Dilation is a prophylactic work to remove dental plaque and tartar deposits, thereby also obtaining smooth, non-retentive surfaces for the bacterial plaque.
What is tartar?
Dental tartar is an oragan-mineral complex adhering to the dental surface as well as other oral solid structures, such as prosthetic works, orthodontic appliances and resulting from mineralization of the bacterial plaque.
bacterial plaque and tartar The tart has a rough surface, covered by a layer of non-mineralized bacterial plaque, different in the supra and subgingival area. Surgingival tartar or salivary tartar is a white-yellow organo-mineral deposit, lower in initial consistency, after deposition becomes soft and easily dislodged. Subgingival tartar or serum tartar is dark brown to black with a high consistency, difficult to displace, very adherent in most cases. For more details on how it is formed, why it is bad and how to prevent it, I also recommend the article “Tartrul – how it appears and how we can fight it”
Manual scrambling
Because it is a bleeding labor, subgingival scarring is particularly necessary to be followed by antibiotic treatment in patients with congenital heart disease, acute articular rheumatism, or other diseases where microbial seeding produced by detonation can occur through bacteremia.
What tools do we use for manual scrapping and how do we use it?
tartar toolsThe choice of scraper instrumentation is a very important step for success with a minimum effort of the dentist who must maintain a position as ergonomic as possible during dental practice. The supragingival detachment will be done with either raisins or scraper curettes. Manual subgingival scraping is done with universal or special curettes for scraping or stacking and subgingival scraping.
instrumental scraperControl of scraper tools ensures fixation of instruments between the fingers of the doctor to choose a good support point on the dental arch. The detonation instrumentation should be used in such a way as to allow good tactile sensitivity, easy movement in all directions required by the therapeutic act to avoid straining and muscle fatigue as well as skidding and traumatizing soft parts or neighboring teeth.
Ultrasound scraping
Ultrasonic Dismantling It is a pre-ejection of the manual denture that it can replace. The applicability of ultrasound dental ultrasound is especially performed for supragingival tarsus and less for subgingival. There are two main types of Ultrasonic Dentistry Devices:
• Piezoelectric devices
• Magnetostrictive devices
Of the two types, piezoelectric devices are better tolerated by cardiac pacemakers, cardiac pacemakers and tend to replace the magnetorestrictive ones. The active part has one of the following shapes: spatula, sickle and probe. In the patient, it is positioned parallel to the surface of the tooth, and the movements will also be made parallel to the dental surface with a slight pressure from the doctor.
When do we indicate ultrasonic scrap?
Surgingival tart
Colorful stains on enamel
The tartar in the gingival ditch
Ulcero-necrotic gingivostomatism, with deposits of tartar
In haemophiliac patients, being less traumatic than manual
In surgical interventions, in case of very adherent deposits
The current trend is to replace manual and ultrasonic scrap, the latter being a modern, ergonomic and more effective means of removing tartar. Also ultrasound is less painful, better supported by patients and less traumatic than dental structures.