periodontal,instrumentation,dentistry,dental periodontology,
TRANSCRIPT
![Page 1: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/1.jpg)
PERIO
DONTAL I
NSTRUMEN
TS
& INSTR
UMENTA
TION
S E Y E D MO H A M M A D R
E Z A MA S O U M I
Y A Z D SC H O O L O
F DE N T I S
T R Y …I R
A N
![Page 2: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/2.jpg)
PERIDONTAL INSTRUMENTS CLASSIFICATION:1. PERIODONTAL PROBES2. EXPLORERS3. SCALING, ROOT-PLANING &
CURETTAGE4. PERIODONTAL ENDOSCOPE5. CLEANSING & POLISHING
INSTRUMENTS
![Page 3: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/3.jpg)
CLASSIFICATION
• PERIODONTAL PROBESused to locate, measure and mark pockets
as well as determine their course on individual tooth surfaces
• EXPLORERS to locate calculus deposites and caries
![Page 4: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/4.jpg)
• SCALING, ROOT-PLANING AND CURETTAGE INSTRUMENTS-
for removal of plaque and calcified deposites from crown and root of tooth, removal of altered cementum from the subgingival root surface, and debridement of the soft tissue lining the pocket.
Sickle scaler- to remove supragingival calculus
![Page 5: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/5.jpg)
Curettes- for subgingival scaling, root planing and removal of the soft tissue lining the pocket
Hoe, chisel and file scaler- to remove tenacious calculus and altered cementum
• Ultrasonic and sonic instruments- for cleansing and polishing tooth surface and curetting the soft tissue wall of the periodontal pocket
![Page 6: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/6.jpg)
• CLEANSING & POLISHING INSTRUMENT
eg: rubber cups, brushes, dental tape,
air-powder abrasive system
![Page 7: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/7.jpg)
PARTS OF INSTRUMENT
![Page 8: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/8.jpg)
PERIDONATAL PROBESA. Marquis colour coded probeB. Unc-15 probeC. University of Michigan “o” probeD. Michigan “o” probe with marking 3, 6 and 8 E. W.H.O. probe
![Page 9: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/9.jpg)
NABERS PROBE
• TAPERED ROD LIKE INSTRUMENT CALIBERATED IN MILLIMETERS, WITH A BLUNT ROUND TIP
• FURCATION AREAS BEST EVALUATED BY THE CURVED BLUNT NABERS PROBE
• PLASTIC PROBES IN CASE OF IMPLANTS• PROBE IS INSERTED WITH A FIRM
GENTLE PRESSURE TO THE BOTTOM OF THE POCKET. SHANK SHOULD ALLIGN WITH THE LONG AXIS OF THE TOOTH
![Page 10: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/10.jpg)
EXPLORERS
![Page 11: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/11.jpg)
TYPE OF SCALERS:
![Page 12: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/12.jpg)
SICKEL SCALERS
![Page 13: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/13.jpg)
SICKLE SCALERS / SUPRAGINGIVAL SCALERS • USED TO REMOVE LARGE CALCULUS DEPOSITS
FROM THE ENAMEL SURFACE• USED WITH A PULL STROKE
![Page 14: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/14.jpg)
• LATERAL SURFACE:- STRAIGHT, MEET IN A POINT TIP
• NO OF CUTTING EDGE:- 2 CUTTING EDGE• WORKING END IN CROSS SECTION:- TRIANGULAR • SICKLE SCALERS WITH STRAIGHT SHANKS ARE
DESIGNED FOR USE ON ANTERIOR TEETH• SICKLE SCALERS WITH CONTRA ANGLED SHANKS
ADAPT TO POSTERIOR TEETH• U15/30 & UNIVERSITY SICKLE SCALER ARE LARGE• JAQUETTE SICKLE SCALERS HAVE MEDIUM SIZE
![Page 15: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/15.jpg)
HOE SCALERS• HOE SCALERS ARE USED FOR
SCALING OF LEDGES OR RINGS CALCULUS
• BLADE IS BENT AT 99 ANGLE• CUTTING EDGE BEVELED AT 45
DEGREE• BLADE IS SLIGHT BOWED SO THAT IT
CAN MAINTAIN TWO CONTACT AT TWO POINTS ON A CONVEX SURFACE
• THE BLADE IS INSERTED TO THE BASE OF THE PERIDONTAL POCKET SO THAT IT MAKES TWO POINT CONTACT WITH THE TOOTH .THIS STABLIZES THE INSTRUMENT AND PREVENT NICKING OF THE ROOT.
• THE INSTRUMENT IS ACTIVATED WITH A FIRM PULL STROKE TOWARD THE CROWN,
![Page 16: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/16.jpg)
CHISEL SCALERS• IT IS DESIGNED FOR THE PROXIMAL
SURFACE OF TEETH TOO CLOSELY SPACED TO PERMIT THE USE OF OTHER SCALERS
• IT IS USUALLY USED IN ANTERIOR PART OF THE MOUTH
• CHISEL INSERTED FROM FACIAL SURFACE• INSTRUMENT IS ACTIVATED WITH A PUSH
MOTION WHILE THE SIDE SIDE OF THE BLADE IS HELD FIRMLY AGAINST THE ROOT
![Page 17: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/17.jpg)
FILES• THEIR PRIMARY
FUNCTION IS TO FRACTURE OR CRUSH LARGE DEPOSITE OF TENACIOUS CALCULUS
• FILES CAN EASILY ROUGHEN ROOT SURFACES WHEN USED IMPROPERLY THEREFORE, THEY ARE SUITABLE FOR FINE SCALING
• MINI BLABE CURETTE ARE NOW PREFERRED
![Page 18: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/18.jpg)
CURETTES
![Page 19: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/19.jpg)
• CURETTES ARE OF TWO TYPES1.UNIVERSAL2.AREA SPECIFIC
• UNIVERSAL CURETTES-USED IN ANY AREA-BOTH CUTTING EDGES USED-CURVED IN ONE PLANE-FACE OF BLADE AT 90 DEGREE TO SHANK
• AREA SPECIFIC-USED IN SPECIFIC AREAS-ONE CUTTING EDGE USED-CURVED IN TWO PLANEOFFSET BLADE
![Page 20: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/20.jpg)
GRACEY CURETTES1-2 & 3-4 ANTERIOR TEETH5-6 ANTERIOR TEETH & PREMOLARS7-8 & 9-10 FACIAL & LINGUAL- POSTERIORS11-12 MESIAL- POSTERIORS13-14 DISTAL- POSTERIORS
![Page 21: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/21.jpg)
ADAPTATION IN GRACEY CURETTE
![Page 22: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/22.jpg)
MINI BLADED CURETTES
-MODIFICATIONS OF AFTER FIVE CURETTES
-BLADES ARE HALF THE LENGTH OF AFTER FIVE OR STANDERD GRACEY CURETTES
-SHORTER BLADES ALLOWS EASIER INSERTION AND ADAPTATION IN DEEP,NARROW POCKETS;FURCATIONS
eg HU-FRIEDY MINI FVE CURETTES
![Page 23: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/23.jpg)
DIAMOND COATED FILES
UNIQUE INSTRUMENTS USED FOR FINAL FINISHING OF ROOT SURFACES
QUETIN FURCATION CURETTES HOES WITH A SHALLOW, HALF MOON RADIOUS
THAT FITS INTO ROOF OR FLOOR OF FURCATION & DEVELOPMENTAL DEPRESSIONS OF ROOT SURFACE
![Page 24: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/24.jpg)
QUETIN FURCATION CURETTES
![Page 25: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/25.jpg)
SCHWARTZ PERIOTRIEVER & LANGER CURETTES COMBINE GRACEY-TYPE
![Page 26: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/26.jpg)
PERIODONAL ENDOSCOPY
![Page 27: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/27.jpg)
CLEANSING & POLISHING INSTRUMENT
eg: rubber cups, brushes, dental tape, air-powder abrasive system
![Page 28: Periodontal,instrumentation,dentistry,dental periodontology,](https://reader035.vdocuments.mx/reader035/viewer/2022062400/5885706f1a28ab491b8b76ff/html5/thumbnails/28.jpg)
ULTRASONIC INSTRUMENTS• USED FOR REMOVING PLAQUE,
STAINS, FOR SCALING & CURETTAGE
2 TYPES-MAGNECTOSTRICTIVE & PIEZOELECTRIC
• ALTERNATING ELECTRIC CURRENTS GENERATES OSCILLATIONS THAT CAUSES SCALER TIP TO VIBRATE
• 20,000-45,000 CYCLES PER SEC• IN MAGNETOSTRICTIVE, PATTERN
OF VIBRATION IS ELLIPTICAL- ALL SIDES OF THE TIP ARE ACTIVE
• IN PIEZOELECTRIC, VIBRATION IS LINEAR- TWO SIDES OF TIP ARE ACTIVE