Fundamentals of Periodontal Instrumentation and Advanced Root Instrumentation

by Gehrig, Jill S.

• ISBN13: 9780781746069
• ISBN10: 078174606X
• Edition: 5th
• Format: Spiral Bound
• Copyright: 2004-01-13
• Publisher: LWW

Summary

This instructional guide to periodontal instrumentation takes students from the basic skills, patient positioning, intraoral finger rests, and basic instrumentation, all the way to advanced techniques, assessment of periodontal patients and instrumentation of multirooted teeth, root concavities, and furcation areas. The Fifth Edition retains the features that made this the market leading textbook on periodontal instrumentation and adds new features designed to facilitate learning and teaching, such as critical thinking activities, patient cases, learning objectives, and a glossary of instrumentation terms.A faculty resource CD-ROM includes an image bank, test bank, instructor's guide, teaching tips, and skill evaluation forms.

Table of Contents

BASIC SKILLS
Mathematical Principles and Anatomic Descriptors	1	(8)
Mathematical Principles	3	(3)
Anatomic Descriptors	6	(2)
Skill Application	8	(1)
Principles of Positioning	9	(40)
Evidence-Based Knowledge of Positioning	11	(5)
Patient Position	16	(2)
Clinician and Equipment Position	18	(5)
Position for RIGHT-Handed Clinician	23	(9)
Position for LEFT-Handed Clinician	32	(10)
Skill Application	42	(7)
Instrument Grasp	49	(16)
Instrument and Finger Identification	51	(2)
Grasp for Periodontal Instrumentation	53	(3)
Glove Use	56	(2)
Exercises for Improved Hand Strength	58	(3)
Skill Application	61	(4)
Mirror and Finger Rests in Anterior Sextants	65	(40)
The Dental Mirror	67	(3)
Wrist Position for Instrumentation	70	(2)
The Fulcrum	72	(3)
Technique Practice for Transillumination	75	(1)
Skills for the RIGHT-Handed Clinician	76	(13)
Skills for the LEFT-Handed Clinician	89	(13)
Skill Application	102	(3)
Mirror and Finger Rests in Mandibular Posterior Sextants	105	(22)
Introduction to Mirror Skills	107	(1)
Skills for the RIGHT-Handed Clinician	108	(8)
Skills for the LEFT-Handed Clinician	116	(7)
Skill Application	123	(4)
Mirror and Finger Rests in Maxillary Posterior Sextants	127	(22)
Skills for the RIGHT-Handed Clinician	129	(8)
Skills for the LEFT-Handed Clinician	137	(8)
Skill Application	145	(4)
Instrument Design and Classification	149	(18)
Characteristics Common to All Periodontal Instruments	151	(3)
Shank Design	154	(4)
Working-End Design	158	(3)
Introduction to Instrument Classification	161	(2)
Skill Application	163	(4)
ELEMENTS OF THE INSTRUMENT STROKE
Adaptation and Angulation	167	(18)
Adaptation	169	(4)
Selecting the Correct Working-End	173	(2)
Angulation	175	(2)
Technique Practice	177	(4)
Skill Application	181	(4)
Activation, Pivot, and Handle Roll	185	(14)
Moving the Working-End	187	(3)
Maintaining Adaptation	190	(4)
Skill Application	194	(5)
Instrumentation Strokes	199	(18)
Introduction to Instrumentation Strokes	201	(2)
Stroke Direction and Pattern	203	(4)
Stabilization and Lateral Pressure	207	(3)
Stroke Production	210	(3)
Skill Application	213	(4)
PATIENT ASSESSMENT
Calibrated Periodontal Probes and Basic Probing Technique	217	(26)
Calibrated Periodontal Probes	219	(3)
Use of Probe to Assess Tissue Health	222	(4)
Basic Concepts of Probing Technique	226	(3)
Probing Depth Measurements	229	(4)
Technique Practice: Posterior Teeth	233	(3)
Technique Practice: Anterior Teeth	236	(2)
Skill Application	238	(5)
Explorers	243	(32)
Explorers	245	(6)
Technique Practice: Anterior Teeth	251	(3)
Technique Practice: Posterior Teeth	254	(5)
Technique Alerts	259	(5)
Detection of Dental Calculus and Caries	264	(6)
Skill Application	270	(5)
DEBRIDEMENT WITH HAND-ACTIVATED INSTRUMENTS
Concepts in Periodontal Debridement	275	(10)
Disease Prevention	277	(1)
Periodontal Debridement	278	(2)
Dentinal Hypersensitivity	280	(3)
Practical Focus	283	(2)
Sickle Scalers	285	(22)
Sickle Scalers	287	(2)
Calculus Removal Concepts	289	(2)
Technique Practice: Anterior Teeth	291	(4)
Technique Practice: Posterior Teeth	295	(7)
Skill Application	302	(5)
Universal Curets	307	(26)
Universal Curets	309	(2)
Selecting a Universal Curet	311	(1)
Technique Practice: Posterior Teeth	312	(7)
Technique Alert: Lower Shank Position	319	(2)
Technique Practice: Anterior Teeth	321	(5)
Technique Alert: Horizontal Strokes	326	(2)
Skill Application	328	(5)
Area-Specific Curets	333	(28)
Area-Specific Curets	335	(8)
Technique Practice: Anterior Teeth	343	(4)
Technique Practice: Posterior Teeth	347	(6)
Horizontal Strokes	353	(1)
Design Analysis of Scalers and Curets	354	(1)
Skill Application	355	(6)
Periodontal Files	361	(14)
Periodontal Files	363	(4)
Technique Practice: Posterior Teeth	367	(3)
Technique Practice: Anterior Teeth	370	(2)
Skill Application	372	(3)
Instrumentation Strategies and Patient Cases	375	(20)
Modes of Calculus Attachment	377	(1)
Planning for Calculus Removal	378	(3)
Sequence and Instrument Selection	381	(5)
Practical Focus: Patient Cases	386	(9)
Problem Identification: Difficulties in Instrumentation	395	(8)
Problem Chart 1: Can't See the Treatment Area!	396	(1)
Problem Chart 2: Can't Locate the Calculus!	397	(1)
Problem Chart 3: Poor Illumination of Treatment Area!	398	(1)
Problem Chart 4: Can't Adapt Cutting Edge to Tooth Surface!	398	(1)
Problem Chart 5: Can't Maintain Adaptation!	399	(1)
Problem Chart 6: Uncontrolled or Weak Calculus Removal Stroke!	400	(1)
Problem Chart 7A--C: Missed Calculus Deposits!	401	(2)
Instrument Sharpening	403	(38)
Introduction to Sharpening Concepts	405	(4)
Planning for Instrument Maintenance	409	(4)
Reestablishing Sharpness	413	(3)
Instrument and Stone Positions	416	(5)
Preserving Instrument Design	421	(4)
Sharpening Guides	425	(2)
Moving Stone Technique	427	(8)
Moving Instrument Technique	435	(2)
Sharpening a Periodontal File	437	(1)
Skill Application	438	(3)
ADVANCED INSTRUMENTATION TECHNIQUES
Advanced Probing Techniques	441	(30)
The Periodontal Attachment System	443	(3)
Assessments with Calibrated Probes	446	(5)
Assessments That Require Calculations	451	(4)
Assessment with Furcation Probes	455	(6)
PSR Examination	461	(4)
Skill Application	465	(6)
Instruments for Advanced Root Debridement	471	(38)
Root Surface Anatomy	473	(4)
Technique Practice: Exploration of Root Concavities and Furcations	477	(5)
Universal Curets for Advanced Root Debridement	482	(3)
Modified Gracey Curets for Advanced Root Debridement	485	(8)
Specialized Root Instruments	493	(5)
Technological Advances	498	(4)
Technique Practice: Basic Instrumentation of Multirooted Teeth	502	(3)
Skill Application	505	(4)
Advanced Techniques for Root Surface Debridement	509	(30)
Fulcruming Techniques	511	(8)
Anatomical Features That Complicate Instrumentation	519	(2)
Technique Practice: Horizontal Strokes	521	(2)
Technique Practice: Maxillary Arch	523	(9)
Technique Practice: Mandibular Arch	532	(3)
Skill Application	535	(4)
Ultrasonic and Sonic Instrumentation	539	(48)
Introduction to Electronically Powered Instrumentation	542	(4)
Mechanisms of Action	546	(4)
Features of Powered Devices	550	(3)
Instrument Tips	553	(5)
Treatment Preparation	558	(6)
Instrumentation Technique	564	(6)
Slim-Diameter Instrument Tips	570	(5)
Technique Practice: Slim Tips	575	(8)
Skill Application	583	(4)
Debridement of Dental Implants	587	(10)
Dental Implantology	588	(6)
Skill Application	594	(3)
SUPPLEMENTARY INSTRUMENTATION
Cosmetic Polishing Procedures	597	(20)
Introduction to Stain Removal	599	(4)
Rubber Cup Method of Stain Removal	603	(6)
Air-Powder Method of Stain Removal	609	(3)
Technique Practice: Polishing	612	(3)
Skill Application	615	(2)
Glossary	617	(12)
Index	629