Focusing on deep periodontal pocket topography can aid dental hygienists in selecting appropriate hand instruments and providing effective treatment.

Choosing the right instrument and implementing the appropriate technique to scaling terminal distal surfaces are key.

Clinicians must be able to gain access and remove all deposits from the base of the pocket in order to control disease and prevent probing depths from increasing.

Applying advanced principles of periodontal instrumentation to enhance mechanical debridement is key to meeting the goals of nonsurgical periodontal therapy.

Dental hygienists need to be well versed in the components of the ultrasonic stroke in order to ensure its efficacy.