Benefits of using
ultrasonic scalers
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Dental plaque, a
bacteria film that usually forms on the teeth is the major cause of gum disease
(periodontal). When bacteria settles on the teeth, a whitish film known as
biofilm is formed and if not removed, it can lead to the formation of pockets;
separation areas between teeth and the surrounding gums where plaque hardens
into deposits called tartar or calculus.
The main reason
for having the teeth regularly cleaned by a professional dental hygienist is to
have the calculus and plaque deposits removed. Removal of the deposits is known
as scaling which can be done using either hand held scalers or ultrasonic power
scalers.
How ultrasonicpower scalers work
Power scaler’s
main action is mechanical; they use ultrasonic vibration energy to remove and
crush the calculus deposits. Other actions are; creating shockwaves to disrupt
bacterial cells or using turbulence to disrupt the biofilms and irrigation;
therapeutic flushing and washing of gum pockets as well as the root surface
with cooling water. One should obtain proper training on the use of ultrasonic
power scalers so as to effectively remove the deposits and promote healing.
Pros of using
ultrasonic power scalers
According to
research, the use of ultrasonic power scalers has the following advantages:
· They are as
effective for use as manual instruments for the removal of calculus in shallow
gum pockets but they are more effective in gum pockets which are greater than
4mm.
· They are
effective in disrupting biofilm from the root surface and within gum pockets
which makes them very helpful especially when patients require frequent
cleanings or teeth maintenance.
· Their specially
designed tips can penetrate deep in the periodontal pockets compared to manual
instruments. They are also more effective in cleaning the difficult crannies
and nooks like furcation; the area where the roots join in multi-rooted teeth.
· When properly
used, they are kind to the structure of the tooth which is important in
repeated cleanings.
· The coolant
spray provides irrigation; flushing of the affected area hence promoting
healing by getting rid of the bacteria and other bi-products. It also allows
the dental hygienist to see when scaling.
· It takes less
time to scale the teeth using ultrasonic teeth scaling compared to when using manual
instruments.
· The smaller tip
of this instruments causes less distention of the tissue and they require just
a little pressure which makes it comfortable for the patient.
Cautions when
using Power Scalers
· The production
of aerosol which leads to the formation of contaminated mist. To prevent this,
one should wear protective equipment.
· Ultrosonic power
scalers can affect some cardiac pacemakeers. Though the modern cardiac
pacemakers are shielded from this, if you have one, you should inform the hygienist
or the dentist before purchase or use.
· The use of
ultrasonic power scalers is not recommended for patients with hypersensitive
teeth including the newly erupted teeth and the primary teeth. Inform the
dentist if your teeth are sensitive to change in temperature.
· Ultrasonic power
scalers should not be used in areas off demineralization, composite or
porcelain restorations or titanium implants unless you use tips which are
specially designed so that they do not scratch them.
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