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Educational Workshop Armamentarium for Burnished Calculus Management Lecturer: Dr. Consolata Pejrone Part Code: HF-018GB
NON SURGICAL INSTRUMENTATION BASIC
Basic instrumentation for non-surgical maintenance therapy
LEARNING OUTCOMES
The objective of the course is to develop the students‘ knowledge of basic non- surgical periodontal hand instrumentation, the use of curettes and scalers (scaling and root-planing techniques) and their maintenance (instru- ments sharpening). At the end of the seminar, the students will be able to recognize and choose hand instruments like scalers, uni- versal curettes and area- specific curettes (Graceys) and how to implement them on typodont models.
PART 1 THEORETICAL PART • Basic concepts of dental anatomy and fulcrums • Clinician positioning around the patient • Use of periodontal probes and explorers • Use of scalers for supragingival debridement • Use of curettes for supra and subgingival curettes PART 2 PRACTICE ON TYPODONTS • Clinician positioning around the patient • Intraoral fulcrums and extraoral fulcrums • Implementation of periodontal probes and explorers • Implementation of scalers (anterior and posterior) on the healthy or periodontal maintenance patient • Implementation of universal curettes on the healthy or periodontal maintenance patient • Implementation of area-specific curettes (Graceys) on the healthy or periodontal maintenance patient
EDUCATIONAL WORKSHOP ARMAMENTARIUM FOR BURNISHED CALCULUS MANAGEMENT Lecturer: Dr. Consolata Pejrone
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LEVEL 1
ERGONOMICS IN A SCALER
The choice of a particular ergonomic design of a hand
maneuver and rolling in between the fingers), unbalanced dull instruments. Same for the posture, the equipment and the
scaler or curette can have strong implications on hygienists and patients. The proactive search of the best tools can be a strategy to prevent pain and to
ERGONOMICS IN A SCALER DR. CONSOLATA PEJRONE
of design-test-revise allowed to make evidence on key factors like reduction of pinch force of the fingers around the handle and pressure on the tooth. Harmony™ are the first scalers with a science-based design. LOOK AND TRY The Harmony™ Handle is perfect for a modified pen grasp: the tapered shape invites and improves the coupling of the finger pads during high force pulling motion required for scaling. Moreover the difference of diameter along the handle allows the grasp to change position while adapting the working end to the different areas of the mouth: another hint to distress the pinching too forcefully the instrument and avoid cramps and rigidity. Adaptation to all hand sizes is also facilitated by the recessed double-helix knurling pattern surface texture assuring a safe
Educational Article Ergonomics in a Scaler Lecturer: Dr. Consolata Pejrone Part Code: HFL-725GB
environment: a weak fulcrum, an inaccurate grasp (i.e. uncontrolled hyperextended finger joints), poor lighting, the incorrect clinician posture on the stool, a poor variation in clinical procedures and an unbalanced work-life balance can be of serious impact for the overall health of the clinician. ERGONOMICS IS SCIENCE The design of an ergonomic instrument cannot be intuitive or based on assumptions: it has to be the result of test data and empirical. TrueFit™ Technology is an advanced sensor- based technology that, for the first time in the dental field, gives voice to a scientific approach to ergonomics. This sensor- based system is capable of measuring touch sensitivity and pressure on the tooth. Similar to software engineering, this iterative development process allowed the research department of HuFriedyGroup to collect 2 878 320 data points from hygienists around the world, with no bias to the brand nor product preference, who participated in testing several different handle design. The data were finally revised and elaborated by an unbiased analytics firm outside the dental industry. This step-by-step approach
protect the hand health of the clinicians as well as add evident comfort to the patient.
MUSCULOSKELETAL DISORDERS (MSDs) MSDs are not rare nor uncommon among dental clinicians and hygienists are at greater risk for chronic pain due to the repetitive nature of their job. MSDs are defined as injury of the bones, joints, ligaments, tendons, cartilage, nerves, blood vessels and/or muscles of the hand, arms, neck, back, legs or any combination. Very debilitating! Attention to its diagnosis and treatment need to be just as immediate as signs or symptoms appear. One may experience aches, stiffness, burning sensation in the muscles, fatigue, twitches, up to chronic headaches and sleep disturbances. Same for joint noises, tingling, inflammation, weakness and a decreased range of motion. Pain comes suddenly and relentlessly affecting professional performance causing the inability to maintain an enjoyable workplace environment and a high-quality lifestyle. ERGONOMICS IS PREVENTION We can’t assume we will continue to remain healthy if we don’t consider ergonomics. Especially for those hygienists who scale by hand, practicing good ergonomics, avoiding pain and wrist protection, prevents long-term issues associated with MSDs. Inevitable forcefully pinching between thumb and index, repetitive strain and cumulative trauma can also be worsened by anti-ergonomic choices of the instruments: too heavy instruments (>25 gr), too smooth or thin (<0.6mm) handles, inadequate shape of the handle (that doesn’t enable an easy
29.75
61.59 51.7%
63.29 52.2%
63.13 52.9%
86.19 65.5%
Baseline
and easy rolling of the instrument between the fingers. The final results are very encouraging: there is a good combination of decrease pinch force against the handle (65% compared to other ergonomic scaler design), minor pressure needed against the tooth (37% less compared to other leading scaler handle design) that results in significant and precious patient comfort without sacrificing effectiveness. The combination of these obtained features with the EverEdge™ 2.0 Technology of outstanding sharpness of the cutting edge (72% sharper than the next leading competitor) gives evidence to the efficiency, comfort and ergonomic qualities in one instrument.
Author: Consolata Pejrone
Dr. Pejrone has a Certificate Degree in Dental Hygiene from Forsyth School for Dental Hygienists and a Associate Degree of Science in Dental Hygiene by the Northeastern University in Boston, Massachusetts (USA). She had obtained the Expanded Functions for Dental Hygienists certified by the University of California, Los Angeles (USA). After completing her undergraduate degree in Genoa, Italy, she attended the post graduate course in Community Health and WHO procedures by the Chair of Pedodontics at the University of Milan, Italy and got the Masters Degree in Preventive Dentistry by the University La Sapienza of Rome, Italy. Teacher for over 25 years, faculty member in the Dental Hygiene School at the University of Turin, Italy.
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Hu-Friedy Harmony™ Scaler Handle
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REFERENCES 1. Netanely S, Luria S, Langer D. Musculoskeletal disorders among dental hygienists and students of dental hygiene. Int J Dent Hyg. 2020; 18(2): 210-216. 2. Hayes M, Cockrell D, Smith DR. A systematic review of musculo skeletaldisorders among dental professionals. Int J Dent Hyg. 2009; 7(3): 159-65. 3. Lalumandier JA, McPhee SD. Prevalence and risk factors of hand problems and carpal tunnel syndrome among dental hygienists. J Dent Hyg. 2001; 75(2):130-4. 4. Rempel D, Lee DL, Dawson K, Loomer P. The effect of periodontal curette handle weight and diameter on arm pain: a four-month randomized controlled trial. J Am Dent Assoc. 2012 Oct; 143(10):1105-13. 5. Mulimani P, Hoe VC, Hayes MJ, Idiculla JJ, Abas AB, Karanth L. Ergonomic interventions for preventing musculoskeletal disorders in dental care practitioners. Cochrane Database Syst Rev. 2018; 10(10):CD011261. 6. Dong H, Barr A, Loomer P, Laroche C, Young E, Rempel D. The effects of periodontal instrument handle design on hand muscle load and pinch force. J Am Dent Assoc. 2006; 137(8):1123-30. 7. Dong H, Loomer P, Barr A, Laroche C, Young E, Rempel D. The effect of tool handle shape on hand nuscle load and pinch force in a simulated dental scaling task. Appl Ergon. 2007; 38(5); 525-531. 8. Michalak-Turcotte C. Controlling dental hygiene work-related musculoskeletal disorders: the ergonomic process. J Dent Hyg. 2000; 74(1):41-48. 9. Villanueva A, Dong H, Rempel D. A biomechanical analysis of applied pinch force during periodontal scaling. J Biomech. 2007; 40(9): 1910-15. 10. Hayes MJ. The effect of stainless steel and silicone instruments on hand comfort and strength: a pilot study. J Dent Hyg. 2017; 91(2):40-44. 11. Villa-Forte A. Musculoskeletal pain. Merck Manual Consumer Version Updated Feb 2021.Accessed Jan 7, 2022.https//www.merckmanuals.com/home/bone, joint,-and-muscle-disorders/ symptoms-of-musculoskeletal-disorders/musculoskeletal-pain.
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Educational Workshop Guide to a better Practice Lecturer: Anna Busia Part Code: HFL-653GB
The Impact of IMS™ Cassettes
When Considering Instrument Management
With IMS™ Cassettes, finally everything is at hand. We no longer waste time looking for an instrument in the drawers or even the consumables.
Types of Facilities
A. Private Practices Dentists who own private practices are business owners. They need to drive revenue while improving cost savings, efficiency, and staff retention. B. Specialty Practices Specialty practices, such as oral surgery or orthodontic offices, see a high number of patients each day, so safety and efficiency are critical so they can focus on each patient.
C. Community Health Centers and Public Health Facilities These facilities are funded by the government so cost savings is important. Compliance is also top of mind as they face scrutiny for meeting the established standards. D. Multi-Location Group Practices Run like corporations, these operations look for standardization and cost savings across locations. They also typically have an individual in charge of ensuring compliance.
Dr. Oliver Schäfer Germany
TOP REASONS FACILITIES CHOSE IMS ™ CASSETTES
$
Signs of Inefficiency
100% Improve safety and infection control protocols
100% Protect instruments and reduce costs
94% Improve organization
84% Increase eciency and save time
100 GUIDE TO A BETTER PRACTICE
Dirty trays stacked in the sterilization area Instrument packs waiting to be sterilized Staff rushing back and forth between the sterilization room and the operatories Operatories not cleaned up in a timely manner
Facility using multiple types of sorting techniques (pouches, ponytail holders, plastic steri boxes, etc.) Backed up waiting room Broken/damaged/stained instruments CLICK HERE FOR MORE INFO
TOP BENEFITS OF USING IMS ™ CASSETTES
78% 78% 78% 68%
52%
50
Questions About Processes
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A. What would help save you time during your day? B. How often do you or a team member leave the patient to search for an instrument? How does this impact the patient experience? C. How would being more productive and organized in your facility help to save time and money? D. How prepared are you to give your patients a tour of your current sterilization area? E. How do you respond to your patient’s questions about safety and compliance? F. What would you change about your current instrument reprocessing procedures?
G. How many referrals do you get annually? H. How are you fully utilizing the talents of your staff? I. What are you doing differently in sterilizing your instruments than you were a year ago? J. How do you stay up to date on changing infection control standards and regulations? K. What do you like about your sterilization area and what would you change if you could? L. What is you and your staff’s experience with cassettes?
Improved compliance with guidelines
Made oce more professional
Saved us time
Improved patient experience
Decreased sharps injuries
HOW CUSTOMERS FEEL ABOUT IMS ™ CASSETTES
$ 100 %
95 %
100 %
Improved our organization
Worth the investment
Satisfaction rating
Data on file. Based o survey conducted May 6 through June 1, 2020 with current users of the IMS ™ Cassettes.
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