Instrument Selection for Premolar Teeth

This is key to effective nonsurgical periodontal therapy and periodontal maintenance. By Kathleen O. Hodges, RDH, MS

Instrumenting Premolars

The complex root anatomy of these teeth poses a distinct challenge during hand instrumentation. by Kathleen O. Hodges, RDH, MS

Troubleshooting Instrumentation of Furcations, Concavities, and Depressions

The use of site-specific ultrasonic inserts/tips can help improve the success of nonsurgical periodontal therapy. By Kristel Caganap, RDH, MSDH; Joan Beleno Sanchez, RDH, BSDH, BAS; and Michaela Nguyen, RDH, MS

Impact of Joint Hypermobility

Practitioners should self-identify the presence of joint hypermobility and recognize its potential effect on the musculoskeletal system and the effectiveness of periodontal instrumentation. By Joyce Y. Sumi, RDH, MS; Anna M. Pattison, RDH, MS; and Michaela Nguyen, RDH, MS

The Bane of Burnished Calculus

Complete removal of all subgingival deposits is a challenge, but leaving burnished calculus behind threatens periodontal health. By Linda Brookman, RDH, BSDH, MSHS, and Donna Smith, BSDH, MSEd, RDHAP

Decision Making in Ultrasonic Instrumentation

Sufficient power, proper adaptation, and appropriate stroke activation are integral to successful use of this modality. By Stacy A. Matsuda, RDH, BS, MS

The Blended Approach to Instrumentation

The best patient outcomes are achieved through the tandem use of ultrasonic and hand instrumentation.
By Nancy Mann, RDH, MSEd

An Alternative Approach With the Gracey 7/8 Curet

When used with appropriate fulcrum placement, this instrument can improve access to pocket depths and proximal surfaces.
By Michaela Nguyen, RDH, MS

Maximize the Use of Sickle Instruments

Maximize the Use of Sickle Instruments DIEGO_CERVO ISTOCK THINKSTOCK   Alternative fulcrums and different body positions can be implemented with this type of hand instrument to support the success of calculus removal. By Linda

Addressing Patient Discomfort During Ultrasonic Instrumentation

Technique plays an important role in enhancing patient comfort during periodontal debridement.
By Kathleen O. Hodges, RDH, MS

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