Q4) During a root canal treatment how do you assist the operator in measuring and recording root length? Why is this necessary?
Manufacturer Indication: Adjunct to scaling and root planing procedures for reduction of pocket depth in patients with adult periodontitis. Often used as part of periodontal maintenance
Limestone Smiles allowed me to witness the technical aspects of dental assisting. With being a newer establishment, they were not as busy as the previous. In this extra time is was educated on some key concepts a dental assistant would need to know. The tooth numbering system was explained to me so that I would understand what was being mentioned during each appointment. Teeth are labeled from one to sixteen on the top row from left to right: this is assuming one is looking into a client’s mouth. The remaining bottom row is the labeled from seventeen to thirty-two going from right to left. I was also taught some key concepts pertaining to labeling the mouth. The buccal (facial) surface is the side of teeth that touch the mouth. The lingual surface in the back side of one’s teeth. The median line divides the mouth in half between upper teeth eight and nine and lower teeth twenty-four and twenty-five. The side of each tooth facing towards this line is the mesial side while the side pointing away is the distal surface. The biting surface of each tooth is referred to as the occlusal surface. Knowing this information helped me to better understand the procedures I witness. I also learned about two prevalent instruments used during appointments, the explorer and the PF5. With the explorer, the explorer end is used to find cavities while the perio probe end is used to measure bone lose. An older African American male
Dental Hygienist use scaling tools to clean and scrape the plaque and tartar from your teeth and gum line. Depending on the scaler it may also remove built up plaque that has maneuvered its way below
The second step is removing the plaque,tartar, and stains that have accumulated on your teeth. The first tool that hygienists usually uses to do this is an ultrasonic instrument. The ultrasonic instrument is a device that uses vibrations to remove the larger pieces of tartar. This instrument also sprays mists of water to wash away the leftover debris. Once the hygienist removes the larger pieces of tartar, they will switch to a hand instrument called scalers or curettes.Unlike the ultrasonic instruments, scalers are meant to eliminate the leftover smaller pieces of tartar and plaque.Each tooth is done individually to ensure that all bacteria, plaque, and tartar is sufficiently removed.
My job shadowing experience with Dr. D. Lance Taylor has helped me in learning about the quality of education and intensive clinical training conducted at the SIU School of Dental Medicine. In addition, the clinical certification course will aid in enhancing my knowledge and developing skills required to make a smooth transition into the class. More importantly, opportunities to serve at the Give Kids a Smile and Mission of Mercy clinics will help in continuing my passion for community service. Also, it will be a great opportunity to learn from the ongoing clinical research at the school and improve my critical thinking. I am particularly interested in the research of Dr. Nathalia Garcia about the role of biomarkers in the progression of periodontal
The author concluded that with regular periodontal maintenance, removal of root surface accretion for better periodontal tissue attachment was more important than any surgical procedures.
One of the most difficult areas to diagnose decay is incipient carries on the occlusal surface. Unless they are large they tend not to show on radiographs, and can be hidden under the anatomy of the tooth. Occlusal caries may be confused with staining. Also, the narrow pits and grove of the occlusal surface of posterior teeth may be too small to allow an explorer tip to the base of the grove. The KaVo DIAGNOdent is designed to detect incipient occlusal caries. One of the intended advantages of this is to catch caries early in order to prevent the need for deeper restorations and the removal of excess enamel at a later time (KaVo Dental).
I decided to use oraqix because the patient had a few pockets depths between 6-7 mm, and was very sensitive during the power instrumentation. It helped me to effectively remove the plaque and the calculus from the pockets with the hand instruments, but I found that it was not as effective when I used the Cavitron. After the removal of plaque and calculus I reviewed OHI with my patient Evelyn and reinforced the proper use of dental floss and have the patient practice in her mouth. During the afternoon section, I worked on the mandibular arch and as before I started with the power instrumentation. However, I was not able to use it in all the mandibular teeth because some of them had recession, and the patient was extra-sensitive. The good thing was the mandibular arch had only one area with 6-7 mm of pocket depth. I also used Oraqix in this area, but did not help with the recession because the pain was related to the pulp and not to the gingiva, in where Oraqix works. After finishing with debridement, my patient expressed having pain on the distal surface of tooth # 17. We decided to take a PA of the area because that part of the tooth was not visible in the HBW I
Using this tool will thoroughly clean the plaque and tartar off of your teeth above and below your gums. If you had plaque and tartar on your teeth before you came in, you most assuredly won’t when you leave our office.
Consequently, I was involved in the mechanical testing of bioceramic endodontic materials with regards to their physical properties and hydration behavior. Also, I am participating in an ongoing Micro-CT study to evaluate the quality of root filling using different filling techniques and sealers.
Some studies have been conducted but the World Workshop on Periodontics stated that controlled clinical trials that evaluated the role that occlusion had on the progression of periodontal disease in humans, was unethical. To avoid unethical situations, patient records from a private practice facility were collected and studied to see if there was a connection between occlusal discrepancies and the progression of periodontal disease. The records that were studied were from patients that had periodontal evaluations as well as occlusal assessments. All of the patients studied had periodontal disease but only some of them had occlusal decencies. After a twelve month period some patients returned and had another periodontal evaluation and occlusal assessment and the data was compared to the data that was collected twelve months prior. The data collected was compared. Patients without occlusal discrepancies and patients with occlusal discrepancies both had worsening periodontal disease after twelve months of no treatment but, the progression of periodontal disease and increased pocket probing depths
When I start my college journey, I will major in Biology in hopes of becoming a Dentist. Dentists use many different unique tools on their patients. One neat utensil referred to a "plaque scratcher," is the scalar. Scalars are habituated to remove the repugnant vision of calculus from the teeth. They are designed to be used above the tender gum line. If the scalar is used below the gum line, the sensible gums are most likely to get damaged. Although scalars look like fancy and professional grade instruments, they can be purchased at department stores and online websites.
The aim of this study is to be able to identify any risk factors for periodontal changes in adult patients with orthodontic treatment by evaluating the periodontal status of banded second molars using the gingival index.
Essentials of dental assisting by Debbie S. Robinson - Doni L. Bird Fourth Edition Chapter 8 page 122