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What do ultrasonic powerscalers do?
convert high frequency electrical energy into mechanical energy
What do sonic scalers do?
convert air turbine power into mechanical energy
true or false
long term goals are accomplished through both power scaler and hand instrumentation
true
What elements do power scalers include?
amplitude and frequency
how is amplitude measured
distance of the tip movement in micrometers
what does amplitude determines
power outputs of an instrument
What is amplitude adjustable on
ultrasonic devices
What is frequency based upon
speed of tip movement
How is frequency measured
number of cycles per second the tip moves
air or electrical energyinto mechanical vibration via soundwaves
shatters calc
what is used to control heat that is produced by vibration
water
how is cavitation fromed?
water meeting vibrating tip
How do you know when to use power drive scalers?
biofilm, extrinsic stain, sub and supra calc, subgingival periodontal debridement, furcation areas
What are contraindications
transmitted through aerosol, susceptible to infection, respiratory risk, dysphagia, cardiac pacemaker, demineralization, exposed dentin, thermal injury, restorations, and children
How are pacemakers be interfered with ultrasonic scalers?
electromagnetic interference, newer cardiac devices are less susceptible for interference
what scalers are safer for pacemakers
piezoelectric
how can thermal injury occur
damage to pulp or gingiva if tip overheats
how are children effected by the ultrasonics
primary and newly erupted permanent teeth have large pulp chambers more susceptible to damage from heat and vibrations
how can restorations be effected
increase roughness, scratches, chips, or notches (increases biofilm)
effects on porcelain
remove glase and creates pores
effects on amalgam
scratching, loss of material, creates pores
effects composites
rough surfaces
effects on titanium
damages surface
what are considerations for using
hearing damage, musculoskeletal disorders, magnetic fields, aerosols and spatter
what protective measure do you need to operate a ultrasonic
level 3 mask, prerinse, high volume suction
what is the amplitude sonic scalers
lower than the ultrasonic
what is the frequency of sonic scalers
3-8k (fewer vibrations and less calc removal)
what is the motion of sonic scalers
ellipitcal
what are the active sides of the sonic scalers
all surfaces
what are the units for magnetostrictive (cavitron)?
conventional and ferromagnetic units
what is the magnetostrivtive magnetic field created by
expansion and contraction of metal strips
what is the amplitude of magnetostrictive
more powerful than sonic
what is the frequency of magnetostrictive
convetionation 18-45k and ferromagnetic 42k
what are the frequency of the new units of magnetostrictive
30kHz
what are the frequency of the older units of magnetostrictive
25 kHz
motion of magnetostrictive
ellipitcal
What is a piezo electric?
ceramic rod and crystal transducers hosued in handpiece to activate tip
what is the amplitude for piezo scalers
more powerful than sonic scalers
what is the frequency of piezo electric
25-50 k cps
what is the motion of piezo electric
linear
what are the active sides of piezo electric
lateral sides ONLY
how do you prepare the ultrasonic in clinic?
establish power and water connections, flush for 2 mins, hold handpiece up right to fill with water to elimate trapped air and reduce heat, insert tip, adjust water setting
how do tips vary
for different areas of mouth and levels of deposits
what are standard diameter tips used for
mod- heavy calc
what are thin tips used for
biofilm, light calc, accessing deep pockets
what is a straight tip used for
universal
what is a complex tip used for
multiple bends for accessing line angles and proximal surfaces
what are left and right contra-angled tips used for
root concavities and proximal of posterior
what is a beavertail tip used for
flat wide working end for supra heavy calc stain or ortho cement
what is the power setting for biofilm and light mod calc
low-med power for thin
what is the power setting for mod to heavy calc
med- high for standard
what should the grasp be when handling ultrasonic
balance handle and manage cord with wrist
true or false
hard tissue is not required for fulcruming
true
how should the adaptation be with the ultrasonic
kee side of instrument to tooth surface, tip not directly placed on tooth
true or false
instrument should be moved at all times
true
what type of pressure and stroke should be use with an ultrasonic
feather light with overlapping stroke