Mr. Borneo asks Adam, RDH: "What's that huge monstrosity in the corner of your operatory that looks like a muscular elephant trunk?" Although benign in the majority of patients, the natural course of the disease may result in significant disturbance of body morphology, reduced thoracic volume, impaired respiration, increased rates of back pain, and serious . Burwell, AK, Litkowski LJ, Greenspan DC. "There is no health benefit to polishing," said Julie Frantsve-Hawley, the editor of The International Journal of Evidence-Based Practice for the Dental Hygienist. 2. There are a number of precautions that clinicians should be aware of when deciding if tooth polishing is indicated. Your teeth have exposed cementum or dentin. 1999 Aug; 21(4): 423-8. 2010 Jan; 141(1): 63-70. However, if your dentist feels that you would benefit from an extra polishing, you should feel comfortable going ahead with the procedure. 8. 2. But now that there are so many types of prophy pastes, many with benefits such as desensitizing and remineralization (such as Enamel Pro with amorphous calcium phosphate), routinely applying a paste might have benefits after all. In 2003, a small (N=23) patient randomized clinical controlled trial was designed to test the efficacy of glycine-based powder air polishing (GPAP) in subgingival plaque/biofilm removal at interdental sites during periodontal maintenance. I am always amazed at the plaque that polishing and flossing do not remove. It delivers an air-powder slurry of warm water and sodium bicarbonate for polishing. Many states allow dental assistants to perform coronal polishing. Focus on the gingival one-third and areas of visible stain. Evaluate tissue color, contour, consistency, and bleeding at the same time plaque is removed. They need us. Tammy Maahs, RDH, BSDH, is a part-time dental hygiene instructor at Lane Community College in Eugene, Oregon, and also works in clinical practice for a general dentist. She resides in Springfield. Click here for the Dental Hygiene Program Advisory Committee, Sinclair Community College Placement of dental dam. n. 1. Now that she understands firsthand the benefits of polishing first, we have gotten brave enough to present the idea in the educational setting, and encourage students to think outside the box and use a critical-thinking process to decide when it is appropriate to polish first. Kentucky Community & Technical College System 300 North Main Street Versailles, KY 40383 Toll Free (877) 528-2748. One in vitro study compared the effect of a calcium carbonate-based powder on dentin bonding to an air polishing powder containing glycine. (Look up your state requirements on the search-by-state map published on the Dental Assisting National Board Inc. [DANB] website.). The porcelain remains intact while removing stains and dirt. Here are the contraindications for coronal polishing: Absence of stain. It consists of lecture, demonstration and clinical experiences. 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. Microbiologic samples were taken and total bacterial counts and counts of six periodontal pathogens were determined by real-time polymerase chain reaction. You have three opportunities to successfully take the TEAS. 20. Arizona State Board of Dental Examiners. Abrasive powders included sodium bicarbonate and glycine-based powder. Why is this, I wonder? Patients with periodontitis/gingivitis, and unhealthy, spongy, edematous tissue. Rohleder PV, Slim LH. Prepare teeth for various dental procedures.ONE IMPORTANAT POINT is that coronal polishing is not a substitute for dental prophylaxis.
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