Quintessence Int. The porcelain remains intact while removing stains and dirt. The sodium content is less than 500 milligrams which is very little in comparison with 2,000 to 3,000 milligrams in sodium bicarbonate (which is highly soluble and will dissolve quickly). 4. I would like to present the idea that it is indeed therapeutic. Texas Results indicated that all powders studied were equally effective in removing plaque/biofilms on titanium surfaces. When she was seated again in the chair, I told her I was going to polish her teeth first.  This can become problematic because some microorganisms remain in the air for an extended period of time and can contaminate hard surfaces. Gold, composite, acrylic veneers, porcelain restorations. Provide the patient with protective eyewear. I am always amazed at the plaque that polishing and flossing do not remove. Lastly, a recent study in 2010 evaluated the safety, patient acceptance, and short-term microbiologic effect of GPAP in periodontal maintenance patients with residual pockets 5 mm.15. Particular care should be taken to avoid injury to the gingiva. This process requires the use of a dental handpiece, a polishing agent, and a rubber cup/brush. Removal of light plaque. The sodium phosphosilicate polishing agent has no salty taste, no sodium contraindications, and there isn't any stinging or irritation of soft tissue. As with all procedures we perform, however, it is imperative that we resist a "cookie cutter" approach to guidelines. Here is a thorough list of the indications and contraindications for coronal polishing. If youre studying for dental assisting boards, this is also useful for you. ", "Wow! 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. There are two popular types of prophy cups: 4 webs and 6 webs. 3. This helps you focus on the subgingival debridement in a more definitive way. The Indiana State Board of Dentistry approved coronal polishing and fluoride administration as a permitted function for a trained Dental Assistant. You're really going to love how your teeth feel afterwards and we'll have you out of here in no time.". 1 year of clinical work experience as a dental assistant is required. However, if your dentist feels that you would benefit from an extra polishing, you should feel comfortable going ahead with the procedure. You are planning to get a crown, bridge, sealants or orthodontic bands and brackets. She resides in Springfield. [Epub ahead of print]. Or you may have done all the right things! Schwarz, F et al. The goal in Expanded Functions for Dental Auxiliary is to promote growth in the skills of the dental assistant. If you use NuCare or Proclude and do not apply it first, you are defeating the purpose of the product. In addition, it's important that guidelines be updated to keep up with the latest research. Thank you for registering for the Coronal Polishing Certification Course for dental assistants. 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. UC Blue Ash College 9555 Plainfield Road Blue Ash, Ohio 45236 Phone: 513-558-9495 patient does see the stain! Atomic force microscopy in vitro study of surface roughness and fractal character of a dental restoration composite after air-polishing. However, Pierre Fauchard, the father of modern dentistry, is credited for the introduction of tooth polishing to remove dental stains. But everyone has to mop a floor, right? 1. characteristics of abrasives used for polishing; 2. aerosol production during polishing; 3. effects of heat production during polishing; 4. While coronal polishing is sometimes part of a routine dental cleaning, it is not a replacement for regular oral prophylaxis, which removes all plaque and calculus. One laboratory project obtained the data shown here for glucose transport. 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, email@example.com. 211 East Chicago Avenue Chicago, IL 60611  Common practice is to use a prophy cupa small motorized rubber cupalong with an abrasive polishing compound. Young Dentals Disposable Contra Angle Petite Web soft LF (short) purple cup is a great product. Therefore, it has the potential to facilitate regeneration. Register, Volume 40, Number 50, December 11, 2015, TexReg, Texas It contains xylitol and fluoride, so again, you are applying products that are good for enamel while gently removing plaque. Clinicians such as Fay Brown, RDH, from a New York City periodontal practice, have commented (anecdotally) that this particular air polishing agent is a great desensitizer that removes stains quickly. Evaluate home care and show the patient where they are missing. After successful completion of the curriculum the student is . Many hygienists around the United States are air polishing routinely and many more on a selective basis. The use of glycine in air polishing generated the least surface roughness on the restorative material.6, Of interest in reading this publication were the comments by the authors about surface roughness. 2023 Endeavor Business Media, LLC. Regardless of the abrasive used, there was some variation in root defects generated by different devices and the glycine-based powder produced the least amount of root damage. It is a bioactive glass, which is a chemical compound composed of naturally occurring elements (calcium, phosphorus, silica, and sodium) that have been used in medicine for decades to promote bone growth. I work in both the educational and private settings, and the philosophy of selective polishing had been instilled as gospel. Medically Reviewed By Colgate Global Scientific Communications. 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. If you meet any of the following criteria outlined by the DentistryIQ article, your dentist will likely not recommend polishing: In addition to maintaining a good oral care regimen at home, keeping up with routine dental visits and cleanings will keep your teeth healthy and stain-free most of the time. Then I told her I was going to use my tools to carefully check around each tooth to make sure I removed all of the plaque. Any student under age 18 must contact the program director/department chair to discuss whether he or she may enroll. The Dental Assisting program is a full-time day program to which students are admitted in August of each year. (Look up your state requirements on the search-by-state map published on the Dental Assisting National Board Inc. [DANB] website.). Placement of orthodontic bands and brackets. 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.  Selective Polishing [ edit] Publication types Comparative Study Research Support, Non-U.S. Gov't Sodium biocarbonate-based powders did not affect irregular grooves and pits, but sharp-edged elevations were markedly flattened. The Ohio State Dental Board allows Certified Dental Assistants, Registered Dental Assistants,and Registered Dental Hygienists to enroll in this training. A contraindication, then, is a symptom or condition that makes a treatment risky, such as taking certain other medications at the same time. The only stains I cannot see in my mouth are on the linguals of the maxillary anterior teeth. Esther Wilkins reports in her textbook a disadvantage to polishing after scaling. I had already decided that this was the time to try out the polishing first thing.. Are you prepared to do the procedure correctly? Some might say that polishing is not therapeutic. Ramaglia et al. What is coronal polishing? The professionals that support the Dentist consist of Dental Hygienists, Expanded Function Dental Auxiliaries and Dental Assistants. She did not like the hand scaling, and the tears in her eyes were pretty impressive, so I used the ultrasonic to complete treatment. Avoid reintroduction of bacteria immediately after SRP and NSPT. When these conditions are present, it is best to postpone coronal polishing until healing takes place. If a patient has optimal home care and no visible plaque or stain, then I dont polish. Recognize the proper positioning used/ergonomics. Exposed Cementum or Dentin Philadelphia, PA: Lippincott Williams & Wilkins: p. 6. Glycine-based powder is being promoted as less abrasive than bicarbonate-based powder, and some evidence supports this claim.5 Salerno et al. Yeah, we know. 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.. 18. For thick plaque, orange stain, and most brown stains, a coarse prophy paste is necessary to tackle the job. When these teeth have deep, stained fissures, a prophy brush with a bit of pumice works great to remove this stain. Full mouth polishing is still widely practiced but selective polishing is recommended by many educational institutions. However, if you're looking for a much more noticeable change in tooth color, other whitening options might be more appropriate. Introduction to dental specialties are discussed. No one likes the cleaning lady stigma. I proceeded as I had with the older girl, but did not expect the generalized brown stain and stained calculus the 9-year-old had on her lower anterior teeth. 1. CAST RESTORATION. Surface roughness is a factor affecting plaque/biofilm adhesion on dental surfaces in vivo. Pelka MA, Altmaier K, Petschelt A, Lohbauer U. Flemmig TF et al. As the founder of SmarterDA dental assisting exam prep solution, I would like to offer a summary on coronal polishing. Didactic: This includes not only subgingival plaque, but supragingival plaque as well. Or maybe you polished a patients teeth without checking if the patient had a medical condition that can spread through aerosol. Burwell, AK, Litkowski LJ, Greenspan DC. External cervical resorption associated with intracoronal bleaching is a serious sequela that has been reported in the literature. Some clinicians believe it is not important to remove stain the patient cannot see, but the. If the patient is stable, adherent to care, and responds well to their medical care, then sodium might not be a huge issue. Lets start with why coronal polishing is part of the dental treatment. (A) Qualifications - Within ninety days from receipt of successfully passing the standardized examination required pursuant to division (B)(5) of section 4715.39 . 2009 Sep; 70(5):363-70. 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. Additionally, the program strives to motivate students to become community-minded citizens and life-long learners. With the fast rotation of a rubber cup, particles of a polishing agent can be forced into the subepithelial tissues and create a source of irritation.. Restorative materials are not as hard as enamel and therefore are scratched easily by abrasive pastes. I may elect to selectively polish certain areas as I move through the dentition (I still scale/debride by sextant). The curriculum is approved by the Commission on Dental Accreditation of the American Dental Association and leads to an Associate of Science Degree in Dental Assisting. 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. The enamel surface is strong enough to withstand repeated tooth polishing, but it should be avoided on newly erupted teeth, exposed root surfaces and areas of demineralization. Prophy cup: I prefer a small, short [pedo size] soft rubber cup.  Previously, tooth polishing was a service provided at every hygiene appointment, due to this many patients expect this as part of the routine care.  Within the last century, Alfred Fones, the founder of dental hygiene, began educating students on coronal tooth polishing. Demonstrate clinical competency in performing coronal polishing in a preclinical setting. 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. i] (chemical engineering) In petroleum refining, removal of final traces of impurities, as for a lubricant, by clay adsorption or mild hydrogen treating. Many states allow dental assistants to perform coronal polishing. I first heard of pre-polishing when I worked as a dental assistant between 1987 and 1991. Professional removal of dental biofilm is absolutely therapeutic. 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. No one likes the cleaning lady stigma. Drugs and conditions that are contraindicated for a medication are listed on its label, and reeled off at high speed in TV ads. A pilot study. Two new products (Proclude and NuCare) are very effective desensitizing medicaments, and results have been very positive with patients with root sensitivity. It is important to use clinical judgment and remember the philosophy of individualized patient care when deciding to polish first. You have acrylic veneers or restorations that are gold or porcelain. GPAP was safe with no adverse events reported, and was perceived to be more acceptable to patients. Lindhe L, Meyle J. Peri-implant diseases: consensus report of the sixth European workshop on Periodontology. YYYY Colgate-Palmolive Company. After removing supragingival deposits, the glycine spray was applied for four to five seconds in all sites 5 mm in the test quadrant, whereas curette/ultrasonic debridement was used in the control quadrant.