Practitioners should self-identify the presence of joint hypermobility and recognize its potential effect on the musculoskeletal system and the effectiveness of periodontal instrumentation.

Complete removal of all subgingival deposits is a challenge, but leaving burnished calculus behind threatens periodontal health.

Sufficient power, proper adaptation, and appropriate stroke activation are integral to successful use of this modality.

The best patient outcomes are achieved through the tandem use of ultrasonic and hand instrumentation.

When used with appropriate fulcrum placement, this instrument can improve access to pocket depths and proximal surfaces.

Alternative fulcrums and different body positions can be implemented with this type of hand instrument to support the success of calculus removal.

Technique plays an important role in enhancing patient comfort during periodontal debridement.

This technology can help clinicians in their efforts to completely remove subgingival calculus.

Removing tenacious calculus deposits requires a complementary approach that includes both ultrasonic and hand instrumentation.

When using ultrasonic instrumentation, the entire root surface must be meticulously debrided in order to achieve successful outcomes.