DH 1 L 13 Alternate Scalers

Page 1: Instrument Overview

Files and Scalers
- Various dental instruments are listed:
  - Hirschfeld Instruments: 5/11, 3/7
  - Bedbug Design (UW): B/46
  - Orban: 12/13
Alternate Scalers:
- Sickle scaler
- Curette
- Chisel
- File
- Hoe
Modifications and Different Designs:
- Discussion of various designs and adaptations of scalers.

"Better to embrace the discomfort of being different than the comfort of fitting in."
- Ogwo David Emekine

Purpose:
- Used to prepare calculus deposits for removal.
- Intended for:
  - Enamel surface
  - Outer surface of calculus
Limitations:
- Does not adapt well to curved root surfaces.
Functions:
- Crush/roughen heavy subgingival calculus deposits.
- Follow-up with curets.
- Can smooth amalgam overhangs.
- Common Replacement:
  - Generally replaced with ultrasonics.

Cutting Edges Configuration:
- Series of cutting edges lined up on a rectangular, round, or oblong base.
- Cutting edges positioned at 90 to 105 degrees to the base.
Design Features:
- Rounded back
- Rigid shank
Instrumentation Strategy:
- Specific set of files needed for entire mouth instrumentation.

Instrument and Area of Application:
- Hirschfeld 9/10:
  - Facial and lingual surfaces of anterior teeth
- Hirschfeld 3/7:
  - Facial and lingual surfaces of posterior teeth
- Hirschfeld 5/11:
  - Mesial and distal surfaces of posterior teeth
- Orban 10/11:
  - Facial and lingual surfaces of posterior teeth
- Orban 12/13:
  - Mesial and distal surfaces of posterior teeth
- Reference:
  - Table 20-2 Fundamentals of Periodontal Instrumentation.

Two-Point Contact:
- Involves adapting the working-end to calculus while resting the lower shank against the tooth.
Advantages:
- Provides stability and leverage.
- The face of the working end should be flat against the calculus deposit (parallel to the root surface).
Note on Angulation:
- Wrong angulation may cause trauma.

Instruction on Use:
- Preparing for insertion and application of the cutting edges in specific positioning.

Focus:
- Proper insertion of instruments to effectively reach calculus deposits.

Key Reminder:
- Instruments should only adapt on the calculus deposit for effective results.

Focus Area:
- Targeting anterior facial and lingual surfaces for instrumentation.

GF-5 Hoe:
- Used for removing heavy calculus deposits with pull strokes.
- Handle: #4
GF-6 Hoe:
- Applicable for mesial/distal surfaces of posterior teeth or facial/lingual surfaces of anterior teeth.

Types of Chisels:
- Darby-Perry chisels, Cushing models, and specific applications
Function:
- Effective for removing large bridges of calculus in interproximal areas.
Stroke Method:
- Requires push strokes for effective removal.

Design Features:
- Ideal size and shape for effective scaling in furcations and root depressions.
- Offers double-ended designs for efficiency.
- Large diameter handles to reduce symptoms of carpal tunnel syndrome.
Signature Series Grips:
- Easy instrument identification is supported by diamond-coated scalers.

Chart Information:
- Visual reference to match instruments with their respective areas of application using a color-coded diagram.
Different Gracey Types:
- Variants include Standard, After Five, Mini Five with various shank designs and lengths.

Comparison Features:
- Standard vs. After Five, Mini Five: Differences in terminal shank length and design.
Application:
- Highlighting use of Gracey instruments to reach deep pockets effectively.

Gracey Designs:
- Visual representation of different Gracey designs and their uses compared.

Functionality:
- Used for artifact-free plaque and calculus removal from dental implants.
- Features specialized sickle scaler tips for implant maintenance.