Flora
Aerosols and Spatter Droplets
Aerosol Particle Size
Dental Aerosols
Sequence of Events of Dental Aerosol Production and Movement in the Environment
Pathogenic Dental Aerosols
Acute Respiratory Infection
Dental Aerosols and the DHCP
Summary
Questions
References
CHAPTER 2: Infection Prevention for Aerosol-Generating Procedures
Introduction
Dental Aerosol Management
Maintenance of Dental Unit Lines
Personal Protective Equipment (PPE)
Pre-Procedural Antimicrobial Rinses
Evacuation Devices
Ventilation Systems
Air Decontamination
Summary
Questions
References
CHAPTER 3: Ultrasonic Physics
Introduction
Sound
Sound and Wave Theory
Ultrasound
Dental Ultrasonic Device
Active Medium
Transducer
Mechanical Energy
Ultrasonic Sound Waves
Piezoelectric Ultrasonic
Magnetostrictive Ultrasonic
Ultrasonic Wave Antinodes and Nodes
Auditory Effects
Summary
Questions
References
CHAPTER 4: Ultrasonic Device and Attachments
Introduction
Direction for Use (DFU)
Dental Ultrasonic Device
Integrated Ultrasonic Device
Stand-Alone Ultrasonic Device
Foot Pedal
Integrated Ultrasonic Device
Stand-Alone Ultrasonic Device
Foot Pedal Design and Functionality
Water and Air Lines
Water Line
Air Line
Handpiece
Reprocessing
Ergonomics
Summary
Questions
References
CHAPTER 5: Ultrasonic Insert and Tip
Introduction
Ultrasonic Insert and Tip Parts and Terminology
Magnetostrictive
Piezoelectric
Water Port
Insert and Tip Shank
Shank Damage
Shank Anatomy and Activity
Shank Coating
Shank Design
Shank Clinical Selection Criteria
Shank Movement
Power Control and Shank Displacement Amplitude
Shank Wear
Summary
Questions
References
CHAPTER 6: Ultrasonic Mechanism of Action
Introduction
Mechanism of Action
Mechanical Mechanism of Action
Fluid Mechanism of Action
Acoustic Cavitation
Acoustic Microstreaming
Liquid Jets
Coolant
Lavage and Irrigation
Summary
Questions
References
CHAPTER 7: Ultrasonic Historical and Contemporary Clinical Applications and Contraindications
Introduction
Medical Clinical Applications of Ultrasonics
Dental Clinical Applications of Ultrasonics
Historical Clinical Applications
Contemporary Clinical Applications
Theoretical Approaches to Ultrasonic Instrumentation
Traditionalist Approach to Ultrasonic Instrumentation
Contemporary Approach to Ultrasonic Instrumentation
Periodontal Debridement
Periodontal Disease Pathogenesis
Periodontal Disease Statistics
Preventive Clinical Treatment
Considerations and Contraindications
Contraindications
Considerations
Summary
Questions
References
CHAPTER 8: Clinical Perspectives of Tooth Anatomy
Introduction
Instrumentation Considerations
Hard Tissue Histology
Instrument Selection
Instrumentation of Cementum
Complex Root Anatomy
Root Nomenclature
Root Concavity and Convexity
Furcation
Summary
Questions
References
CHAPTER 9: Grasp, Stabilization, and Positioning
Introduction
Grasp
Magnetostrictive Grasp
Piezoelectric Grasp
Advanced Grasp
Light Grasp
Grasp Skill Building
Stabilization
Intraoral Finger Rest
Extraoral Finger Rest
Operator and Patient Chair Positioning
Operator and Patient Positioning Selection
Aerosol Control
Operator Chair Position by Area of the Mouth
Posterior Teeth
Anterior Teeth
Comparison of Ultrasonic and Hand-Activated Instrumentation
Summary
Questions
References
CHAPTER 10: Adaptation, Angulation, and Orientation
Introduction
Adaptation
Shank Surfaces
Angulation
90-Degree Angulation
0- to 15-Degree Angulation
Orientation
Vertical Orientation
Transverse Orientation
Skill Building Adaptation, Angulation, and Orientation
Comparison of Ultrasonic and Hand-Activated Instrumentation
Summary
Questions
References
CHAPTER 11: Activation
Introduction
Activation
Finger Motion
Ultrasonic Activation Stroke
Tap Stroke
Comparison of Ultrasonic and Hand-Activated Instrumentation
Summary
Questions
CHAPTER 12: Ultrasonic Technique
Introduction
Ultrasonic Instrumentation Skill Building With Operator and Patient Positioning
Maxillary Left Central Incisor
Mandibular Molar
Mandibular First Molar Lingual
Summary
CHAPTER 13: Dentsply Sirona
Introduction
Magnetostrictive Ultrasonic Devices
Frequency
Emerging Technology
Digital Cavitron Ultrasonic Scaling Systems
Power
Water
Handpiece
Insert Portfolio
Thick Diameter Cavitron Powerline Ultrasonic Inserts
Thin Diameter Cavitron Slimline Ultrasonic Inserts
Ultra-Thin Diameter Cavitron Thinsert
Implant Insert
Diamond-Coated Insert
Reprocessing
Cavitron Ultrasonic Scaler
Insert
Handpiece
Summary
Questions
References
CHAPTER 14: HuFriedy Group
Introduction
HuFriedyGroup Magnetostrictive Ultrasonic Device
Frequency
SWERV3 30K
Power
Water
Handpiece
Insert Portfolio
Reprocessing
SWERV3 Device
Insert
Handpiece
Summary
Questions
CHAPTER 15: Curved Inserts
Introduction
Magnetostrictive Curved Insert Introduction
Magnetostrictive Curved Insert Adaptation
Vertical Orientation
Transverse Orientation
Summary
Questions
References
CHAPTER 16: Curved Insert Technique Practice
Introduction
Skill Building: Vertical and Transverse Orientation
Setup
Buccal Furcation Debridement of the Mandibular First Molar
Mesial-Buccal Root Debridement of the Mandibular First Molar
Distal-Buccal Root Debridement of the Mandibular First Molar
Lingual Debridement of the Mandibular First Molar Supragingival Interproximal Area
Lingual Furcation Debridement of the Mandibular First Molar
Distal-Lingual Root Debridement of the Mandibular First Molar
Mesial-Lingual Root Debridement of the Mandibular First Molar
Buccal Debridement of the Mandibular First Molar Supragingival Interproximal Area
Summary
CHAPTER 17: EMS
Introduction
EMS
Frequency
Emerging Technology
Power
Water
EMS Tip Portfolio
Thick Diameter Tips
Thin Diameter Tips
Implant Tip
Reprocessing
Ultrasonic Device
Tip, Wrench (EMS CombiTorque Wrench), and Handpiece
Summary
Questions
CHAPTER 18: Acteon
Introduction
Acteon Piezoelectric Ultrasonic Devices
Frequency
Emerging Technology
Power
Water
Handpiece
Acteon Tip Portfolio
Prophylaxis Tips
Periodontic Tips
Implant Tips
Reprocessing
Ultrasonic Device
Soprocare
Summary
Questions
CHAPTER 19: EMS Curved Tips
Introduction
EMS Piezoelectric Curved Tip Introduction
EMS Piezoelectric Curved Tip Adaptation
Identifying Correct Adaptation
Skill Building: Debridement Curved Tips
Setup
Buccal Furcation Debridement of the Mandibular First Molar
Mesial-Buccal Root Debridement of the Mandibular First Molar
Distal-Buccal Root Debridement of the Mandibular First Molar
Lingual Furcation Debridement of the Mandibular First Molar
Distal-Lingual Root Debridement of the Mandibular First Molar
Mesial-Lingual Root Debridement of the Mandibular First Molar
Summary
Questions
References
CHAPTER 20: Acteon Curved Tips
Introduction
Acteon Piezoelectric Curved Tips Introduction
Acteon Piezoelectric Curved Tip Adaptation
Identifying Correct Adaptation
Skill Building: Debridement Curved Tips
Setup
Buccal Furcation Debridement of the Mandibular First Molar
Mesial-Buccal Root Debridement of the Mandibular First Molar
Distal-Buccal Root Debridement of the Mandibular First Molar
Lingual Furcation Debridement of the Mandibular First Molar
Distal-Lingual Root Debridement of the Mandibular First Molar
Mesial-Lingual Root Debridement of the Mandibular First Molar
Summary
Questions
References
CHAPTER 21: Air Polishing Introduction
Introduction
Tooth Polishing
Rotary Handpiece Polishing
Provider Technique
Air Polishing
Air Polishing Devices
Nozzle Design
Air Polishing Mechanism of Action
Rotary and APD Polishing Comparison
Polishing Contraindications and Considerations
Contraindications
Considerations
Summary
Questions
References
CHAPTER 22: Air Polishing Powders and Clinical Applications
Introduction
APD Clinical Applications
APD Powder Particle Size and Mohs Hardness
Particle Size
Mohs Hardness
APD Powder Chemical Composition and Clinical Applications
Sodium Bicarbonate Powder
Aluminum Trihydroxide Powder
Calcium Sodium Phosphosilicate Powder
Calcium Carbonate Powder
Glycine Powder
Erythritol Powder
Powder Care
Air Polishing Literature
APD Considerations
Gingival Status
Sodium Bicarbonate Powder
APD and Dental Materials
Dental Materials: Safe Use of an APD
Dental Materials: APD Use With Caution
Dental Materials: APD Use Contraindicated
Adverse Effects
Summary
Questions
References
CHAPTER 23: Coronal to CEJ Air Polishing
Introduction
Dentsply Sirona Air Polishing Devices
Dentsply Sirona Polishing Powders
Cavitron Prophy Jet Air Polishing System and Cavitron Jet Plus Ultrasonic Scaling and Air Polishing System
Powder Bowl
Powder Velocity Control
Prophy Mode Cycles
Foot Pedal
Water
Nozzle
Handpiece
Reprocessing
Air Polishing Device
Handpiece and Nozzle Insert
Clinical Technique
Summary
Questions
CHAPTER 24: Coronal and Apical to CEJ Air Polishing
Introduction
Subgingival Air Polishing in Periodontal Debridement
Overall Clinical Outcomes
Delivery of Care
Hard and Soft Tissue Effects
Microbiological
EMS Air Polishing Devices
EMS Air Polishing Powders
EMS AIRFLOW One and AIRFLOW Prophylaxis Master
Powder Chambers
Powder Velocity Control
Water
Air
EMS AIRFLOW Handy 3.0
Body
Powder Chamber
Foot Pedal
EMS Handpiece and Nozzles
AIRFLOW Handpieces
PERIOFLOW Handpiece
Reprocessing
Air Polishing Devices
Handpieces
EMS Guided Biofilm Therapy (GBT)
GBT Step 1: Assessment and infection control
GBT Step 2: Disclose, and GBT Step 3: Motivate
GBT Step 4: AIRFLOW Max
Step 5: PERIOFLOW
GBT Step 6: Piezon PS
GBT Step 7: Check
GBT Step 8: Recall
Summary
Questions
References
CHAPTER 25: Air Polishing Technique
Introduction
Clinical Technique
Grasp and Stabilization
Aerosol Control
Operator Chair Positioning
Patient Positioning
Patient Care
Skill Building: Air Polishing on Inanimate Objects
Penny
Quail Egg
Skill Building: Air Polishing with Dentsply Sirona Device
Dentsply Sirona APD Setup
Air Polishing Posterior Occlusal Surfaces
Air Polishing Anterior Smooth Surfaces
Air Polishing Posterior Smooth Surfaces
Dentsply Sirona APD Breakdown
Skill Building: Air Polishing with EMS Guided Biofilm Therapy
EMS AIRFLOW Prophylaxis Master Setup
GBT Step 1: Assessment and infection control
GBT Step 2: Disclose, and GBT Step 3: Motivate
GBT Step 4: AIRFLOW MAX
GBT Step 5: PERIOFLOW
GBT Step 6: Piezon PS, GBT Step 7: Check, and GBT Step 8: Recall
Skill Building: Air Polishing with EMS AIRFLOW Handy 3.0
AIRFLOW Handy 3.0 Perio
AIRFLOW Handy 3.0 Classic
AIRFLOW Handy 3.0 Perio and AIRFLOW Handy 3.0 Classic Breakdown
Summary
CHAPTER 26: Implant Case Definitions and Assessment
Introduction
Dental Implant Anatomy and Physiology
Keratinized Outer Masticatory Mucosa
Non-keratinized Inner Masticatory Mucosa
Mucosa Remodeling Factors
Bone
Implant Baseline
Peri-Implant Diseases and Conditions
Peri-Implant Health
Peri-Implant Mucositis
Peri-Implantitis
Peri-Implant Soft and Hard Tissue Deficiencies
Clinical Assessments
Visual and Palpatory Tissue Assessment
Periodontal Charting Assessment
Recall Recommendations
Oral Hygiene Instructions
Brushing
Interdental Aids
Summary
Questions
References
CHAPTER 27: Mechanical Implant Maintenance
Introduction
Implant Debridement Overview
Implant Debridement Goals
Surface Topography
Implant
Abutment and Prosthesis
Mechanical Debridement
Hand-Activated Instrumentation
Ultrasonic Instrumentation
Air Polishing
Peri-Implant Mucositis Debridement
Peri-Implant Mucositis Literature
Peri-Implantitis Debridement
Implant Debridement
Mechanical Debridement Technique
Summary
Questions
References
CHAPTER 28: Nonmechanical Implant Maintenance
Introduction
Implant Debridement Goals
Nonmechanical Debridement
Dental Lasers
Chlorhexidine
Ozone and Hydrogen Peroxide
Locally Administered Antibiotics
Nonmechanical Debridement and Peri-Implantitis
Summary
Questions
References
Glossary
Index
