She did not like the hand scaling, and the tears in her eyes were pretty impressive, so I used the ultrasonic to complete treatment. "It looks rather scary, but the truth is it's a flexible suction arm that captures aerosols. 15. Rubber cups, also called prophy cups, are used in the hand-piece. One laboratory project obtained the data shown here for glucose transport. Claire Jeong, RDH, MS, is an educator and entrepreneur. Newly Erupted Teeth "Coronal polishing" means the removal of plaque and extrinsic stain from exposed natural and restored tooth surfaces using an appropriate rotary instrument with rubber cup or brush and polishing agent. Caries process Systemic fluoride Benefits and contraindications of topical fluoride Appropriate types and delivery mechanisms of fluoride for patients All didactic instruction will be completed online. Important Information about Health Sciences Programs:The Health Sciences (HS) Programs consist of open enrollment courses (general education and division specific) and program specific courses with limited enrollment. A substance containing chemical agents or abrasive particles and applied to smooth or shine a surface: shoe polish. Explain the indications for coronal polishing. The following scenarios, outlined by an article published in DentistryIQ, are usually the only times a dentist would recommend an extra polishing: If tooth stains reach inside the enamel, otherwise known as intrinsic stains, polishing is not recommended since it won't be effective for this type of staining. I heard about pre-polishing again in March 1994, less than a year out of dental hygiene school, when I attended a continuing education class on insurance codes presented by Kathy Forbes, RDH. Other points for polishing first: But everyone has to mop a floor, right? After 48 hours, all titanium discs were covered completely in plaque/biofilm. Coronal / cosmetic polishing - This type of polishing removes the plaque and superficial dental stains. 4. 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. The damaging effects of bacterial plaque take place below the gumline, so professional debridement/recare is imperative, and polishing first fosters taking the time and opportunity to focus on this aspect of dental hygiene care. Not all (though many) patients with renal disease would be on sodium restriction. The phrase "an elephant never forgets" refers to the tenacity of this large mammal to follow the same path, no matter what the circumstance. Describe an industrial method for preparing each of the halogens. 2010 Jan; 141(1): 63-70. For example, the UT Health San Antonio School of Dentistry offers a training course that is required for any dental assistants who want to perform coronal polishing in Texas. Cell viability at biologically contaminated specimens was also assessed, which would determine whether or not cells were biologically active.22 Six healthy subjects were included in the study (there were no controls). I prefer to floss with dentotape directly after polishing to remove abrasive particles, remove interproximal dental biofilm, evaluate bleeding, and modify home-care technique. I polished and flossed and had her hold a mirror to watch me floss, not only for technique but to demonstrate what it was removing and the bleeding that occurred. The majority of the sodium is mixed with the particles during the manufacturing process to enhance the calcium phosphate; therefore, the particles dissolve over time, limiting the release of sodium. J Periodontol 2010 Jan; 81: 79-88. [5] It is important to refer to manufacturer's directions before using any product on dental restorations. at line and point angles. http://www.adha.org/profissues/polishingpaper.htm, http://www.osap.org/?page=Issues_DUWL_7&hhSearchTerms=polish. ), Most peri-implant lesions (peri-implant mucositis or peri-implantitis) are caused by plaque/biofilm colonization around the implant surface.19 There is a statistically significant higher incidence of peri-implantitis for dental implants placed in patients with a history of chronic periodontitis (28.6%) compared with periodontally healthy individuals (5.8%).20 The correlation between the presence of periodontitis and the development of peri-implantitis has been supported by a recent systemic review.21, Schwarz et al. You have acrylic veneers or restorations that are gold or porcelain. Coronal Polishing Application V4 - Texas State Board of Dental . For example, the ADHA position paper on air polishing lists renal disease as a contraindication. 8): 282-285. Your teeth are sensitive or you have recessed gums. Why is this, I wonder? Precautions include; teeth without existing stain, newly erupted teeth, tooth decalcification, hypo-calcification, hypoplasia, demineralization, rampant caries. Remove extrinsic stain. A pilot study. If a patient has optimal home care and no visible plaque or stain, then I dont polish. Young Dentals Disposable Contra Angle Petite Web soft LF (short) purple cup is a great product. To determine whether a renal patient is a candidate for air polishing, you would have to know the stage of renal disease (there are five stages), the treatment for renal disease (some treatments allow greater flexibility in diet than others), the adherence to treatment and medications, the patient's medical status, comorbidities, etc. Surface cleaning before the selection of a tooth shade guide. Intracornal preparation are mortise shaped having definite walls and floor joining. [5] This can become problematic because some microorganisms remain in the air for an extended period of time and can contaminate hard surfaces. When these teeth have deep, stained fissures, a prophy brush with a bit of pumice works great to remove this stain. Excessive pressure can lead to frictional heat that may cause pulpal discomfort or necrosis of the dental pulp.[5]. Want to see the full answer? Now that youve mastered when and when not to provide coronal polishing, l will explain one more concept. A student may take the TEAS test two times for consideration. Arizona State Board of Dental Examiners. Resources. 1 year of clinical work experience as a dental assistant is required. Your teeth are newly erupted and the enamel hasn't fully mineralized. When these conditions are present, it is best to postpone coronal polishing until healing takes place. This patient described polishing first in a wonderful way, Its like sweeping the floor before you scrub it. Why would you want to mop around a bunch of loose dirt on the floor? Influence of different air-abrasive powders on cell viability at biologically contaminated titanium dental implant surfaces. The area should be cleaned with warm water to remove all remnants of the paste. There are forms of sticky plaque that do not come off with rubber cup polishing. Nancy W. Burkhart, EdD, MEd, BSDH, AAFAAOM. Furthermore, even if we determine a patient is a good candidate for air polishing (from a medical standpoint), we also have to evaluate them from a dental standpoint. Rubber cups should not be used over the cementum area as it may remove a layer of cementum at the cervical area. Lynne is also the owner and moderator of the periotherapist yahoo group: www.yahoogroups.com/group/periotherapist. It integrates a rubber cup into a high torque gear, which can be plugged into a low speed handpiece and drive rubber cup to polish teeth. Preparation path. The agency is operational but staff members are working remotely. You're really going to love how your teeth feel afterwards and we'll have you out of here in no time.". Any student under age 18 must contact the program director/department chair to discuss whether he or she may enroll. Abstract. 1. ", Adam replies, "Only a small handful of patients have medical conditions that make this type of polishing procedure inadvisable. Introduction to dental specialties are discussed. Or you may have done all the right things! 16. 1. Apply indications and contraindications for coronal polishing, armamentarium, and principles of polishing agents. Coronal Polishing- A technique used to remove plaque and stains from the coronal surfaces of the teeth Endogenous Stains- Stains developed from within the structure of the tooth Exogenous Stains- Stains developed from external sources Extrinsic Stains- Stains that occur on the external surfaces of the teeth that may be removed by polishing Removal of light plaque. Although benign in the majority of patients, the natural course of the disease may result in significant disturbance of body morphology, reduced thoracic volume, impaired respiration, increased rates of back pain, and serious . Here is a thorough list of the indications and contraindications for coronal polishing. Many states allow dental assistants to perform this service, but in order to do so assistants might need to meet state exam, education, or credential requirements. In addition it was more time efficient but, on a microbiological level, it was not superior to the conventional blended instrumentation approach (curette/ultrasonic instrumentation. Chromogenic bacteria found in plaque that is left behind due to poor oral hygiene can also cause staining. Sinclair's Dental Health Sciences Department offers programs in Dental Hygiene, Expanded Functions for Dental Auxiliaries and a Dental Assisting Program. No one likes the cleaning lady stigma. Frankenberger R, Lohbauer U, Tay FR, Taschner M, Nikolaenko SA.,J Adhes Dent., The effect of different air-polishing powders on dentin bonding, 2007 Aug; Dental Clinic 1, Operative Dentistry and Periodontology, University of Erlangen-Nuremberg, Erlangen, Germany, 9(4):381-9, frankbg@dent.uni-erlangen.de. Your teeth have exposed cementum or dentin. Use the good techniques of light pressure, a small soft cup, and plenty of moisture. Each participant must follow OSHA guidelines for infection control and use of clinical Personal Protective Equipment (mask, gloves, eye-wear, and clinic gown or lab coat). The patient also perceives a shorter appointment time. J Am Dent Assoc. Decalcified or demineralized areas appear chalky white. Newly-erupted teeth as the surfaces have not been fully mineralized yet. Why are we still using it? [1] The purpose of polishing is to remove extrinsic stains, remove dental plaque accumulation, increase aesthetics and to reduce corrosion of metallic restorations. It is important to use clinical judgment and remember the philosophy of individualized patient care when deciding to polish first. "There is no health benefit to polishing," said Julie Frantsve-Hawley, the editor of The International Journal of Evidence-Based Practice for the Dental Hygienist. 1). This article originally appeared in Dental Assisting & Office Manager Digest. Kentucky Community & Technical College System 300 North Main Street Versailles, KY 40383 Toll Free (877) 528-2748. Exposed Cementum or Dentin Additionally, the program strives to motivate students to become community-minded citizens and life-long learners. One of the first things I tell them is to polish and floss first. Kotsovili S, Karoussis IK, Trianti M, Fourmousis, I. Some disadvantages are the production of contaminated aerosols, but rubber cup polishing produces fewer aerosols than air-driven or power-driven scalers. Abrasive powders of sodium bicarbonate and glycine, combined at different treatment times and distances from teeth were tested. Stay #DAstrong! If the patient is not stable, nonadherent, or unresponsive to medical care, then additional sodium would not likely be recommended. To provide a dynamic learning environment that facilitates diverse educational opportunities reflective of current theory and practice in the preparation of entry-level dental hygienists. Lack of Stain The American Dental Hygienists' Association 2010 Position on Polishing Procedures lists the following as contraindications for air polishing procedures:1. Demonstrate the preferred technique for coronal polishing. Description. 10. Lets start with why coronal polishing is part of the dental treatment. Narongdej T, Sakoolnamarka, R, Boonroung T. The effectiveness of a calcium sodium phosphosilicate desensitizer in reducing cervical dentin hypersensitivity. Esther Wilkins reports in her textbook a disadvantage to polishing after scaling. Code 114.5 - Coronal Polishing. Surface roughness is a factor affecting plaque/biofilm adhesion on dental surfaces in vivo. In our Dental Assisting program we are working to provide students with the basic skills of dental assisting. Restorative materials are not as hard as enamel and therefore are scratched easily by abrasive pastes. n. 1. Dentists and licensed dental hygienists are the only professionals legally allowed to perform a complete oral prophylaxis. Ha ha ha! Air-powder polishing is used with a specially designed handpiece. Cost: $425 Designed For It contains xylitol and fluoride, so again, you are applying products that are good for enamel while gently removing plaque. Polish coronal surfaces Take x -rays Various ortho functions Various Direct supervision and Approved program and exam Approved program and exam Dental Auxiliary NEBRASKA Indirect supervision, approved Dental Assistants Take x -rays, coronal polishing, monitor nitrous oxide, place amalgam program & 1-year experience as a DA. To qualify for entry to limited enrollment courses, please see the program specific information packet located on each HS program's webpage. perform the coronal polishing procedure on patients to acceptable clinical criteria. You would like to work with a variety of people and perform multiple tasks. Burwell, AK, Litkowski LJ, Greenspan DC. This results in more powder per tooth surface and less waste in overspray. The immediate benefit was that I had much less instrumentation to perform overall, and I ended up being accepted as their official hygienist. Knows indication/contraindications for sealants. Oral examination, charting, medical and dental histories, sterilization, lab, and infection control procedures are emphasized. Allied Health Department; Contact Information Dental Hygiene Program Phone: 513-558-7928 Email: badenhyg@ucmail.uc.edu. J Biomed Mater REs Part B: Appl Biomater 2009; 88B: 83-91. https://www.linkedin.com/showcase/4000114/, Mr. Borneo asks Adam, RDH: "What's that huge monstrosity in the corner of your operatory that looks like a muscular elephant trunk? https://www.linkedin.com/showcase/4000114/. Briefly, selective polishing means that you must carefully choose the cases and teeth for coronal polishing. Coronal Polishing for Dental Assistants Spring 2023 Description This course is designed to meet the requirements of the State of Nebraska to allow dental assistants to perform coronal polishing under the direct supervision of a licensed practicing dentist. [5] Particles within the prophylactic paste can go below the gumline and cause inflammation or delayed healing. Eur J Orthod. This course provides the dental hygienist with essential skills and knowledge necessary to safely and effectively administer local anesthesia. I may elect to selectively polish certain areas as I move through the dentition (I still scale/debride by sextant). Admin. This includes the use of a toothbrush. She can be contacted at catblue@aol.com, or visit her Web site at dentalinspirations.org. Description: Denise Kissell, RDH, MS, EFDA Postle Hall 305 W. 12th Avenue This lecture/hands-on course satisfies the 7 hour CE requirement for CDA's seeking Coronal Polishing Certification from the Ohio State Dental Board (OSDB). 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-. Here are the indications for coronal polishing: Removal of light stain. - before placement of a dental dam. Polishing can be done at succeeding appointments. 11. Your teeth are newly erupted and the enamel hasn't fully mineralized. 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. Claire was invited on various podcasts to speak about memory techniques and learning efficacy, topics she also promotes through articles, speeches, e-books, and blogs. I work in both the educational and private settings, and the philosophy of selective polishing had been instilled as gospel. This course meets the ODBC standards for administration of local anesthesia by dental hygienists in Ohio. One explanation given for this phenomenon is that it results from 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. In fact, polishing only the crown portion of your teeth is sometimes called cosmetic polishing, according to an article published in the Journal of Indian Society of Periodontology (JISP). Quintessence Int. No one likes the cleaning lady stigma. These include: sodium restricted diet, hypertension, respiratory illnesses, infectious diseases, chronic kidney disease, Addison's or Cushing's disease, and some medications (mineralocorticoid steroids, anti-diuretics, potassium supplements). There are two popular types of prophy cups: 4 webs and 6 webs. Prophylaxis removes plaque, stains, debris, and calculus from the teeth. Another advantage of the prophy jet, according to Dr. Esther Wilkins, is that it can detoxify root surfaces with minimal abrasion. Some prophylactic pastes contain fluoride to aid in the remineralization of the enamel surface and others help reduce dentinal sensitivity. The whole procedure went very well, and I was queen for a moment - that is until I got her 9-year-old sister in the chair. I will say, You can be sure that all that gritty stuff will be rinsed out of your mouth by the time treatment is complete.. There are several contraindications for air polishing. Author Lynne Slim's hygiene operatory at Legacy Dental Care in Kennesaw, GA.There's an elephant in the room, by Lynne H. Slim, RDH, MS, and Cher Thomas, RDH. If you use NuCare or Proclude and do not apply it first, you are defeating the purpose of the product. 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. Periodontitis as a potential risk factor for peri-implantitis. Yeah, we know. This is because, other than removing stains and plaque to smooth and shine the tooth, polishing offers no other therapeutic benefit. I love dental assistants, but they are not qualified or trained to evaluate and treat this. Always seek the advice of your dentist, physician or other qualified healthcare provider. The goal is to enhance knowledge and become the best dental professional you can be! You want that stuff out of your way so you can concentrate on cleaning the real dirt. Register, Volume 43, Number 10, March 9, 2018, TexReg, Chapter 114 - EXTENSION OF DUTIES OF AUXILIARY PERSONNEL-DENTAL ASSISTANTS, 22 Tex. About a year later, I treated the young daughters of a dental colleague and friend of my employer. It is small enough to polish small and malposed teeth, access the gingival margins comfortably for the patient, and is ergonomic for the clinician. Glucose transport across the red blood cell membranes (erythrocyte membrane) is a well-studied system. Note: For students under age 18 there may be restrictions on participating in certain Health Sciences programs. Cheryl A. Thomas, RDH, currently resides in Galveston, Texas. 1. Alternatives to rubber cup polishing. A 1.0m1.0 \mathrm{~m}1.0m long segment of wire lies along the xxx-axis and carries a current of 2.0A2.0 \mathrm{~A}2.0A in the positive xxx-direction. Yeah, we know. 312-440-4653 | 800-621-8099 x4653, Download the PDF version Dental Health Sciences Dental Hygience Self Study 2020. Please note: Participants must agree to act as a patient for coronal polishing. Particles are captured by the flexible suction duct before they can spread to other areas of the treatment room and office. When adapting the rubber cup, angle to flare at the gingival margin to reach the distal, facial, lingual, and mesial surfaces, and maintain this by rotating the handpiece. Lynne is the CEO of Perio C Dent, a dental practice management company that specializes in the incorporation of conservative periodontal therapy into the hygiene department of dental practices. Tooth polishing should also be avoided in the case of allergies and communicable diseases. Conservation of demineralized enamel surfaces is indicated. Schwarz, F et al. Completion of this course prepares the dental hygienist to take the CDCA examination required for dental hygiene local anesthesia credentialing in Ohio. When reviewing a medical history, we often refer to recommended guidelines and position papers. If you know your indications and contraindications, you will provide better care. This includes the use of a toothbrush. Ramaglia et al. 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. When I see some of these students, now colleagues, at continuing education events, they tell me that they polish first, and they love it. SmarterDA dental assisting exam prep solution. Routine polishing is still an integral part of today's dental hygiene department even though the concept of polishing "selectively" was first introduced in the early 1980s and reinforced repeatedly by Wilkins and many others over many decades.3 Wilkins indicates that the decision to "polish" should be individualized for each patient and she stresses her main concern about abrasive traditional prophy pastes.4 Wilkins provides an excellent review of selective rubber cup and air polishing in her 10th edition of Clinical Practice of the Dental Hygienist, and it includes contraindications for air polishing. It is very effective for the removal of extrinsic stains and soft deposits. Sensitive Teeth Sensitive teeth should not be pol Exposed Cementum or Dentin Areas of exposed cementum (due to tissue recession) or exposed dentin should not be polished. "It's not going to impact tooth decay, gum disease or oral cancer.". The relative abrasiveness of this bioactive glass has not been studied, but studies have been conducted to show the removal of surface stains and hypersensitivity.10,11. It consists of lecture, demonstration and clinical experiences. Air polishing is a high quality, efficacious, and efficient service. To provide opportunities to further student skills in the areas of expanded functions for the dental auxiliary and with the basics of dental assisting. Medical Dictionary for the Health Professions and Nursing Farlex 2012 coronal plane A vertical anatomical plane that divides the standing body into front and rear halves. The higher acid resistance of the smear layer created by the bioactive glass may also be attributed to a possible remineralization of the smear layer occurring during artificial saliva immersion.9. All rights reserved. Risk of generating frictional heat, and increased abrasion to the tooth surface may result from increased contact time, increased speed of rotation, and increased pressure of the cup on the tooth. I proceed in this manner every time I see the patient. Particular care should be taken to avoid injury to the gingiva. Your teeth have demineralized spots on the enamel or root decay. Intrinsic stain. Shirley Gutkowski, RDH, reported in an article that while most hygiene schools teach students to use fine paste, about 50 percent of hygienists actually use coarse as their primary paste. 1999 Aug; 21(4): 423-8. and reduce the scaling time significantly. http://www.adha.org/proissues/polishingpaper.htm (accessed 28 June 2006). 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. Adam, you guys always have something new. When she was seated again in the chair, I told her I was going to polish her teeth first. Rohleder PV, Slim LH. Waterpik also has a new polishing paste (Soft Shine) that is especially formulated for esthetic restorations. 10, No.9, copyright 1997 by the American Dental Hygienists' Association, http://www.osap.org/?page=Issues_DUWL_7&hhSearchTerms=polish. This outermost fluoride rich layer of enamel is removed when tooth polishing is provided. I demonstrated sulcular brushing in her mouth with a mirror, then had her go to the sink and brush all her teeth. Some might say that polishing is not therapeutic. "1. This includes the use of a toothbrush. ADHA.org, American Dental Hygienists' Association Position Paper on Polishing, webpage updated 2010, http://www.adha.org/profissues/polishingpaper.htm. This information is for educational purposes only. 19. For general polishing, think about using Enamel Pro by Premier as your primary paste. The glycine-based powder product produced the smallest defect depth and volume loss. 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. Forbes said she polishes first to remove plaque and stain, then there is less plaque to remove with scaling. According to the list above, you may realize that you provided polishing to a pediatric patient when he or she had demineralized spots that needed the dentists attention first. So, before we get started, Mr. Borneo, let's update and review your medical history again. IF YOU DO NOT MEET THE SPECIFIC REQUIREMENTS TO PERFORM THESE DUTIES/FUNCTIONS, CHECK THE APPROPRIATE BOX IN THAT SECTION. 17. Tammy Maahs, RDH, BSDH, is a part-time dental hygiene instructor at Lane Community College in Eugene, Oregon, and also works in clinical practice for a general dentist. ", "Wow! Placement of orthodontic bands and brackets. She can be contacted at maahst@lanecc.edu.