Ultrasound is an important part of periodontal treatment success, but its efficacy depends on the clinician's skill.
For more than 40 years, oral hygiene has benefited from power dental equipment. It can achieve the same clinical results as a manual instrument, while reducing time and operator fatigue. However, the effectiveness of power instruments relies on the technology, technology and knowledge of clinicians.
Historically, magnetostrictive ultrasound machines have been the most popular in the United States, leading to the term "ultrasonic scaling" being applied to all types of power instruments. In this article, a specific type of mechanical device will be mentioned; The term "ultrasonic" refers only to the instrument used to power the device. Mechanized equipment is classified by frequency and sophisticated motion.
When will the ultrasound machine fit?
Ultrasound machines are effective and effective in patients with hyperor subgingival plaques and/or stones, and can be more mild in the tissues of the gums and less stressed to clinicians. If there is no such thing as an ultrasound, the question is not when to use the ultrasound device, but what the tip, what force, what frequency. In order to achieve optimal results, it is also an important factor to determine how much time should be used to combine ultrasonic instruments with manual instruments.
What's the best technique?
Choosing the right tip design increases thoroughness, efficiency, and patient comfort. For moderate to severe patients, the design should be inserted with a standard tip of medium to high power. Standard insertion has sufficient volume (quality/surface area) to remove calculus in a relatively easy manner. Standard inserts include a versatile, three-curved, beaver tail, chisel and periodontal tip design. In addition to cutting-edge design, the design of rotating function, can now control the insertion or nose allows on the basis of rolling improve insert, insert the Angle, and access to stop testing, insert and delete insert from mouth to the desired position. Swivel's function also minimizes the drag from the toilet paper, creating a more ergonomic tool.
For patients with mild to severe plaques and/or soft fragments (supra or subgingival), low to moderate thin veneers are an appropriate choice in the case of inflammation or mild supragingival stones. Thin tips are also small enough to be exposed to close contact and increase patient comfort because the sediment of light is under the gum.
The candidate for scalable and root planing requires a variety of ultrasonic inserts and should follow a specific order. First, standard insertion on medium to high power is necessary to remove as many supra and subgingival calculations and fragments as possible. Local anesthesia should be considered, allowing greater use of the tip and thinner insertion techniques and manual instruments so that the patient can easily undergo surgery. Thinner tip inserts are not designed or used to remove moderate to heavy stones and are only available after more standard insertion is used. After taking out the sediment, explore the entire surface of the subgingiva and remove the remaining detectable sediment and insert the periodontal tip into the design. Use the Gracey curets, mini blUNK curets, or Hirschfeld files, and even with thinner insertion designs, consider using them.
Some ultrasonic dental supplies provide a specialized fork tip design. Studies have shown that the use of manual tools alone does not necessarily make the class II and type III furan animals capable. You must be careful not to make grooves on the root surface when using all the ultrasonic cues.
