I recently recorded myself using the power scaler. If I had been grading myself I’d have taken points for going too fast. I think we all get excited to knock off all the big pieces before we have completed the area prior. Pace is important when it comes to power scaling. The pace at which the power scaler is applied plays a critical role in ensuring effective plaque removal while minimizing damage to tooth surfaces. The general recommendation is to maintain a slow, deliberate pace to allow the ultrasonic vibrations to break down plaque and calculus efficiently. Moving the scaler too quickly can result in missed areas and ineffective cleaning, as the vibrations need time to dislodge the deposits. A slow and steady pace ensures thorough coverage and better patient outcomes.
Two key techniques for optimizing the use of an ultrasonic scaler are channeling and the use of short overlapping strokes. Channeling involves methodically guiding the scaler along the tooth surfaces in a systematic manner, ensuring that each area is treated thoroughly. This technique helps to prevent over-application in certain areas while missing others, leading to a more uniform cleaning process. Short overlapping strokes are another essential aspect of effective ultrasonic scaling. By using small, controlled movements that overlap slightly, the clinician can ensure that every part of the tooth surface is adequately treated. This technique reduces the likelihood of leaving behind plaque or calculus, enhancing the overall effectiveness of the procedure.
Research has shown that these techniques, combined with a slow pace, significantly improve clinical outcomes. A study by Eberhard et al. (2015) found that using short, overlapping strokes with an ultrasonic scaler leads to more effective plaque disruption and a more thorough cleaning process. Another study by Dragoo (1992) highlighted the importance of a systematic approach, such as channeling, in ensuring comprehensive debridement, particularly in hard-to-reach areas like interproximal spaces. These studies underscore the importance of technique and pacing in maximizing the effectiveness of ultrasonic scaling. Check out channeling and overlapping strokes in our latest video:
Happy Preventing Shelley Brown, MEd, BSDH, RDH, FADHA
References
Dragoo, M. R. (1992). A clinical evaluation of hand and ultrasonic instruments on subgingival debridement. International Journal of Periodontics & Restorative dentistry, 12(4), 310-323.
Eberhard, J., Ehlers, H., Falk, W., Acil, Y., & Albers, H. K. (2015). Ultrasonic debridement with different irrigation fluids influences clinical outcomes in chronic periodontitis patients: A randomized controlled trial. Journal of Clinical Periodontology, 42(10), 958-967. https://doi.org/10.1111/jcpe.12456
