MDA Chapter 58 - Coronal Polishing Flashcards | Quizlet Remove supragingival dental biofilm and stain. perform the coronal polishing procedure on patients to acceptable clinical criteria. The open enrollment courses may be taken prior to entry into the limited enrollment courses. I will say, You can be sure that all that gritty stuff will be rinsed out of your mouth by the time treatment is complete.. Answered: Because you work with children, what | bartleby You are encouraged to complete Cardiopulmonary Resuscitation for the Health Care Provider (or ALH 1130 Basic Life Support Training) prior to entry to the Dental Assisting program. The authors concluded that calcium carbonate-based air polishing should be avoided when dentin-bonded restorations are applied and that glycine-based powder is an acceptable alternative.7, A recent in vitro study assessed the influence of air polishing devices and various abrasive powders on flat root surfaces. Additionally, we offer several Continuing Education courses throughout the year. Ramaglia L, Sbordone L, Ciaglia RN, Barone A, Martina R.A., A clinical comparison of the efficacy and efficiency of two professional prophylaxis procedures in orthodontic patients. 2. Handouts: Topic Index - Contraindications and Precautions - immunize.org Coronal polish procedures may aggravate ulcerations and/or wounds of the lips and intraoral tissues and highly inflamed or traumatized gingiva thereby complicating the healing process. Alternatives to rubber cup polishing. Besides plaque/biofilm and extrinsic stain removal, today's air polishing and rubber cup devices are a way to add medicaments to the tooth, such as desensitizing agents (potassium nitrate and arginine/calcium carbonate) and remineralization agents such as topical fluoride preparations. The damaging effects of bacterial plaque take place below the gumline, so professional debridement/recare is imperative, and polishing first fosters taking the time and opportunity to focus on this aspect of dental hygiene care. Excessive pressure can lead to frictional heat that may cause pulpal discomfort or necrosis of the dental pulp.[5]. After 48 hours, all titanium discs were covered completely in plaque/biofilm. When is it not appropriate to polish first? Clinicians such as Fay Brown, RDH, from a New York City periodontal practice, have commented (anecdotally) that this particular air polishing agent is a great desensitizer that removes stains quickly. Rubber cups, also called prophy cups, are used in the hand-piece. Demonstrate clinical competency in performing coronal polishing in a preclinical setting. With this you put something back (to take away the guilt of perhaps removing a micron or so of enamel). Other points for polishing first: This randomized, split-mouth clinical trial compared GPAP to conventional curette/ultrasonic debridement in 50 subjects. Intracornal preparation are mortise shaped having definite walls and floor joining. To provide opportunities to further student skills in the areas of expanded functions for the dental auxiliary and with the basics of dental assisting. [1] The purpose of polishing is to remove extrinsic stains, remove dental plaque accumulation, increase aesthetics and to reduce corrosion of metallic restorations. Learn more about the procedure, including benefits, cost, and . Calcium carbonate caused more root substance loss than the glycine-based powder.8. Bicarbonate-based air polishing powders have been limited by substantial abrasiveness on composite materials.1 Besides the most common air polishing sodium bicarbonate-based powders, there are some newer air polishing products that are worth mentioning (see "Sources for air polishing powders"). This is why, if extra polishing is necessary, it should be done with the least abrasive paste, using the proper technique, pressure and speed. [5] It is important to refer to manufacturer's directions before using any product on dental restorations. Indications. Routine polishing is still an integral part of today's dental hygiene department even though the concept of polishing "selectively" was first introduced in the early 1980s and reinforced repeatedly by Wilkins and many others over many decades.3 Wilkins indicates that the decision to "polish" should be individualized for each patient and she stresses her main concern about abrasive traditional prophy pastes.4 Wilkins provides an excellent review of selective rubber cup and air polishing in her 10th edition of Clinical Practice of the Dental Hygienist, and it includes contraindications for air polishing. It is very effective for the removal of extrinsic stains and soft deposits. In fact, polishing only the crown portion of your teeth is sometimes called cosmetic polishing, according to an article published in the Journal of Indian Society of Periodontology (JISP). This course is designed to meet the requirements of the State of Nebraska to allow dental assistants to perform coronal polishing under the direct supervision of a licensed practicing dentist. Most of the in vitro research on sodium phosphosilicate, to date, has been focused on its ability to form a layer of hydroxycarbonate apatite on tooth dentin and enamel, as well as its effectiveness as a desensitizing and remineralizing agent. The bioactive glass polishing agent requires less powder per treatment because it is a dense powder that when applied to the tooth surface stays in place. When these conditions are present, it is best to postpone coronal polishing until healing takes place. However, Pierre Fauchard, the father of modern dentistry, is credited for the introduction of tooth polishing to remove dental stains. PDF HE STATE ALASKA Department of Commerce, Community, and Economic The American Dental Hygienists' Association 2010 Position on Polishing Procedures lists the following as contraindications for air polishing procedures:1. and less than optimal home care even though I know she tries. When we find a red flag like this, it doesn't necessarily mean the protocol is wrong. Why are we still using it? Following the course, participants may apply for a Coronal Polishing Certificate from the OSDB. Petersilka G et al. "Coronal polishing" pertains to the removal of plaque and extrinsic stain from exposed natural and restored tooth surfaces using an appropriate rotary instrument with rubber cup or brush and polishing agent. If the patient is stable, adherent to care, and responds well to their medical care, then sodium might not be a huge issue. 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. One explanation given for this phenomenon is that it results from As much as patients may love to have their teeth polished, beware that there are rules to follow (if youre wanting to be an amazing dental assistant). This is because, other than removing stains and plaque to smooth and shine the tooth, polishing offers no other therapeutic benefit. Polishing is not recommended for a patient with inflamed, enlarged, soft, spongy, or bleeding tissue. compared the efficacy and efficiency of a sodium bicarbonate air polishing and rubber cup (pumice) system in orthodontic patients.12 Sixty-two patients were divided into two groups: one that did not rinse with chlorhexidine and one that did and showed visible extrinsic staining. I remember thinking, Why does she do that? I wondered but never asked, partly because I did not have a good understanding of what hygienists do (besides clean teeth and make more money than I did). Prophy brush: can be used for removing extrinsic stain from grooves, pits and fissures, or used prior to placing sealants. Gutkowski S. (Nov. 2001). Teeth Polishing: About, Benefits, Cost, and Precautions - Healthline Coronal Polishing for the Dental Assistant - UTHSCSA nal plane ( kr'-nl pln) A vertical plane at right angles to a sagittal plane, dividing the body into anterior and posterior portions. Anaerobe cultivation was used to assess the mean reduction of total colony-forming units immediately after treatment. Sensitive Teeth
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For tougher stains (coffee, tea, tobacco, black line stain), consider NADA pumice paste. If the lesions are small or are located in an area that . Surface cleaning before the selection of a tooth shade guide. The only stains I cannot see in my mouth are on the linguals of the maxillary anterior teeth. Introduction to dental specialties are discussed. "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. I thought, Aha! External cervical resorption associated with intracoronal bleaching is a serious sequela that has been reported in the literature. You are looking to gain hands-on, practical experience while gaining a valuable education. ", Adam replies, "Only a small handful of patients have medical conditions that make this type of polishing procedure inadvisable. Demineralized spots. Other external factors that can lead to extrinsic staining are smoking, some antimicrobial rinses, and environmental working conditions where there is exposure to metallic dust. Gold, composite, acrylic veneers, porcelain restorations. The act or process of polishing: gave the lamp a polish. EN English Deutsch Franais Espaol Portugus Italiano Romn Nederlands Latina Dansk Svenska Norsk Magyar Bahasa Indonesia Trke Suomi Latvian Lithuanian esk Unknown 114.5 - Coronal Polishing - LII / Legal Information Institute Week 2 assignment and recall.pdf - Please complete the I explain to the patient that it helps me look around their entire mouth before I begin scaling one tooth at a time, assists me in evaluating home care, helps me focus on what cannot be removed with the toothbrush, floss, or other interproximal aid, reduces scaling time, and alerts me to possible sensitive areas. demonstrate correct coronal polishing techniques including patient/operator position and instrumentation . 11. This 4-page document describes common errors in vaccine administration and provides links to resources that can help prevent them [#P3033] Guide to contraindications and precautions to commonly used vaccines for all ages. The following scenarios, outlined by an article published in DentistryIQ, are usually the only times a dentist would recommend an extra polishing: If tooth stains reach inside the enamel, otherwise known as intrinsic stains, polishing is not recommended since it won't be effective for this type of staining. I discovered that this is a wonderful way to evaluate home care, show them where they are missing (without a bunch of red or purple stuff!) Untreated perio and COVID-19: What is the evidence? Salerno M, Giacomelli L, Derchi G, Patra N, Diaspro A. Despite always missing the buccals of Nos. Risk of generating frictional heat, and increased abrasion to the tooth surface may result from increased contact time, increased speed of rotation, and increased pressure of the cup on the tooth. 4. [3] Common practice is to use a prophy cupa small motorized rubber cupalong with an abrasive polishing compound. 1. (2005). Calcium sodium phosphosilicate (NovaMinR): remineralization potential. Another new air polishing agent with calcium sodium phosphosilicate claims to desensitize, clean, polish, and regenerate the tooth to create an enamel-like layer in one easy treatment (see "Sources for air polishing powders"). UC Blue Ash College 9555 Plainfield Road Blue Ash, Ohio 45236 Phone: 513-558-9495 The history of intracoronal bleaching and the development of the walking bleach technique are reviewed. A pilot study. This includes the use of a toothbrush. I polished and flossed and had her hold a mirror to watch me floss, not only for technique but to demonstrate what it was removing and the bleeding that occurred. Gingiva that is Inflamed, Intro to Dental Hygiene Chapter 10: vitals, DHE 110 pharmacology Ch 5 Nonopoid analgesics, DHE 110 Ch 6 Opoid analgesics and antagonists, DHE 110 pharmacology ch 7 antiinfective agents, April Lynch, Jerome Kotecki, Karen Vail-Smith, Laura Bonazzoli, Woody Plants: MidTerm Review (Shrubs pt. This course will provide the required didactic and laboratory requirements for certification. Enhance fluoride absorption and discourage the buildup of new deposits. You may occasionally have a patient who wants polishing at all costs. If this happens, youre now armed with the proper knowledge to justify your decisions. [5] Materials such as gold, amalgam, composite, porcelain and titanium implants can be polished by using specifically designed pastes such as those that contain rouge, tripoli, cuttle, emery, coarse pumice to prevent roughened or scratched surfaces. Your teeth are sensitive or you have recessed gums. Yeah, we know. To determine whether a renal patient is a candidate for air polishing, you would have to know the stage of renal disease (there are five stages), the treatment for renal disease (some treatments allow greater flexibility in diet than others), the adherence to treatment and medications, the patient's medical status, comorbidities, etc. The goal in Expanded Functions for Dental Auxiliary is to promote growth in the skills of the dental assistant. Sensitive Teeth Sensitive teeth should not be pol Exposed Cementum or Dentin Areas of exposed cementum (due to tissue recession) or exposed dentin should not be polished. I proceed in this manner every time I see the patient. To contact . Use of the glycine-based powder permitted longer air polishing times but the sealant surface also demonstrated minor defects. Provide the patient with protective eyewear. Polishing is a method of debridement that is generally not painful or invasive. Learning experiences are designed to engage students in the acquisition of knowledge and skills, and in a development process that includes assuming responsibility for professional judgment and ethical conduct in the provision of patient centered care. 8. Use as an assessment/evaluation tool. PDF 2020 Coronal Polishing Course Information Packet - tccd.edu It is not necessary to completely cover the entire crown of the tooth unless the biofilm covers the entire crown. Repetitive coronal polishing yields minimal enamel loss Removal of temporary cement residues. You have three opportunities to successfully take the TEAS. Subgingival debridement efficacy of glycine powder air polishing. 1. Programs equip students with a variety of educational tools and techniques to use in their health professions by emphasizing both health behavior theories and practical application. Health Science is concerned with the development of knowledge and programs related to oral health and well-being. to include: patient oral health instruction; coronal polishing; fluoride treatments; sealants; expose, process and mount dental radiographs. Preparation path. For example, the ADHA position paper on air polishing lists renal disease as a contraindication. American Dental Association
http://www.adha.org/profissues/polishingpaper.htm, http://www.osap.org/?page=Issues_DUWL_7&hhSearchTerms=polish. Quintessence Int. 3. Dental tape is used for polishing the proximal surfaces of teeth that are inaccessible to other polishing instruments. Part 3 of 3, Untreated periodontitis and COVID-19: What is the evidence? Seat the patient and and him or her with a waterproof napkin. One patient, who was always apprehensive about a prophylaxis appointment, was so enthusiastic about this procedure that when she moved to a different city, she declared that she would insist her new hygienist polish her teeth first. 1 year of clinical work experience as a dental assistant is required. You have a respiratory or infectious condition that may be irritated by the aerosol spray involved in polishing.
Teeth with large pulp chambers, such as primary teeth. [5] This can become problematic because some microorganisms remain in the air for an extended period of time and can contaminate hard surfaces. Some disadvantages are the production of contaminated aerosols, but rubber cup polishing produces fewer aerosols than air-driven or power-driven scalers. In vitro and in vivo research studies have begun to test this new device and, to date, no adverse effects on patients have been noted.15-17 This device is not designed for subgingival "polishing" but it could eventually become an alternative (under certain strict conditions including shallow anatomic probing depths and medical clearance) or adjunct to subgingival biofilm disruption with ultrasonics or hand instrumentation.