Prophylaxis Tips with the Ultrasonic

[@tunnfisk]

I love and hate that all dentists on KZbin are the absolute best there is. Methodical, professional, kind and educational. 99% of dentists I've met are stressed and rough, don't explain too much, just "open your mouth" and shove their tools in as hard as they can to minimize the time I have to be there. I'm not afraid of dentists, even the rough ones, because I have faith in the educational system of Sweden that they know what they are doing. However, I do perceive it as that they have a lot to do so stress is common practice. Would have loved to have a KZbin dentists as my personal dentist (as if I could afford it!). Would easily be a customer for life.

[@rubidelahoz8591]

Thanks!! I'm in my 2nd semester of dental hygiene school, and this video helped me a lot. I started working on real pts. 🧡☺️

[@alliedarky]

I just started assisting a dental hygienist and she is also teaching me, I'm so glad that even though I'm not prefect with the suction (people won't open their damn mouths) I'm glad that my seat can provide leverage to make her mirror-holding hand less strained and that she doesn't have to stand or anything to get the fluid pooling at the back of the throat. She says we are saving so much time now! I'm thinking about going to school for dental hygiene, but anesthetic injections scare me on all levels

[@marycandullo526]

Thank you for creating this exceptional video!

[@dergoldyung5629]

nice ! although an overview from a bigger distance would be nice ! so one can see your positioning

[@hygieneedge]

Good idea! We'll work on a video for positioning.

[@dergoldyung5629]

thanx this helps so much !

[@noemiblankaszucs3636]

Very helpful, thank you so much ! Love, a future dental hygienist ❤🤗

[@sharonyanga4923]

Can you please do a video of the ultrasonic on a periodontal involved patient since you mentioned the technique will be different on a perio patient

[@ortalavrahamy4324]

I find your videos very professional and mostly hellpful! thank you! i recommended my university to take you guys as an exemple! Thank you, keep up the good work:)

[@hygieneedge]

Thanks for watching our videos!

[@goodthyme]

thanks for the helpful tips! For lingual surfaces of lower anterior teeth, do you recommend direct vision at a 11/12 o clock position or indirect vision at 8/9 o clock position?

[@Kororia111]

Those teeth look immaculate

[@martaliparova8235]

Thank you so much! Greetings from Czech republic :)

[@TwoTreesStudio]

I swear this is propaganda for big floss! (jk thank you so much for helping patients to understand what's happening in the chair)

[@AdriannaJanae]

We have to use HVE while using ultrasonic

[@Specialk143]

This was great!

[@niried3293]

Thank you for your fantastic videos! So informative. Just wondering, which brand of Ultrasonics are you using, or maybe could recommend? All advise appreciated.Thank you.

[@hygieneedge]

The tips are from Dentsply which we really like. For ultrasonic units, Cavitron makes a great unit. It can be a little more expensive than other brands, but it is worth the extra cost in the long run.

[@ml11545]

would it be possible to make a video using the the high volume suction? We aren't allowed to use the low speed suction when using the ultrasonic. It's such a challenge to ultrasonic while holding both a mirror and high speed with my non-dominant hand. Help!

[@hygieneedge]

+Margarita Lopez Yes! We have been talking about making one. So we will add it to our filming list and let you know when it's finished! Thanks for watching!

[@ml11545]

+Hygiene Edge Great thanks! :D

[@ibhbadoracion7757]

There is an adaptor that you can place on the high speed.

[@hygieneedge]

Yes, here is a video :) kzbin.info/www/bejne/jpPccmuam52Nb6s

[@janicsuhran]

exelent video, thx.

[@annmarieteerlink2546]

How long do you ultrasonic during a regular appointment and how long do you hand scale?

[@hygieneedge]

It is so hard to say! Every patient, their level of health, amount of biofilm, amount of calculus, and sensitivity makes the time unique for each person.

[@barbarahernandez8261]

I started my internship last week and became an assistant to the dental hygienist and when I first saw the ultrasonic I was a little bit lost and confused because I didn’t know if I need the HVE or the suction but this video makes a lot sense now

[@TheRabbixusaf]

So how exactly do you NOT pull on the cheek when using the saliva ejector to retract?

[@hygieneedge]

+TheRabbixusaf When retracting with the saliva ejector, you will pull the cheek slightly to protect the mucosa from the ultrasonic tip and for direct vision. However, you want to keep your patient in mind while retracting and not pull so firmly that it hurts.

[@chernandez8634]

would it be too much to ask you what clock position you where in for each quad?

[@hygieneedge]

Not at all! For quads 1, 2, 3, and 4 surfaces towards, the clock position is 9:00 for right handed clinicians, 3:00 for left. For quads 1, 2, and 3 posterior away, the position is 10-11 (right handed) or 1-2 (left handed) For quad 4 away, we like 1:00 for right handed, 11:00 for left Anterior away surfaces are at 12:00

[@saylorsiam]

Are you going slightly subgingival?

[@hygieneedge]

+saylorsiam Yes. This particular patient only has pocketing from 1-3 mm pockets so it may not look like subgingival but it is. It is important to disrupt biofilm in any size pocket to prevent disease.

[@saylorsiam]

+Hygiene Edge I basically self taught on the cavitron. I learned the Piezo at school. I don't really know what I am doing wrong. I get a lot of tissue trauma. Maybe I have my cavitron turned up too high. Do you have any number recommendations? Like 1-5, etc.... I appreciate any help. I want to become a better hygienist without being a rough hygienist. Also, I am told I'm gentle by some people. I do not want to be a prophy queen that leaves things.

[@hygieneedge]

saylorsiam The ultrasonic can be tricky! Especially when switching from the piezo. For power, you want it as low as possible to remove the calculus. If you have a patient with very little calculus, usually 1-2 is sufficient. For more, you may need to bump your power up. Pick a spot that has calculus and try to remove it with a low setting. If nothing comes off after a few seconds, increase your power. Also pay attention to your tips. Certain tips have different levels they can reach. Some are made to only stay on low to medium, while some can reach high. You can find this information in the packaging from the manufacturer or on the manufacturer's website. If your tip is short or worn, it will not be effective to remove calculus. Constantly going over an area can cause tissue trauma, so we would recommend measuring your tips. It may be time to order replacements. Another reason we see tissue trauma is from adaption. It's so easy with the ultrasonic to fly through the entire mouth! Try to slow down a little and make sure the tip 1/3 is always adapted to to the tooth. We even recommend going back to your chair positioning and try to sit in the correct spots while using the Ultrasonic. These positions help make adaption an little easier. As you are using the ultrasonic, you can even stop and do an exploratory stroke with it. It will help check for calculus but also help make sure you are adapted correctly. One other reason to have tissue trauma's- forcing a tip when it doesn't fit. If you have a healthy patient, the triple bend won't fit interproximal. It's just too big. If you have to force a tip under the contact, switch to a thinner tip. They should be able to easily be placed in between teeth. Good luck!! You'll do great! You're already an amazing hygienist by wanting to improve your skills for your patients.

[@saylorsiam]

+Hygiene Edge Thank you so much for your kind reply. You have taught me a great amount just by watching your videos and your little tips and tricks! I'll certainly make a cheat sheet and find out which tip is which and the power levels, etc. Thank you soooo much!!

[@oksanasandulyak6993]

No mirror???

[@hygieneedge]

No mirror for this video! It gets in the camera's way and the technique can't be shown. You will definitely want to use a mirror in practice.