Oral Health, Dental Conditions & Treatments. When reviewing a medical history, we often refer to recommended guidelines and position papers. When we find a red flag like this, it doesn't necessarily mean the protocol is wrong. No major gingival damage occurred as a result of this instrumentation. Advances in Dental Research 2009; 21: 35-9. This brings up another point - I completely disagree with dental offices that schedule children in the dental assistants chair for coronal polishing and charge for a prophy. Intrinsic stain. It is very important that you meet with anAcademic Advisorby calling937-512-3700, or visiting Building 10, Room 301, to make sure you are scheduling the correct classes for your program choices. Role of CT colonography in early follow-up of acute complicated diverticulitis. - before placement of a dental dam. J Am Dent Assoc. Borneo? Just the same, I demonstrated home care, had her brush, and I polished and flossed prior to scaling. 6. 2023 Endeavor Business Media, LLC. To prevent decalcification during orthodontic treatment using fixed appliances, many orthodontists use sealants to protect enamel around brackets.14 Air polishing devices are often used to clean the teeth, and investigators in Germany tested the effects of air polishing on these sealants.14 Three different sealants were applied to the surfaces of 30 extracted human teeth, and the enamel surfaces of 10 teeth were air polished with a sodium bicarbonate based powder for five to 10 seconds or a glycine-based powder for 10 seconds. She founded StudentRDH and SmarterDA, which offer dental hygiene and dental assisting exam prep courses. She has a full dentition (30 teeth!) As the founder of SmarterDA dental assisting exam prep solution, I would like to offer a summary on coronal polishing. Your teeth have exposed cementum or dentin. ", Adam replies, "Only a small handful of patients have medical conditions that make this type of polishing procedure inadvisable. This results in more powder per tooth surface and less waste in overspray. Use these key points as a checklist to assess whether youre making the right choices when performing coronal polishing. In addition, it's important that guidelines be updated to keep up with the latest research. If I have a periodontal maintenance patient with good home care, and the periodontal condition requires the entire appointment to thoroughly debride the subgingival root surfaces, I dont polish unless applying paste for desensitizing or localized stain removal. Lets get progressive! Polishing paste: choose a polishing paste appropriate for the conditions in the patients mouth. It is important to note that protection against demineralization may be seriously compromised following sealant placement when tooth surfaces are cleaned with air polishing devices. Regardless of a patients best efforts at self-care, there are areas where plaque will be missed. Purpose: To investigate value of CT colonography (CTC) in the follow-up after acute complicated diverticulitis to evaluate best therapeutic approach. evaluated the effect of different types of air-abrasive powders in an air-flow system on the removal of nonmineralized plaque/biofilms collected in vivo on rough-. It did not take me long to observe the benefits of polishing first, so I started performing the procedure on adults as well. Adverse effects of the mechanical approach to plaque/biofilm removal include irreversible hard tissue damage and gingival recession that results from the mechanical scraping of tooth surfaces.15 In addition, loss of hard tissue is a major cause of increased sensitivity of treated teeth to evaporative, tactile, thermal, and osmotic stimuli.15 Well-meaning clinicians sometimes over-instrument during scaling and root planing and adult recare appointments, especially in areas where there is no supra- or subgingival calculus. For example, the ADHA position paper on air polishing lists renal disease as a contraindication. Coronal Polishing Certified Polishes coronal surfaces of teeth, or prepare teeth for band cementation or bonding of brackets utilizing a slow speed rotary hand piece and rubber cup or brush and applies topical fluoride and desensitizing agents as directed. Your teeth are sensitive or you have recessed gums. Some disadvantages are the production of contaminated aerosols, but rubber cup polishing produces fewer aerosols than air-driven or power-driven scalers. Patients with hypertension, Addisons disease, Cushings syndrome, and metabolic alkalosis, as pumice can contain sodium. Once the training is complete, the student must take a state written and practical exam to demonstrate proficiency in placement of dental restorations. 2023 Endeavor Business Media, LLC. SmarterDA dental assisting exam prep solution. Introduction to dental specialties are discussed. https://www.linkedin.com/showcase/4000114/. Texas In 2003, a small (N=23) patient randomized clinical controlled trial was designed to test the efficacy of glycine-based powder air polishing (GPAP) in subgingival plaque/biofilm removal at interdental sites during periodontal maintenance. The bioactive glass material reacts with body fluids (saliva) to deposit hydroxycarbonate apatite (HCA), a mineral that is chemically similar to natural tooth minerals. You are encouraged to complete Cardiopulmonary Resuscitation for the Health Care Provider (or ALH 1130 Basic Life Support Training) prior to entry to the Dental Assisting program. To provide opportunities to further student skills in the areas of expanded functions for the dental auxiliary and with the basics of dental assisting. Your teeth have demineralized spots on the enamel or root decay. More comparison features will be added as we have more versions to compare. Kotsovili S, Karoussis IK, Trianti M, Fourmousis, I. Kentucky Community & Technical College System 300 North Main Street Versailles, KY 40383 Toll Free (877) 528-2748. Author Lynne Slim's hygiene operatory at Legacy Dental Care in Kennesaw, GA. CORONAL POLISHING IS DEFINED AS THE PROCEDURE THAT REMOVES PLAQUE AND STAIN from the coronal surfaces of teeth. Polishing is contraindicated for tooth surfaces that either have no stains or have stains that are not visible when the patient smiles or engages in conversation. Polishing is contraindicated for tooth surfaces that either have no stains or have stains that are not visible when the patient smiles or engages in conversation. [5] Based on these variants, pastes are available in fine, medium, coarse and super-coarse grits. 1 year of clinical work experience as a dental assistant is required. This content is not intended to be a substitute for professional medical advice, diagnosis or treatment. Placement of dental dam. 2010 Jul-Aug; 41 (7): 3 141-8. Pre-polishing is not a new idea. This outermost fluoride rich layer of enamel is removed when tooth polishing is provided. Concepts and techniques of basic equipment, four-handed dentistry, oral evacuation, instrument identification, and proper use are discussed. Coronal Polishing Certificate Practice when the dentist is not physically present ALL SECTIONS OF THIS DOCUMENT MUST BE COMPLETED INDICATING THE DUTIES AND/OR FUNCTIONS YOU HAVE BEEN APPROPRIATELY TRAINED/EDUCATED TO PROVIDE. [Epub ahead of print]. Pelka M, Trautmann S, Petschelt A, Lohbauer U. Oral Care Center articles are reviewed by an oral health medical professional. Click here for the Dental Hygiene Program Advisory Committee, Sinclair Community College Terri Tillis, RDH, discussed in her course at a recent RDH Under One Roof that intact enamel is harder than the particles in toothpastes. Two new products (Proclude and NuCare) are very effective desensitizing medicaments, and results have been very positive with patients with root sensitivity. Several cases of emphysema have been reported after the use of high-speed dental handpieces, air-water syringes, taking impressions, and cleaning procedures with air polishing devices that used sodium bicarbonate powder.15,18 This condition is reported to resolve rapidly and disappear completely within a few days. One explanation given for this phenomenon is that it results from Polishing is not recommended for a patient with inflamed, enlarged, soft, spongy, or bleeding tissue. For dentin sensitivity or root or dentin exposure, NuCare or Proclude are very effective and low in abrasion. Another new air polishing agent with calcium sodium phosphosilicate claims to desensitize, clean, polish, and regenerate the tooth to create an enamel-like layer in one easy treatment (see "Sources for air polishing powders"). Provide the patient with protective eyewear. Rubber cups, also called prophy cups, are used in the hand-piece. Now that she understands firsthand the benefits of polishing first, we have gotten brave enough to present the idea in the educational setting, and encourage students to think outside the box and use a critical-thinking process to decide when it is appropriate to polish first. About a year later, I treated the young daughters of a dental colleague and friend of my employer. Exposed Cementum or Dentin It is challenging to read every professional journal and keep up with all of the latest information available. It is a flag that should prompt us to consult with the patient's nephrologists and/or the patient's renal dietitian to determine acceptable sodium exposure. In our Dental Assisting program we are working to provide students with the basic skills of dental assisting. Gloves Off: Can a nightguard kill a sleep apnea patient? Polishing first gives you a chance to look around the entire mouth before you scale. Coronal polish procedures may aggravate ulcerations and/or wounds of the lips and intraoral tissues and highly inflamed or traumatized gingiva thereby complicating the healing process. Newly Erupted Teeth fPRINCIPLES OF CAVITY PREPARATION FOR. This process requires the use of a dental handpiece, a polishing agent, and a rubber cup/brush. I tell her that at school we still teach selective polishing, and now part of that is selecting the patients who are appropriate to polish first. 2023 Endeavor Business Media, LLC. Expert Solution. Superfine abrasive agents are used to make the enamel (outer layer covering the crown of the . Areas of exposed cementum and dentin. Identify the equipment, materials, and supplies needed for coronal polishing. Calcium sodium phosphosilicate (NovaMinR): remineralization potential. Some of this supragingival biofilm is quite adherent and requires a scaler to remove it. The porcelain remains intact while removing stains and dirt. This suggests that tooth polishing should be based on the clients individual needs. Prophy jet/air polisher: While I am not a huge fan of the prophy jet, it is useful for orthodontic patients to remove debris, and I would rather remove this debris prior to scaling. Publication types Comparative Study Research Support, Non-U.S. Gov't However, when this patient returns for periodontal scaling/root planing appointments, polishing and flossing the previous quadrant while he/she is getting numb is an excellent way to assess home care, demonstrate home care, evaluate for sensitivity, and apply desensitizing medicaments. Desensitize with new polishing pastes that are more logically applied prior to scaling. Demonstrate the preferred technique for coronal polishing. Ask the patient to remove any dental prosthetic appliances he or she may be wearing. Coronal Polishing for Dental Assistants is organized by Creighton University and will be held from Jan 31 - Feb 01, 2020 at Creighton University School of Dentistry, Omaha, Nebraska, United States of America. I would like to present the idea that it is indeed therapeutic. Some might say that polishing is not therapeutic. Evaluate tissue color, contour, consistency, and bleeding at the same time plaque is removed. 17. GPAP was safe with no adverse events reported, and was perceived to be more acceptable to patients. By polishing first on a gingivitis patient who requires only one scaling appointment, or polishing the previously scaled quadrant on a patient who requires multiple appointments for periodontal scaling and root planing, you avoid embedding particles that are out of reach from rinsing. i] (chemical engineering) In petroleum refining, removal of final traces of impurities, as for a lubricant, by clay adsorption or mild hydrogen treating. Check out a sample Q&A here. 10): 9-14. The judgment made by a dental assistant when polishing teeth can directly affect a patients oral health. In order to be invited into the Dental Hygiene Program all students must have a GPA of 2.7 with an overall TEAS score of 60 and a score on the sciences portion of the test of 50. Why are we still using it? The Commission is a specialized accrediting body recognized by the United States Department of Education. 1). However, I have observed that the rubber cup is more effective at removing adherent biofilm and certain types of stain than the prophy jet. Patient Preparation Check the patient's medical history for any contraindications to the coronal polishing procedure. Patients with respiratory and infectious diseases,as polishing creates aerosols. Sodium bicarbonate powders 3M ESPE's C&P Air Polishing Powder Biotrol's Perfect Choice Air Polishing Powder Dentsply's Cavitron Prophy-Jet Powder Electro Medical Systems' (EMS) Air-Flow Powder Classic Satelec Acteon Group's Powder Max Young Dental's Air Polishing Powder, Glycine powdersElectro Medical Systems' (EMS) Air-Flow Powder PerioElectro Medical Systems' (EMS) Air-Flow Powder Soft, Other powdersDentsply's Cavitron Jet-Fresh Powder (aluminum trihydroxide)KaVo's ProphyFlex Powder (calcium carbonate)OSspray's Sylc (Novamin/calcium sodium phosphosilicate). Your teeth are newly erupted and the enamel hasn't fully mineralized. Coronal polishing; Temporary cementation and removal of temporary crowns and bands; The above list of tasks is just a sampling of a longer list of Dental Assistant and RDA "Duties and Settings" outlined by state regulations. Health Sciences Applicant Information Packet, Test for Essential Academic Skills (TEAS) Policies & Procedures, Liberal Arts, Communication & Social Sciences, Additional Fees Information for Hygiene Program, Nitrous Oxide for Dental Hygiene and Dental Assistants, Dental Hygiene Program Advisory Committee. Using a split mouth design, subgingival plaque/biofilm was removed using the GPAP device or with curettes. Subgingival debridement efficacy of glycine powder air polishing. I am amazed at the subgingival biofilm, and the gingivitis and halitosis that can result in young children! With this you put something back (to take away the guilt of perhaps removing a micron or so of enamel). Before discussing research to date on the use of a pressurized air device subgingivally, it is important to discuss risk for provoking emphysema. Other external factors that can lead to extrinsic staining are smoking, some antimicrobial rinses, and environmental working conditions where there is exposure to metallic dust. To avoid cross-contamination from dental equipment, infection control specialists agree: "The same chemical treatment regimens and technology used in the dental unit should be effective with the ultrasonic and air polishing equipment, which also pose risk of bacterial contamination via biofilm tubing."2. Ha ha ha! A substance containing chemical agents or abrasive particles and applied to smooth or shine a surface: shoe polish. Patients with respiratory, renal, or metabolic disease, Patients on diuretics or long-term steroid therapy, Patients with titanium implants (research is still needed in this area), In its position paper, the ADHA highlights a study by Galloway and Pashley (1986) that demonstrated the air polisher can cause clinically significant loss of tooth structure when used excessively and should, therefore, not be used on exposed cementum or dentin.1 In addition, ADHA cites Woodall's 1993 textbook recommendation that states "air polishers should be avoided around most types of restorative materials due to the possibility of scratching, eroding, pitting, or margin leakage. Prior to the 1970s tooth polishing was provided to all patients as part of their complete care. The Indiana State Board of Dentistry approved coronal polishing and fluoride administration as a permitted function for a trained Dental Assistant. Commission on Dental Accreditation Subgingival plaque removal at interdental sites using a low-abrasive air polishing powder. Subscribe to the monthly e-newsletter here. [3] Common practice is to use a prophy cupa small motorized rubber cupalong with an abrasive polishing compound. [1] There are also various flavours of prophylactic paste available. 3. Prophy cup: I prefer a small, short [pedo size] soft rubber cup. J Clin Periodontol 2008; 35; 621-629. After 48 hours, all titanium discs were covered completely in plaque/biofilm. Petersilka G et al. A colleague who went to work in an office with 50-minute hygiene appointment times for adult patients rather than the traditional one-hour, started polishing first to help her stay on schedule.