1. CORONAL POLISH

2. Coronal Polish Not a Prophylaxis Part of a prophy. NO scaling! Tartar / Calculus Hygienist / Doctor Coronal polish: Is the removal of plaque and stain from the crown (coronal) portion of the tooth.  EFDA can do this!

3. Coronal Polish Removing..? Soft deposits Food debris Plaque  Colonies of bacteria Stain Extrinsic  Outside of the tooth. Food Drink Tobacco

4. Crown of the tooth. Clinical crown Part of the tooth you ‘see’ w/ looking in the mouth. Polish the clinical crown. Including exposed root surface. Anatomical Crown? Part of tooth covered w/ enamel

5. Indications/Contra-indications Indications Plaque present Stain Extrinsic Fluoride absorption Sealant placement Placement of Ortho appliances Encourages good oral hygiene. Contra-indications / modifications. Bleeding/sensitive gums Ortho appliances present Hypersensitive teeth Cold sores No ‘pre-med’ No plaque/stain

6. Stains Extrinsic Outside of the tooth Intrinsic Inside of the tooth. Endogenous Before eruption Exogenous After eruption All extrinsic stains are exogenous. Extrinsic stain Intrinsic stain

7. Stain examples Extrinsic Food Coffee / Tea Tobacco Green stain. Mold Orange / yellow / brown stain Black line stain Chlorhexidine stain Rx mouth rinse Intrinsic Fluorosis Tetracycline Antibiotic Necrotic pulp Trauma RCT Amalgam stain Genetics Dentinogenesis imperfecta

8. Tooth Stain Pics

9. Picture is worth a 1000 words….

10. Frictional Heat Heat generated by: 2 moving objects rubbing together 1moving object rubbing against a stationary object. Controlled by. Time Speed Pressure Dryness Lack of moisture Type of abrasive material Coarse vs. fine Amount of abrasive material

11. Polishing Slow/low speed hp Right angle / prophy attachment Fulcrum Intraoral Extraoral Start in the post. Buccal or lingual Work towards anterior teeth Repeat on opposing surface. Stroke Start at gums Move towards occlusal / incisal surface. Slow – even speed. Overlapping Like mowing your lawn. 3 strokes per tooth. Guideline More or less to clean the surface of the tooth

12. Associated Vocabulary Words (not every one on the list!) Supragingival Above the gums Subgingival Below the gums Bridge threader Aids in flossing under fixed appliances Interdental papilla Point of gums between the teeth. Interproximal brush Cleans between the proximal surfaces. Mesial Distal Prophy brush Used to clean Around ortho Pits and fissures Instead of a prophy cup.

13. Things to remember Maintain professional standards. Never diagnose! Always review and check medical Hx. Be aware of Infection control Asepsis Cross-contamination Ask for help w/ needed. Fulcrum, Fulcrum! Ask questions if unsure of what you are doing. Coronal polish will be demonstrated in the lab.

14. Conclusion Coronal polish is a treatment. You are the provider. Make sure you understand Different types of stains. When they occur Where they occur Indications and of course… Contra-indications. Any Questions????