Need advice on instrument selection (DDS willing to order some new instruments)& any instrumentation tips to remove very stubborn calc. I used the cavitron, 204S and the Gracey 13/14 all without success (they were all sharpened before seating pt). I took a post procedure bitewing to evaluate SRP. According to the pt, she underwent SRP years ago & had a Perio Mntce 3 months ago. She felt her care there wasn''t adequate & presented to my practice this week. #1 has been extracted years ago (FYI). Any help would be greatly appreciated.
Hi - the distals of second molars are so difficult to instrument! Even with the first molar removed it is a trying area to effectively debride. since it sounds like you have a Cavitron unit in the operatory, you may want to try their new THINsert ultrasonic tip. Even though it is a thin insert, it can be used on a higher power setting to more effectively remove burnished deposits. Anna wrote about this in Dimensions. I've included the link to the article below for you:
Using Thin Ultrasonic Tips on High Power