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Powerscaling
Finals
41
Other
Graduate
04/15/2013

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Term
Sonic powerscaler
Definition
• Functions in the audible range
• 2500 - 7,000 cps (cycles per second) or Hz
• Attaches to a conventional handpiece
• Driven by compresses air
• orbital or elliptical tip movement
• All surfaces active
• Water to cool friction and lavage
Term
Ultrasonic - Piezoelectric
Definition
• Functions above audible range
• 29, 000 to 50, 000 cps or Hz
• Ceramic transducer w/in the handpiece
• Linear tip movement
• Lateral surfaces more active
• Less heat produced
Term
Ultrasonic - Magnetostrictive
Definition
• Functions above audible range
• 20, 000 to 42, 0000 cps or Hz
• Ferromagnetic transducer-stack of flat metal strips connected to a tip
• Elliptical tip movement
• All surfaces active
• Vibrations shatter deposits
Term
Water control
Definition
• regulates volume
• Cools stack and tip
• Lubricates for easy insertion
• Flushes debris
Term
Power control
Definition
• Regulates stroke length
• Regulates distance the tip travels
Term
higher / lower
Definition
____ power delivers a longer, more powerful stroke (aplitude), while ___ power delivers a shorter, less powerful stroke
Term
lowest
Definition
Use highest or lowest effective power setting for increased patient comfort and longer instrument life
Term
low to medium (half) power setting
Definition
on what setting is the thin tip insert design used on?
Term
25kHz
Definition
What frequency?
25, 000 cps, longer stack length
Term
30 kHz
Definition
30, 000 cps, shorter stack length, shorter stroke length
Term
Frequency control
Definition
• Number of tip cycles per second
• Fine tune tip vibration
Term
Active tip area
Definition
What is the portion of tip capable of doing work. Affected by frequency
Term
approx. 4.3 mm
Definition
What is the active tip area if the frequency is 25-30 kHz range?
Term
less than 2.4 mm
Definition
What is the active tip area if the frequency is 40-50 kHz range?
Term
smaller
Definition
The higher the frequency, the smaller or bigger active tip area requiring more strokes to cover same area
Term
insert tip
Definition
metal portion that does the work (about 4mm of active tip is used)
Term
o-ring
Definition
removable, prevents leakage and allows for that tip to sit snuggly into the handle
Term
light to heavy
Definition
__to __ debris removal; power up a little higher; nice overspray with maybe a drop of water
Term
light debris removal and deplaquing
Definition
___ debris removal and ____; power down low; more water drip and very little halo or overspray
Term
point of tip
Definition
most powerful (don’t put direct tip directly in contact with tooth; a lot of power and may damage to tooth)
Term
concave surface
Definition
inner aspect; second most powerful; use for distal surface
Term
lateral surface
Definition
Where is the power surface on a piezoelectric?
Term
Original P-style
Definition
curved tip, average to heavy calculus
Term
#10
Definition
• - long fairly straight design
• - 1 curve shank with tapered tip
• -supragingival or subgingival
• - moderate to heavy subgingival calculus
Term
#100
Definition
• - removal of moderate to heavy calculus and stain
• - 2 bend, straight shank with tapered tip
• - supra or sub
Term
#1000
Definition
• - gross removal of moderate to heavy tenacious calculus
• - 3 curve shank with tapered tip
• - access to line angles and interproximal surfaces
• - supragingival use
Term
#3 or Beaver tail
Definition
• - gross removal of moderate to heavy calculus and stain (large bridges and ledges of calculus) and removal of orthodontic cement
• - 1 curve shank with tapered blunt tip
• - supragingival use
Term
Slim inserts/tips
Definition
• - plaque and biofilm light, moderate deposits
• - 40% thinner than standard
• LIGHT deposits
Term
Right tip
Definition
Which tip do you use for mandibular right buccal and mandibular left lingual and maxillary right lingual and maxillary left buccal?
Term
Left tip
Definition
Which tip do you use for mandibular left buccal and mandibular right lingual and maxillary left lingual and maxillary right buccal?
Term
• Reduced clinician fatigue
• less repetitive stress
• Increased access
• less tissue distention
• potential for antimicrobial delivery
• lavage washes toxic products
• shorter instrumentation time
Definition
What are the advantages of using a powerscaler?
Term
• some handpieces cannot be sterilized
• portability
• evacuation needed
• Aerosol production
• less tactile sensitivity
• noise/vibration
• expense
• heat production
Definition
What are the disadvantages of using a powerscaler?
Term
• unshielded cardiac pacemakers (only for magnetostrictive)
• patients w/ HBV, HCV, TB, Respiratory dz
• medically compromised patients susceptible to infection
• patients at respiratory risk
• patients w/ dysphagia or prone to gagging
• age
Definition
What are the medical contraindications to using a powerscaler
Term
• titanium implants
• restorative materials: porcelain, composites, veneer
• areas of demineralization
• hypersensitive teeth
Definition
What are the dental considerations when using a powerscaler
Term
cavitation
Definition
collapsing bubbles in fluid destroy bacteria by tearing the cell walls
Term
accoustical turbulence
Definition
swirling effect disrupts the plaque biofilm
Term
• increases tactile sensitivity
• reduces clinician fatigue
• increases patient comfort
Definition
What are the advantages of using a light grasp
Term
Vibratory motion
Definition
What causes the calculus to shatter?
Term
• encourages smooth, continous motion
• promotes light lateral pressure
• enables biocentric hand positioning
Definition
What are the advantages of using a firm fulcrum?
Term
parallel / zero / lateral
Definition
Tip adaptation should be:
• ___ to tooth surface
• tip angulation near ___ degrees
• little or no ___ pressure
Term
25% / 50%
Definition
• 1mm loss can result in __% efficiency
• 2mm loss can result in __% efficiency
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