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Pre-clinic.2
Perio Instruments
| Question | Answer |
|---|---|
| Unpaired working-ends | instrument with two dissimilar working-ends |
| Paired working-ends | instrument with working-ends that are mirror images of each other |
| Instrument Identification | Design Name, Design Number, Working-End Identification, Instrument Handles |
| Design Name | school or person who designed instrument (for example: Gracey) |
| Design Number | identifies the working-ends (example: 1 and 2) |
| Working-End Identification | Number along HandleEach working-end is identified by the number closest to it.orNumber Across Handle•The first number (on the left) identifies the working-end at the top.•The second number is the working-end on the lower end of the handle. |
| Instrument Balance | A periodontal instrument is balanced if the working-ends are aligned with the long axis of the handle. |
| Significance of Balance | •Ensures that finger pressure applied against the handle is transferred to the working-end for calculus removal•An instrument that is not balanced is difficult to use and stresses the muscles of the hand. |
| Recommendation of choosing the right handle | •Large diameter•Lightweight handle•Bumpy texturing |
| Simple shank | Hold the instrument so that the working-end tip or toe is facing you- Simple shankwill appear to be straight for use on anterior teeth |
| Complex shank | Hold the instrument so that the working-end tip or toe is facing you - Complex shankhas side-to-side bends Complex shanksfor use on posterior teeth |
| Allows you to reach the facial and lingual surfaces of the root of molar teeth. | Front-to-back shank |
| Allows you to reach the mesial and distal surfaces of the root of molar teeth. | Side-to-side bends of complex |
| Functional Shank | Begins below the working-end, and extends to the last bend in the shank nearest the handle. (Look at picture on power pt) |
| Lower Shank | The portion of the functional shank nearest to the working-end |
| What is the best Instrument for use on task of supragingival anterior teeth? | Simple shank with short functional shank length |
| What is the best Instrument for use on task of —subgingival anterior teeth? | Simple shank with long functional shank length |
| What is the best Instrument for use on task of supragingival posterior teeth? | Complex shank with short functional shank length. |
| What is the best Instrument for use on task of subgingival posterior teeth? | Complex shank with long functional shank length. |
| Extended Lower Shank | Instruments with extended lower shanks can reach the middle-and apical-third of the root surface. |
| Parts of Working-End | •Face•Back•Lateral surfaces•Cutting edges•Toe or tip |
| Look at power pt and identify pictures of parts of working-end | . |
| Working-ends that are triangular in cross section | limited to supragingival use. |
| Working-ends that are semi-circular in cross section | may be used supragingivally and subgingivally. |
| Instruments with Triangular Cross Sections | •Sickle scalers are instruments with triangular cross sections.•Sickle scalers are limited to supraggingival use. |
| Instruments with Semi-Circular Cross Section | •Curets are instruments that are semi-circularin cross section.•Curets may be used supragingivally and subgingivally. |