From the evidence-based point of view, is there a difference in clinical parameters between ultrasound and hand burns?
The removal of calculus and clinical success can be achieved through ultrasound or hand dental supplies. After using an ultrasound instrument and a hand instrument, the roots have slightly different surfaces, but that does not seem to affect the clinical outcome.
Q: what is your experience with your hands and ultrasonic scalding?
I've been using ultrasound scald for a long time, starting with the old pipe style, and now using the piezoelectric scalar. I can't practice periodontal disease without an ultrasonic knife, but my opponent's device feels the same way. In some cases, one is better than the other, but I do need both of them to successfully remove calculus from the root surface. I believe that the fundamental elimination of calculus is a required course for clinical success. My colleagues and I have just published a paper, published in the journal of periodontology, this shows that in the body of endoscopic observed cases, calculus and most of the pocket wall inflammation. This means that no calculus can be left on the root surface, and in order to achieve that goal, the dental hygienist needs to use all available tools.
Ultrasonic prompt design
Q: what are the most important considerations when selecting the appropriate prompts?
The most important consideration when choosing any instrument is the access to the root surface, either hand or ultrasound. If the instrument can't get its root surface through calculus, it won't do what needs to be done. Unfortunately, a factor in all the ultrasonic design, regardless of which sensor drives it, needs enough metal to prevent breakage. A transducer is a device that causes a tip to vibrate. Some dental professionals like very thin tips to get into difficult areas, but to prevent breakage, these instruments must be used in very low power environments. Low-power Settings may not eliminate stubborn calculus altogether, they are more likely to polish calculus. Similarly, it is necessary to remove the stones from the teeth to eliminate inflammation and achieve clinical success.
Diamond level advice
Recently introduced the q diamond coating ultrasonic tip to the market. Are they suitable for oral hygiene?
Interestingly, similar rhombic ultrasound techniques were sold for root planting, root canal dental pulp surgery, in Europe, for cutting and repairing preparations. Unless used very carefully and with a direct vision, the fully coated diamond tip can be very dangerous and should not be used for rooting. I used a completely coated diamond tip as a central planer, and in less than a minute I was able to drill the root of a hole completely. On the face of it, the small diamond tips are very effective for removing stones. Because of the diamond grinding teeth, the tip of the diamond surface does not require the ultrasonic vibration of calculus. This means that the instruments are active outside the ultrasonic tip. This allows operators to be more flexible when accessing calculus on the root surface. I designed an ultrasound prompt that contains diamond abrasives in the grooves of smooth ultrasonic tips. Recessed diamonds will soon wear any rough stones on the roots. Once the calculus is removed, the root surface will not be touched by the diamond abrasive, and the tip is like a smooth tip without diamond coating.
Q: what is the technology of diamond coating? How is it different from traditional ultrasound insertion technology?
Fully coated diamond inserts should only be used with the pointed tips and should only be used by a very skilled operator. Basically, no endoscope is used, and a completely coated diamond tip should not be used in the root plane. A skilled clinicians can use very small, completely of diamond coating - ultrasound tip, when performing the roots of endoscope assisted plane to remove isolated stone, but a lack of experience of clinical doctors is easy to damage the roots and/or break a very small ultrasonic tip. For the average healer, the well-applied diamond tip should be used only on the basis of the treatment or on the root tip during the procedure.
What's ahead
Q: what do you think are the new developments in the ultrasonic-tip design of dental care?
There are many exciting changes in ultrasonic transducers and sophisticated designs. The conventional transducer is magnetostrictive. Recently, the popularity of piezoelectric transducers has increased. The ultrasound engineers told me they were working on new sensors that use rare earths, iron ceramics and other dental equipment that would allow more power and less damage. At present, piezoelectric transducers seem to reduce the damage of narrow and small tip designs, and thus successfully use the tips of different shapes. The use of grooves will allow the design of a hand file similar to that of an Orban document, where the tip is vibrated by a transducer, but does not require an ultrasound to be effective. Over the next 10 years, we will see sensors and sophisticated designs that will allow for a new dental hygiene treatment.
