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Fundamentals of Periodontal Instrumentation

by
Edition:
4th
ISBN13:

9780781728607

ISBN10:
0781728606
Format:
Spiral Bound
Pub. Date:
8/18/2000
Publisher(s):
Lippincott Williams Wilkins

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Summary

The Fourth Editionof this detailed, instructional guide to nonsurgical periodontal instrumentation guides readers step-by-step through technique. The revised edition offers a standalone module for each major topic, with introductory outlines, flowcharts, boxed reference sheets, summary sheets, tables, key terms, and rhyming reminders to emphasize key points and instrumentation techniques. New content includes: theory and technique for ultrasonic instrumentation; concepts in periodontal debridement; musculoskeletal disorders and neutral position for the clinician; and instrument selection and treatment planning for calculus removal.

Table of Contents

BASIC SKILLS
Mathematical Principles and Anatomic Descriptors
1(8)
Mathematical Principles
2(3)
Anatomic Descriptors
5(3)
Skill Building Activity
8(1)
Principles of Positioning
9(40)
Musculoskeletal Disorders
11(4)
Neutral Position for the Clinician
15(3)
Patient Position
18(2)
Clinician Stool and Patient Chair
20(7)
Relationship to Patient and Dental Unit
23(4)
Position for RIGHT-Handed Clinician
27(8)
Positioning for the RIGHT-Handed Clinician
34(1)
Position for LEFT-Handed Clinician
35(8)
Positioning for the LEFT-Handed Clinician
42(1)
Activity, References, and Evaluations
43(6)
Instrument Grasp
49(14)
Parts of the Periodontal Instrument
50(1)
Modified Pen Grasp
51(5)
Modified Pen Grasp
55(1)
Glove Use
56(2)
Effective Glove Use Fact Sheet
57(1)
Improving Muscle Strength
58(3)
Evaluation
61(2)
Mirror and Finger Rests in Anterior Sextants
63(54)
The Dental Mirror
65(5)
Wrist Position for Instrumentation
70(2)
The Fulcrum
72(5)
Basic Intraoral Fulcrum
73(4)
Skills for RIGHT-Handed Clinician
77(19)
Handle Placement for Mandibular Anteriors
77(1)
Mandibular Anterior Teeth
78(8)
Handle Placement for Maxillary Anteriors
86(1)
Maxillary Anterior Teeth
87(8)
Anterior Sextants (RIGHT-Handed Clinician)
95(1)
Skills for LEFT-Handed Clinician
96(19)
Handle Placement for Mandibular Anteriors
96(1)
Mandibular Anterior Teeth
97(8)
Handle Placement for Maxillary Anteriors
105(1)
Maxillary Anterior Teeth
106(8)
Anterior Sextants (LEFT-Handed Clinican)
114(1)
Evaluation
115(2)
Mirror and Finger Rests in Mandibular Posterior Sextants
117(26)
Technique Practice With Mirror
118(3)
Retracting the Cheek
118(2)
Sequence for Establishing a Fulcrum
120(1)
Skills for RIGHT-Handed Clinician
121(10)
Handle Placement Mandibular Posteriors
121(1)
Mandibular Posterior Teeth
122(8)
RIGHT-Handed Clinician
130(1)
Skills for LEFT-Handed Clinician
131(10)
Handle Placement Mandibular Posteriors
131(1)
Technique Practice:Mandibular Posterior Teeth
132(8)
LEFT-Handed Clincian
140(1)
Evaluation
141(2)
Mirror and Finger Rests in Maxillary Posterior Sextants
143(26)
Wrist Position for Maxillary Posterior
144(1)
Skills for RIGHT-Handed Clinician
145(10)
Maxillary Posterior Teeth
146
Handle Placement for Maxillary Posteriors
145(9)
RIGHT-Handed Clinician
154(1)
Skills for LEFT-Handed Clinician
155(10)
Handle Placement for Maxillary Posteriors
155(1)
Maxillary Posterior Teeth
156(8)
LEFT-Handed Clinician
164(1)
Checklist, Activities, and Skill Evaluation
165(4)
Body Breakers Risk Assement Questionnaire
165(4)
Design of Hand-Activated Instruments
169(14)
The Periodontal Instruments
170(8)
Working-Ends
178(4)
Skill Building Activity
182(1)
Instrument Classification
183(34)
Terminology
184(2)
Working-End Utilization
186(1)
Assessment Instrument
187(8)
Debridement Instruments
195(20)
Sickle Scaler
197(2)
Periodontal File
199(3)
Universal Curet
202(5)
Area-Specific Curet
207(6)
Design Analysis of Sickle Scalers and Curets
213(1)
Use of Hand-Activated Instruments
214(1)
Evaluation
215(2)
ELEMENTS OF INSTRUMENT STROKE
Adaptation and Angulation
217(12)
Adaptation
218(4)
Adaptation
220(1)
Adaptation
221(1)
Angulation
222(5)
Angulation
225(2)
Evaluation
227(2)
Activation, Pivot, and Handle Roll
229(12)
Moving the Working-End
230(3)
Hand-Forearm Activation
231(1)
Digital Motion Activation
232(1)
Maintaining Adaptation
233(4)
Pivoting
233(2)
Handle Roll
235(1)
Activation
236(1)
Activities and Evaluation
237(4)
Instrumentation Strokes
241(16)
Types of Instrumentation Strokes
242(2)
Stroke Characteristics
243(1)
Stroke Direction and Pattern
244(5)
Stabilization and Lateral Pressure
249(3)
Rhyming Reminders
251(1)
Parallelism and Shank Position
252(2)
Stroke Production
254(1)
Stroke Production
254(1)
Evalution
255(2)
PATIENT ASSESSMENT
Periodontal Probes
257(44)
Introduction to Probing
259(10)
Step-by-Step Technique on Posteriors
269(4)
Step-by-Step Technique on Anteriors
273(3)
Assessments With Probes
276(15)
Probing and Clinical Attachment Level
290(1)
Documentation of Measurements
291(1)
Periodontal Screening and Recording (PSR)
292(5)
Activities and Evaluation
297(4)
Explorers
301(26)
Concepts of Exploring Technique
303(4)
Assessment Strokes
305(1)
Inner and Outer Sides of Explorer Tip
306(1)
Step-by-Step Technique on Anteriors
307(4)
Visual Clues for Anterior Teeth
307(4)
Step-by-Step Technique on Posteriors
311(7)
Visual Clues for Posterior Teeth
311(6)
Explorers
317(1)
Calculus Detection
318(5)
Common Causes of Undetected Calculus
322(1)
Caries Detection
323(1)
Activity and Evaluation
324(3)
DEBRIDEMENT WITH HAND-ACTIVATED INSTRUMENTS
Anterior Sickle Scalers
327(10)
Basic Concepts
328(3)
Supragingival Stroke Production
329(2)
Step-by-Step Technique
331(4)
Anterior Sickle Scalers
334(1)
Evaluation
335(2)
Posterior Sickle Scalers
337(12)
Basic Concepts
338(5)
Step-by-Step Technique
343(4)
Posterior Sickle Scalers
346(1)
Evaluation
347(2)
Universal Curets
349(22)
Basic Concepts
350(2)
Subgingival Stroke Production
350(2)
Technique on Posterior Sextants
352(7)
Technique on Anterior Sextants
359(5)
Refining Your Technique
364(3)
Universal Curets
366(1)
Evaluations
367(4)
Area-Specific Curets
371(28)
Basic Concepts
373(1)
Technique on Anterior Teeth
374(4)
Visual Clues for Anterior Teeth
374(4)
Root Surface Debridement---Anteriors
378(4)
Technique on Posterior Sextants
382(10)
Visual Clues for Posterior Teeth
382(9)
Area-Specific Curets
391(1)
Root Surface Debridement---Posteriors
392(3)
Evaluations
395(4)
Problem Identification: Difficulties in Instrumentation
399(8)
Can't See the Treatment Area!
400(1)
Can't Locate the Calculus!
401(1)
Poor Illumination of Treatment Area!
402(1)
Can't Adapt the Cutting Edge to Tooth Surface!
402(1)
Can't Maintain Adaptation!
403(1)
Uncontrolled or Weak Stroke!
404(1)
Missed Calculus Deposits!
405(2)
Instrument Sharpening
407(24)
Introduction to Sharpening Concepts
408(7)
Skill Practice: Establishing Correct Angulation
411(4)
Equipment
415(2)
Sharpening Guides
417(5)
Sharpening
417(1)
Sharpening Guides R and L
418(2)
Technique Practice With Sharpening Guides
420(2)
Step-by-Step Technique
422(7)
Evaluation
429(2)
Instrumentation Strategies
431(12)
The Calculus Removal Game Plan
432(5)
Skill Building Activities
437(5)
References
442(1)
DEBRIDEMENT WITH MECHANIZED INSTRUMENTS
Basic Concepts of Ultrasonic Instrumentation
443(36)
Introduction to Ultrasonic Instrumentation
445(8)
Hand Versus Ultrasonic Instrumentation
452(1)
Treatment Considerations
453(4)
Ultrasonic Instrument Tip
457(7)
Tip Adaptation
464(7)
Instrumentation Strokes
471(3)
Instrumentation Technique
474(3)
Principles of Ultrasonic Instrumentation
476(1)
References
477(2)
Ultrasonic Equipment
479(16)
Magnetostrictive Ultrasonic Devices
480(6)
Step-by-Step Technique: Magnetostrictive
482(4)
Piezoelectric Ultrasonic Devices
486(6)
Step-by-Step Technique: Piezoelectric
488(4)
Evaluations
492(3)
Sonic Instruments
495(10)
Introduction to Sonic Instruments
496(3)
Step-by-Step Technique
499(3)
Activities and Evaluation
502(3)
DEBRIDEMENT THEORY
Concepts in Periodontal Debridement
505(10)
Periodontal Debridement
506(7)
Scaling Versus Debridement
512(1)
Activity and References
513(2)
ADVANCED INSTRUMENTATION TECHNIQUES
Advanced Fulcruming Techniques
515(16)
Introduction
516(3)
Advanced Fulcruming Techniques
518(1)
Advanced Intraoral Fulcrums
519(6)
Basic Extraoral Fulcrums
525(1)
Stabilized Fulcrums
526(3)
Evaluation
529(2)
Debridement of Dental Implants
531(8)
Introduction
532(1)
Technique
533(4)
Evaluation
537(2)
Index 539


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