Post on 18-Jan-2018
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CORONAL POLISH
Coronal Polish Not a Prophylaxis
Part of a prophy. NO scaling!
Tartar / Calculus Hygienist / Doctor
Coronal polish: Is the removal of
plaque and stain from the crown (coronal) portion of the tooth.
EFDA can do this!
Coronal Polish Removing..?
Soft deposits Food debris Plaque
Colonies of bacteria Stain
Extrinsic Outside of the
tooth. Food Drink Tobacco
Crown of the tooth. Clinical crown
Part of the tooth you ‘see’ w/ looking in the mouth.
Polish the clinical crown.
Including exposed root surface.
Anatomical Crown? Part of tooth covered
w/ enamel
Indications/Contra-indications Indications
Plaque present Stain
Extrinsic Fluoride absorption Sealant placement Placement of Ortho
appliances Encourages good oral
hygiene.
Contra-indications / modifications. Bleeding/sensitive
gums Ortho appliances
present Hypersensitive teeth Cold sores No ‘pre-med’ No plaque/stain
Stains Extrinsic
Outside of the tooth Intrinsic
Inside of the tooth. Endogenous
Before eruption Exogenous
After eruption All extrinsic stains
are exogenous.
Extrinsic stain
Intrinsic stain
Stain examples Extrinsic
Food Coffee / Tea Tobacco Green stain.
Mold Orange / yellow /
brown stain Black line stain Chlorhexidine stain
Rx mouth rinse
Intrinsic Fluorosis Tetracycline
Antibiotic Necrotic pulp
Trauma RCT Amalgam stain Genetics
Dentinogenesis imperfecta
Picture is worth a 1000 words….
Frictional Heat Heat generated by:
2 moving objects rubbing together
1moving object rubbing against a stationary object.
Controlled by. Time Speed Pressure Dryness
Lack of moisture Type of abrasive
material Coarse vs. fine
Amount of abrasive material
Polishing Slow/low speed hp
Right angle / prophy attachment
Fulcrum Intraoral Extraoral
Start in the post. Buccal or lingual Work towards anterior
teeth Repeat on opposing
surface.
Stroke Start at gums
Move towards occlusal / incisal surface.
Slow – even speed. Overlapping
Like mowing your lawn.
3 strokes per tooth. Guideline More or less to clean
the surface of the tooth
Associated Vocabulary Words (not every one on the list!) Supragingival
Above the gums Subgingival
Below the gums Bridge threader
Aids in flossing under fixed appliances
Interdental papilla Point of gums between
the teeth.
Interproximal brush Cleans between the
proximal surfaces. Mesial Distal
Prophy brush Used to clean
Around ortho Pits and fissures Instead of a prophy
cup.
Things to remember Maintain professional
standards. Never diagnose! Always review and
check medical Hx. Be aware of
Infection control Asepsis Cross-contamination
Ask for help w/ needed. Fulcrum, Fulcrum, Fulcrum! Ask questions if unsure
of what you are doing.
Coronal polish will be demonstrated in the lab.
Conclusion
Coronal polish is a treatment. You are the provider. Make sure you understand
Different types of stains. When they occur Where they occur
Indications and of course… Contra-indications.
Any Questions????