Dental Root Planing 101 - Step-by-Step

Darina shows you how to root plane step-by-step!
Introduction: 0:00
Instruments Required: 1:00
Parts of the Instrument: 2:47
How to find the cutting edge of a gracey scaler: 3:15
Anterior Tooth Demonstration and Technique 4:20
Posterior Tooth Demonstration and Technique: 10:09
Demonstration with Gum Model: 14:35
Tips and Tricks: 16:00
Darina actually edited this entire video herself. This is her first video editing experience and the results are amazing!
Please like and subscribe and share with your dental colleagues to support us and to help the KZbin algorithm promote this video to others
/ drtiv
Products Used to Film
Camera - GH5s - amzn.to/2KtMjqS
Microphone - Rode VideoMic Pro - amzn.to/354WSKq
Lav Microphone - Rode RodeLink - amzn.to/2VCGE8d
Main Light - Aputure 120D - amzn.to/2YarwAN
Lens Speedbooster - Metabones Speed Booster - amzn.to/3bxbQeB

[@Airtouch67]

It's great that you actually HAVE these instruments. Most dentists won't buy you anything you need to actually do your job. I usually have 2 instruments and a mirror. I couldn't imagine having a whole set of dental instruments.

[@pritirajguru535]

Thankful to you mam,I used to follow all of your vedios. You make everything easy👏👏

[@user-ss6yw6tz1m]

Awesome video! Thank you a lot!

[@dhurghama.shakir947]

That's helped me alot ... thanks

[@eduardorugarcia5666]

You are the best! Thank you, it really helped.

[@DrTiv]

Darina is amazing! Are there any other topics you'd like her to cover?

[@jimmysmusicreactions7030]

Excellent video! New sub!🎉

[@basharmoed8]

Thanks for this awesome explanation

[@DrTiv]

You're welcome. Don't forget to like and share the video to help boost the channel 😊

[@dds1491]

This is a great video

[@ashourtoma3925]

It is very helpful, thank you very much for this beautiful video

[@DrTiv]

We're glad you found the video helpful 😊. We love the support ❤️

[@RandomPerson28337]

Thanks saved me 100 bucks

[@Rocky-tq7ep]

Nice video

[@allysonb.g5748]

this helped so much, u explain better than my uni ahhaha, what is that gum model called? it's so good I need one!

[@felixsanchez9735]

Excellent😅

[@daisychimbay437]

Do you have to keep closing the instrument if you don't fully come out subginvibal?

[@grahamlawlor8361]

How long should this take per quad? I just had it done and it took about 5 minutes per quad. It seemed faster than I was expecting

[@raednoureddine122]

I will wait from you please : how to sharpen perio instrument, you are wonderfull

[@gurugamer8632]

Is there any risk of nerve damage

[@ivisjohanaramirezbaez6950]

Amazingly explanation... Thank you so much

[@DrTiv]

You are so welcome. Feel free to share with anyone you think this will help. It'll help boost the channel too 😊

[@simplylorry]

Can this be done to teeth with mobility and periodontal abscess, will that help to regenerate bone eventually? Also, do we need to put anesthesia while doing this? If yes, what technique of LA to be done? Is this done by quadrant/appointment ? Thank you for ur reply… How about no calculus but the tooth is suffering to perio abscess and tooth mobility?

[@darinanirmalann4849]

All great questions! I would personally always remove subgingival calculus under LA. The patient will be more comfortable and you will be able to do a better job. Depending on the area of the mouth, I usually do infiltrations or IAN block for lower teeth. Depending on severity you could treat in quadrants, sextants or even half a mouth at a time. When deciding you should take into account your level of experience and depth of pockets. Most commonly I do 60min per quadrant. If you have periodontal abscess present and mobility, the disease has progressed to a severe stage. Consider prescribing antibiotics in addition to root planing. Focus on your patient communication and setting expectations in severe cases. The patient must understand the prognosis before beginning root planing. You can treat mobile teeth but be careful to support the tooth so you don't accidentally extract it with your graceys. Root planing will not reverse mobility as the bone has already been lost. Bone will also not regenerate through root planing. You are merely preventing further loss of bone and helping reduce further gingival inflammation and destruction. If you do a good job and the patient follows strict oral hygiene at home, hopefully you will see a reduction in periodontal pocket depths. If the case is beyond your level of expertise or if the patient would like to explore other treatment options for gum disease or bone regeneration you may refer the patient to a periodontist. Hope this helps :)

[@mickeymicks7071]

Can you use gracey 5/6 for the canine

[@darinanirmalann4849]

I usually use gracey 1/2 only for all anterior teeth 3-3 (which includes canines)

[@xEmmsz]

I love the video, thank you so much. Going to do my first rootplaning today! The music was distracting though :)

[@DrTiv]

How did your first root planing go? Thanks for the feedback. I'll try and find some less distracting music (would love any recommendations 😊).

[@shortsbox]

Please consider not playing music at all. I find it difficult to concentrate to teaching videos in particular when there is background music. Other wise good job on the demo and explanations.

[@Rocky-tq7ep]

​​@@DrTiv for educational videos don't add any background music it just disturbs the concentration on the teaching.

[@dancindebs1]

Why don’t you demonstrate a Columbia 4R-4L. The “inevertent” curettage iimportance shoukd not be underestimated for healing

[@mickeymicks7071]

Are the gracey scalers numbered so you know which is which?

[@darinanirmalann4849]

It depends on the brand but usually they will have numbers like "11/12" written on them. With some experience you'll find you won't need to look for numbers any more as you'll know by the shape of the instrument which is which

[@mickeymicks7071]

@@darinanirmalann4849 thank you so much your tutorials are helpful! You're a good teacher please do more dental hygiene and therapy related videos

[@donethatbefore100]

I have to go thru this and I dread it! You don't show all the bleeding ....

[@ayannas.6400]

Thank you so much for this tutorial! Question- did you use a sharpie or dry erase marker to color the teeth?

[@darinanirmalann4849]

Great question, I used nail polish. You can also mix sand into it to give it more of a calculus texture

[@audram869]

I have an acadental typodont and the “calculus” is brown flat stain like, (even intrinsic). There is no dimension to simulate even the slightest “calculus”I’m wondering if the manikin exam has true, explorable calculus? I understand the need to practice instrument adaptation, stroke, etc. and I sure get plenty of that 😊. Thank you for the above demon.

[@liu3gz]

How can you see through the gum? Other words how do you know the surface is cleaned or not?

[@ksenijastojkovski6836]

by the touch

[@liu3gz]

@@ksenijastojkovski6836 oh wow, thanks, that's impressive, need a lot practice if only by touch.

[@kenzie9384]

Using an explorer to detect where the calculus is, it has a different more vibratory feeling than going over just enamel

[@liu3gz]

@@kenzie9384 yeah I just finished my first visit for deep cleaning today, and I confirmed it with my own experience. When my dentist using the instrument I can clearly feel the touch of the surface when it is not smooth. Secondly she use some needle like stuff during the procedure, it just feel like the same thing she used last time for detecting the depth of my pocket, now by reading your comment I know it's the explorer that you mentioned. Thank you.

[@ksenijastojkovski6836]

@@liu3gz needle is used for irrigation the pocket and cleaning the pocket, have a great day!

[@subhankarpoddar5585]

Pl visit INDIA KOLKATA.

[@billypeek7186]

if I walked into the dentist and saw her I would be so much more comfortable

[@viribeltran09]

it's helpful, but just know that it's a bit more complicated on an actual patient, with you know lips, limited opening, and a mandible and a tongue that gets everywhere.

[@darinanirmalann4849]

Yes it is true it is a little more challenge in the mouth and you also forgot all the bleeding that happens! Sometimes a lip retractor such as an optragate can help. A bite block can help the patient open wider & relax the jaws too. If you're working on the lower teeth the tongue should not be an issue with LA, especially if you do an IAN block & anaesthetise the lingual nerve too. In the upper teeth the tongue is usually not an issue

[@dr.simpson]

I need her account 😭❤️

[@alb4079]

Lack of detail. You had to specify exactly: number 11 what exact surfaces of what teeth. Number 12 exact surfaces of what teeth. Number 13, number 14 also. You cannot say 11-12 and work. Needs to be 11 for this particular, 12 for this particular location. This will provide more detail

[@itgardenbd]

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