Three Pearls for Effective Instrumentation:

  • Go Lighter and Larger
  • Choose Effective Shank Designs
  • Keep Them Sharp!

Repetitive work-related injuries can be caused when your hand or wrist is held in the same position for extended periods during the workday.  Over the years, handle styles have changed from narrow, solid construction to larger handles that can weigh less than their predecessors and improve the grasp force applied during use.  Variety of handle diameters will prevent a hygienist's hand from being subjected to these conditions.

 

Go Lighter and Larger:  The newest innovation in instrument handles is Premier's new Big Easy Ultralite.  Even larger and lighter than Premier's original Big Easy handle, the Ultralite is surprisingly light--only 16 grams. That is up to 30% lighter than other hygiene instruments!  The handle has a 1/2" diameter and includes Premier's patented Big Easy grip, made from medical-grade silicone that stands up to repeated autoclaving.  The cushion grips provide passive feedback to the operator, so less pressure is required.

Choose Effective Shank Designs:  Another factor involved in instrument selection is choosing the instrument that is best suited to the required task.  When scaling and root debridement are performed in deeper sites, using an instrument with an extended shank, slender tips and/or shorter blade toe will reduce the effort and improve accessibility required to achieve desirable outcomes in therapy.  An added benefit of Premier's InSite™ pocket curettes, for example, is that once a pocket depth has been measured with the periodontal probe, the depth marking on the shank of an InSite curette will ensure that the operator has adequately reached the base of the pocket by matching the depth on both instruments.  This is an important issue, since a dental hygienist relies mainly on tactile abilities to ensure complete debridement of a periodontal pocket. 

While ultrasonic scaling is not a complete replacement for hand scaling, its value during a hygiene or periodontal appointment is supported by patient comfort and sound research.  By using power-assisted scaling procedures, tenacious deposits can be removed more effectively and efficiently when compared to using only hand instruments.  The result is that the patient is treated quicker, with less discomfort and with less effort.

Keep Instruments Sharp:  Finally, all hygiene instruments require sharpening after each use to maintain their effectiveness during procedures and to reduce operator fatigue.  Dull instruments can burnish deposits on the tooth and root surfaces, making them even more difficult to remove.  When an instrument becomes extremely dull, significantly greater effort is required to re-establish the correct edge and the chance of inadvertently altering the cutting angle is increased.  With the use of a guided-sharpening device, such as the D.I.S.C.™ sharpener, clinicians will find that instrument adaptation and performance will improve with ease.  This device ensures consistency and accuracy in re-establishing the original blade edge of hygiene instruments and minimizes the guesswork that may occur with hand-sharpening techniques.

All of these factors need to be considered by dentists and hygienists when choosing the correct instrument.  With proper consideration, the instruments will last longer (saving money) and reduce the amount of effort required to perform the procedure.  For additional information, contact Premier Dental Products Company and ask for their new hygiene brochure that highlights the new Big Easy Ultralite and includes additional chairside ergonomic tips.  Call Premier at 888-670-6100 or e-mail dentalinfo@premusa.com.

Author:  Lil Caperila, RDH, M.Ed.

University Sales Manager

Premier Dental Products Company

  

                          

Surprisingly Light!

 

 

 

DISC Sharpener