1. Ultrasonic Scaling Technique

2. Types of Inserts Canulas external internal
FSI - “Focused Spray Inserts”
FSI slimline
TFI - “Thru Flow Inserts”
Canulas - external and internal
FSI - internal canula, focuses spray where it is needed most.
TFI - Thru flow series, internal canula

3. External Canulas

4. Periodontal Therapy
Hand scale vs. Ultrasonic scale
Prophylaxis vs. Periodontal health

5. Key Benefits of Ultrasonic Scaling
debride
deplaque
lavage
cavitation
Ultrasonics remove plaque, calculus and free-floating bacteria quickly and effectively
Ultrasonics have a lethal effect on subgingival bacteria
Lavage removes the secreted endotoxin from the root surface
only power scalers deliver bacteria killing soundwaves and deep cleansing lavage.

6. Which insert is most effective?
FSI slimline -
FSI 10 , TFI 10, P10
TFI (Straight Triple-Bend)

7. FSI Slimline (subgingival use)
Straight or Paired
Patented focus spray,
Extra thin design provides maximum subgingival access
can be used for preventive care, gingivitis, patients with minimal bone loss.
Working with RDH, there are some times where this is appropriate with class 1 patients,
Discuss this with your instructor
Limited use in this clinic because of expense and critical need for root planing patients.

8. TFI - 10 General deposit removal All sides active
Most available in most clinics
Ideal for general deposit removal throughout the mouth and has been the industry leader in insert utilization. Use the face, back, and sides of the insert with a light touch and push/pull strokes.

9. TFI 1000 Straight Triple Bend
Quick removal of moderate to heavy calculus
triple bend allows increased access to line angles and interproximal surfaces
This general use insert with a triple bend design allows increased access to line angles and interproximal surfaces. It is ideal for quick removal of moderate to heavy calculus. Use a light touch and push/pull strokes.

11. Proper Scaling Technique
Patient Preparation
review medical history
diseases spread by aerosols
respiratory conditions
older, unshielded pacemakers
Revies Handout

12. Do not use in areas of extreme decalcification restorations
extreme sensitivity

13. Provide pre-procedural mouthrinse, eyewear, patient napkin

14. Explain the procedure Position Patient Position saliva ejector
Type of rinse is debatable, Listerine probably as good as Chlorhexadine
Provide extra napkin to catch spills, retract with 2x2’s also helpful to manage spray
Turn head to side that ejector is on
to far back may have problem with gaggers or people with respiratory problems

15. Clinician Preparation
appropriate eyewear, gloves and protective apparel
High bacterial filtration efficiency mask
position for maximum visibility
Test mask by seeing if it will hold water
eyewear needs side shields.
Position patient to suit your needs here

16. Six Criteria for Insert Selection
The Purpose of Treatment
The Patients oral health status
The location of the deposits
The degree of the deposits
Insert design
Insert tip diameter
The Purpose of Treatment - preventive or therapeutic care
The Patients oral health status
The location of the deposits
supragingival or subgingival
The degree of the deposits
lt, mod, heavy
Insert design
insert tip diameter

17. Fill handpiece with water Place insert in handpiece Set power control
Setting Up your Unit
Fill handpiece with water
Place insert in handpiece
Set power control
Set water control
Adjust control until the water flows with a rapid drip
Fill handpiece with water
Place insert in handpiece
GENTLY turn until the o-ring snaps in place
Set power control
to match degree of calculus removal
Set Water control
cool the tip
flush out bacteria
remove debris from the work area
Adjust control until the water flows with a rapid drip

18. The Advantages
Speed
Efficiency
Comfort

19. Pen or Modified pen grasp
Eliminate drag of cord
Pen or Modified pen grasp
“FEATHER-LIGHT”
eliminate drag by draping handpiece cord over arm or between little and ring fingers
Pen or modified pen grasp
FEATHER-LIGHT -should be able to remove from your Hand as you are working

20. Fulcrum -
Intra - Oral
Extra - Oral

21. direct insert point AWAY from tooth all surfaces are active
Adaptation
direct insert point AWAY from tooth
all surfaces are active
direct insert point AWAY from tooth
face, lateral borders or back surfaces are parallel to the tooth surface

22. “cross-hatch” strokes no pressure keep in contact with deposit
Pressure/Stroke
“cross-hatch” strokes
no pressure
keep in contact with deposit
use smooth, overlapping strokes
touch tooth surface very lightly
keep in contact with the deposit using light touch - transfer of energy

23. Activation
Continual Motion
like a violin bow

24. recheck surface with explorer
Evaluate your Surface
recheck surface with explorer
insert does not provide adequate sensitivity

25. Insert Cleaning and Sterilization
rinse insert
steam autoclave
paper side up
leave in sealed pouch
DO NOT USE COLD STERILIZATION
rinse under water water or mild ultrasonic solution
steam autoclaving preferred method of sterilization
paper side up , do not use totally plastic autoclave sleeves
leave in sealed pouch
do not use cold sterilization

26. 1-800-877-0020 ext.471 - for more information or questions