Northeastern Dean's List, Articles C

Petersilka G et al. Preparation path. Advances in Dental Research 2009; 21: 35-9. For cosmetic restorations, use Proxyt by Ivoclar Vivadent. CAST RESTORATION. Quintessence Int. To prevent decalcification during orthodontic treatment using fixed appliances, many orthodontists use sealants to protect enamel around brackets.14 Air polishing devices are often used to clean the teeth, and investigators in Germany tested the effects of air polishing on these sealants.14 Three different sealants were applied to the surfaces of 30 extracted human teeth, and the enamel surfaces of 10 teeth were air polished with a sodium bicarbonate based powder for five to 10 seconds or a glycine-based powder for 10 seconds. Intracornal preparation are mortise shaped having definite walls and floor joining. Patients with respiratory and infectious diseases,as polishing creates aerosols. Narongdej T, Sakoolnamarka, R, Boonroung T. The effectiveness of a calcium sodium phosphosilicate desensitizer in reducing cervical dentin hypersensitivity. Most of the in vitro research on sodium phosphosilicate, to date, has been focused on its ability to form a layer of hydroxycarbonate apatite on tooth dentin and enamel, as well as its effectiveness as a desensitizing and remineralizing agent. Note: For students under age 18 there may be restrictions on participating in certain Health Sciences programs. Not all (though many) patients with renal disease would be on sodium restriction. Removal of temporary cement residues. Here is a thorough list of the indications and contraindications for coronal polishing. Removal of tooth structure by polishing; 5. indications and contraindications of polishing; 6. Patients with hypertension, Addisons disease, Cushings syndrome, and metabolic alkalosis, as pumice can contain sodium. (9th ed). This course will provide the required didactic and laboratory requirements for certification. Engel S, Jost Brinkmann PG, Spors CK, Mohammadian S, Meller-Hartwich R. Abrasive effect of air-powder polishing on smooth surface sealants. The effect of air-polishing abrasives on wear of direct restoration materials and sealants. 9th ed. The enamel surface is strong enough to withstand repeated tooth polishing, but it should be avoided on newly erupted teeth, exposed root surfaces and areas of demineralization. The Indiana State Board of Dentistry approved coronal polishing and fluoride administration as a permitted function for a trained Dental Assistant. But everyone has to mop a floor, right? Terri Tillis, RDH, discussed in her course at a recent RDH Under One Roof that intact enamel is harder than the particles in toothpastes. Use the good techniques of light pressure, a small soft cup, and plenty of moisture. Placement of orthodontic bands and brackets. Just polishing a childs teeth and applying a fluoride treatment is not complete patient care. Sunday, March 26 7:30 a.m. to 6:30 p.m. BDENT-0200-001, $495 Clinical practice of the dental hygienist. J Periodontol 2007; 78: 1002-1010. 10. Prophylaxis removes plaque, stains, debris, and calculus from the teeth. For dentin sensitivity or root or dentin exposure, NuCare or Proclude are very effective and low in abrasion. When I see some of these students, now colleagues, at continuing education events, they tell me that they polish first, and they love it. Polishing can: Create a smooth tooth surface that is less likely to retain plaque, calculus, and stain. [5] Short intermittent strokes should be used in order to avoid damage. It is small enough to polish small and malposed teeth, access the gingival margins comfortably for the patient, and is ergonomic for the clinician. I discovered that this is a wonderful way to evaluate home care, show them where they are missing (without a bunch of red or purple stuff!) While coronal polishing is sometimes part of a routine dental cleaning, it is not a replacement for regular oral prophylaxis, which removes all plaque and calculus. Yeah, we know. Synonym (s): frontal plane. In vitro evaluation of novel low abrasive air polishing powders. Some prophylactic pastes contain fluoride to aid in the remineralization of the enamel surface and others help reduce dentinal sensitivity. With the fast rotation of a rubber cup, particles of a polishing agent can be forced into the subepithelial tissues and create a source of irritation.. Wilkins EM. A copy of the standards and Commissions policy on third-party comments may be obtained on the internet at www.ada.org. Code 114.5 - Coronal Polishing. It is a flag that should prompt us to consult with the patient's nephrologists and/or the patient's renal dietitian to determine acceptable sodium exposure. Author Lynne Slim's hygiene operatory at Legacy Dental Care in Kennesaw, GA.There's an elephant in the room, by Lynne H. Slim, RDH, MS, and Cher Thomas, RDH. However, it shows that those who may seek advancement within their Dental Assistant position or within the dental . Code 114.5 - Coronal Polishing State Regulations Compare (a) "Coronal polishing" means the removal of plaque and extrinsic stain from exposed natural and restored tooth surfaces using an appropriate rotary instrument with rubber cup or brush and polishing agent. J Periodontol 2010 Jan; 81: 79-88. Titanium abutments should not be polished. Author Lynne Slim's hygiene operatory at Legacy Dental Care in Kennesaw, GA. The student will be introduced to the fundamentals of working in a dental office as a chair-side dental assistant. Chromogenic bacteria found in plaque that is left behind due to poor oral hygiene can also cause staining. Just as air polishing devices often result in clinically relevant tooth surface damage and restorative material loss, air polishing of sealants always results in substance loss and surface damage, according to Pelka, Altmaier, Petschelt and Lohbauer.13 The authors made plane specimens (N=180) of dental restorative materials and treated the specimens with standardized air polishing for 10 seconds each. Lastly, a recent study in 2010 evaluated the safety, patient acceptance, and short-term microbiologic effect of GPAP in periodontal maintenance patients with residual pockets 5 mm.15. In addition, several cases may contraindicate teeth polishing or the use of certain polishing pastes, including: 1 Acute gingivitis or periodontitis Aesthetic restorations (ceramic, composite, and/or porcelain to fix teeth or as implants) Allergy to the abrasive or solution being used Cavities or problems with enamel When reviewing a medical history, we often refer to recommended guidelines and position papers. The goal as dental hygiene educators is to provide students with a foundation of knowledge and skills through the facilitation of quality learning experiences. When these conditions are present, it is best to postpone coronal polishing until healing takes place. Risk of generating frictional heat, and increased abrasion to the tooth surface may result from increased contact time, increased speed of rotation, and increased pressure of the cup on the tooth. GPAP resulted in a significantly greater reduction in subgingival bacterial counts when compared to curettes.16 The authors mentioned that GPAP might save instrumentation time and reported that only 15 minutes was needed to remove plaque-biofilm in the entire dentition. The Commission on Dental Accreditation can be contacted at 800-621-8099 or 312-440-4653 or at 211 East Chicago Avenue, Chicago, IL 60611-2678. Nancy W. Burkhart, EdD, MEd, BSDH, AAFAAOM. After I polish, floss, and modify home care, I debride the quadrant to remove plaque, residual hard deposits or newly mineralized deposits. The sodium phosphosilicate polishing agent has no salty taste, no sodium contraindications, and there isn't any stinging or irritation of soft tissue. Quintessence Int. JADA 2010; 141(8): 995-999. When these teeth have deep, stained fissures, a prophy brush with a bit of pumice works great to remove this stain. American Dental Hygienists Position Paper on Polishing Procedures. I selected coarse prophy paste, because I did not need disclosing solution to tell me this dental biofilm was thick and adherent. I sat the oldest girl, 14, in the dental chair and took radiographs, then looked around her mouth with a mirror. Furthermore, even if we determine a patient is a good candidate for air polishing (from a medical standpoint), we also have to evaluate them from a dental standpoint. It integrates a rubber cup into a high torque gear, which can be plugged into a low speed handpiece and drive rubber cup to polish teeth. Mr. Borneo asks Adam, RDH: "What's that huge monstrosity in the corner of your operatory that looks like a muscular elephant trunk?" For program specific information click on the program below: Working as part of a dental team, dental hygienists treat patients needing non-surgical periodontal therapy and radiographs, apply preventive agents, provide intra- and extra-oral exams and oral hygiene instructions. Darby ML and Walsh MM, Dental Hygiene Theory and Practice, 2nd ed. Esther Wilkins reports in her textbook a disadvantage to polishing after scaling. The Dental Hygiene Program at Sinclair Community College prepares students who are able to assess, diagnose, plan, implement, evaluate and document contemporary dental hygiene care. The Ohio State Dental Board allows Certified Dental Assistants, Registered Dental Assistants,and Registered Dental Hygienists to enroll in this training. Identify the indications and contraindications for disclosing and coronal polishing Identify the pre-medications for the compromised patient Utilize proper armamentaria in an organized sequence for disclosing and polishing Perform plaque disclosure Demonstrate the proper instrument grasp, fulcrum position, and cheek/tongue retraction Before discussing research to date on the use of a pressurized air device subgingivally, it is important to discuss risk for provoking emphysema. The degree program consists of open enrollment courses (general education and division specific) and program specific courses with limited enrollment. [5] Based on these variants, pastes are available in fine, medium, coarse and super-coarse grits. Rohleder PV, Slim LH. These supragingival plaque biofilms, however, were artificially collected after a period of 48 hours and they are different from subgingival calculus that is permeated with crystals of various calcium phosphates. Subgingival debridement efficacy of glycine powder air polishing. Lindhe L, Meyle J. Peri-implant diseases: consensus report of the sixth European workshop on Periodontology. (mechanical engineering) Smoothing and brightening a surface such as a metal or a rock through the use of abrasive materials. Texas Administrative Code (a) "Coronal polishing" means the removal of plaque and extrinsic stain from exposed natural and restored tooth surfaces using an appropriate rotary instrument with rubber cup or brush and polishing agent. This has placed dental professionals into an ethical dilemma on whether or not this service should be provided.[2]. This patient described polishing first in a wonderful way, Its like sweeping the floor before you scrub it. Why would you want to mop around a bunch of loose dirt on the floor? In vitro and in vivo research studies have begun to test this new device and, to date, no adverse effects on patients have been noted.15-17 This device is not designed for subgingival "polishing" but it could eventually become an alternative (under certain strict conditions including shallow anatomic probing depths and medical clearance) or adjunct to subgingival biofilm disruption with ultrasonics or hand instrumentation. When she was seated again in the chair, I told her I was going to polish her teeth first. Your teeth are sensitive or you have recessed gums. GPAP was safe with no adverse events reported, and was perceived to be more acceptable to patients. Lynne is also the owner and moderator of the periotherapist yahoo group: www.yahoogroups.com/group/periotherapist. This process requires the use of a dental handpiece, a polishing agent, and a rubber cup/brush. It is very important that you meet with anAcademic Advisorby calling937-512-3700, or visiting Building 10, Room 301, to make sure you are scheduling the correct classes for your program choices. All rights reserved. Emphasis is placed on sealants, amalgam restorations, composite restorations and temporary restorations. I remember thinking, Why does she do that? I wondered but never asked, partly because I did not have a good understanding of what hygienists do (besides clean teeth and make more money than I did). Another new air polishing agent with calcium sodium phosphosilicate claims to desensitize, clean, polish, and regenerate the tooth to create an enamel-like layer in one easy treatment (see "Sources for air polishing powders"). Expert Solution. Avoid reintroduction of bacteria immediately after SRP and NSPT. About a year later, I treated the young daughters of a dental colleague and friend of my employer. For example, the ADHA position paper on air polishing lists renal disease as a contraindication. The whole procedure went very well, and I was queen for a moment - that is until I got her 9-year-old sister in the chair. 1. Subscribe to the monthly e-newsletter here. Caries process Systemic fluoride Benefits and contraindications of topical fluoride Appropriate types and delivery mechanisms of fluoride for patients All didactic instruction will be completed online. 1. As oral health-care providers, we are constantly pushing to keep current with technology and research. Admin. Description. Longitudional studies have demonstrated the efficacy of standard treatment approaches (regular mechanical removal of bacterial biofilm), which consist of meticulous debridement of tooth and root surfaces, consistent self-care measures, and supportive maintenance visits.