The debate between hand and power-driven instruments has been ongoing since the start of the ultrasound. Research shows that ultrasonic instruments are as effective as hand-held devices in removing sediments. Ultrasound dental supplies have many advantages, including access to the bottom of narrow and deep pockets, and its use is less laborious for clinicians.
However, the most effective method for patients with periodontal disease is the combination of ultrasound and hand instruments, as it enables clinicians to reap the benefits of both models. Because the ultrasonic cues cannot always be used to the concave, contour and hole, the instrument of the hand is very important in the ability to cover the root profile. As the American institute of periodontology (AAP), periodontal treatment guidelines from the sick bag removing calculi under two kinds of treatment methods and gum are necessary, because radical surgery can remove the abnormal phenomenon of root surface. The AAP also noted that treatment should be considered a success, and all stones must be transferred.
With the introduction of new and improved magnetostriction and the insertion design of piezoelectric ultrasonic elements, ultrasonic instruments continue to develop. Understanding these new innovations is key to effective scaling and root planning. This paper focuses on the magnetic strictive ultrasound.
Choose the correct tip
When using low power Settings, ultrasonic instruments can remove layers of stone rather than break down large deposits. In cases where the patient has moderate to severe conditions, ultrasonic calibration should be used in a higher environment so that the fragments can be separated first. You can then reduce the Settings to remove the thinner layer below. It is also important to use the appropriate plug-in cleansing program. Larger, heavier inserts are used to remove the pile of hair, while thin inserts are expressed for fine scaling. If you do not use a variety of inserts, you cannot effectively scale and root planes. Unfortunately, many clinicians can't use a range of ultrasound insertions to choose from surgery. In addition, although some offices may have a set of three ultrasound-bending inserts, they are usually used alone as a single insert, rather than a combination. Figure 1 shows that the curved instruments are designed to be region-specific and not for full mouth use.
Insert the innovation
Various insertions can be effectively combined to remove all of the downward sediment. To achieve the best effect, the instrument should start at a standard (thicker) tip and then to a thin insert with general, left, and right angles. This makes the larger, heavier sediments first decomposed and thus removed. Then, thin inserts can be extended more effectively into pockets and furcations deeper areas to remove thinner layered calculi deposits.
Universal ™ skill to, left, and right Angle. They are designed to be used together so that all areas of the tooth surface can be accessed through ultrasound machines. When using three thin inserts, the clinician should start with the versatile tip and then merge two bent inserts. The left curved knife is applied to the upper left teeth of the upper jaw and the left tooth of the mandible, as well as the language on the left and right of the mandible. The right curve insertion is applied to the left side of the maxilla, the right of the lower jaw, the left side of the mandible and the left side of the mandible. In this way, all root and pocket depths have been achieved and the access to furcations has been improved. From the root surface and the surrounding pocket space, the thin tip can help remove plaque biofilm and calculi. Proper adjustment of the facial and linguistic aspects of the mandible.
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A study conducted by Dragoo8 compared the ability of traditional ultrasound intubations and manual curets to the bottom of the pockets, ranging from 5 mm to 8 mm. The study found that, compared with traditional ultrasound insertion and curet, the curved ultrasound inserts reached the deepest pockets.
Several manufacturers have made many different designs of magnetostrictive ultrasonic cannula, from large diameters to small to thin inserts, to better penetrate the furcations at the root (see table 1). Techniques to improve clinical human body engineering, such as the technique of rotating ™, * in order to make the adjustment of the helpless, and the big easy ® ultrasonic inserting, offers a variety of diameter and buffer control to improve comfort and ergonomics. In the use of ultrasound machines, atomizing bacteria can be a problem, and some tips have been designed to reduce this risk and provide a fixed flow of water to increase visibility.
Skills including LED lights insight ™ line at each insert to improve visibility. A very thin insert design - Cavitron thinsert - was added recently. It is used in limited contact areas such as furcations,interproximal regions, and Chambers, as well as dense areas.
The trick designed for implants is also a new addition to the magnetostrictive market. Before their introduction, it was difficult to remove plaques and stones around titanium im - plants and abutments, fearing damage to repair. Table 2 provides information on magnetostriction techniques for safe use of implants. The recommendations are usually plastic, a one-time ultrasound insertion technique that provides the same irrigation as any other insertion. They should be used in a low environment.
conclusion
The dental hygienist needs to check the ultrasound dental equipment in their office and notice what needs to be changed or added. Ultrasonography can effectively treat a wide range of patient needs, from healthy teeth, with only minor calculi to periodontal, requiring quadrantal scaling and root planes. Developments in design and ongoing research will continue to bring new additions to ultrasound armamentarium.
