June 2021 Social Commentary
Like Dimensions of Dental Hygiene’s Facebook page to share your thoughts on posted questions.
WHEN SCALING AND ROOT PLANING, DO YOU PREFER HAND OR POWER INSTRUMENTATION?
I prefer power (ultrasonic scaler) but I would use both. With large deposits, there is no way I could use just hand instruments in the time allotted. I like the fact that the ultrasonic scaler flushes everything out.
Jayme Tubandt, RDH, BSDH, Dimensions Brand Ambassador
Increasing scientific evidence supports the use of both types of instrumentation. They each have their own benefits and work synergistically to provide the best results for our patients.
You need both. I use the ultrasonic to get rid of larger deposits and to debride. Root planing with hand scalers is essential. There’s no comparison, there is so much tactile sensitivity involved with hand scaling. It truly is the only way to ensure smoothness (no burnished calculus allowed). The sound and feel of smooth roots can’t be experienced with power scaling alone.
Both, but ultrasonic scaling is definitely needed at first to remove the tough, larger deposits and to irrigate the bacteria.
Blended instrumentation is best for me. I begin with an ultrasonic scaler for large calculus and to help control bleeding. I then switch to hand instruments. Lastly, I use the ultrasonic again to check for any remaining subgingival calculus and to irrigate.
Always a combination of both! I will start with my ultrasonic scaler to get the bulk of the calculus off and then go in with hand instrumentation to get those hard-to-reach places that the ultrasonic can’t quite reach.
Julianne Souza, RDH, Dimensions Brand Ambassador
I prefer to use both. I usually start with power instrumentation to remove larger deposits, disrupt biofilm, and flush out pockets. Then I use hand instrumentation to fine scale and sometimes end with more power instrumentation to irrigate and flush around gums. They both have their specific benefits.
From Dimensions of Dental Hygiene. June 2021;19(6):13.