1 Ultrasonic cleaning baths reduce cross-contamination of dental instruments and prostheses. Dear RDH eVillage: Just a quick question regarding using ultrasonic handpieces — piezo or magnetostrictive: Can these units be used on or near a patient with a pacemaker? Demineralized Areas Ultrasonic vibrations can remove remineralized areas Exposed Dentinal Surfaces Tooth structure can be removed and cause tooth sensitivity Restorative Material Porcelain, amalgam, resin, and laminate veneers * Introduction * Mode of action * Sonic scaling devices * Ultrasonic scaling devices * Instrument tip design * Indications * Contraindications * Efficacy and efficiency of the instruments * Precaution/ special consideration 2. Sonic and ultrasonic scaling 1. There is a variety of things to consider that make ultrasonic scalers effective and a joy to use with minimal stress on our bodies. ... the Cavitron Touch Ultrasonic Scaler will create aerosols. 1 Ultrasonic scaling is as effective as hand instrumentation for the removal of calculus and is widely used. Ultrasonic dental devices have been in use since the 1950s and are important in the armamentarium of oral health care providers. Using ultrasonic scalers on patients with pacemakers. - Handpiece assembly of an air polishing unit. The Cavitron Plus Ultrasonic Scaler is a precision engineered and manufactured instrument. Figure 3-15. Following the procedural guidelines in Section 9 of this manual can effectively control and minimize aerosol Background: The ultrasonic dental scaler is a valuable tool in the prevention of periodontal disease; however, this equipment has a number of hazards with which it is associated. ... Precautions and Contraindications You must be concerned with several precautions and contraindications to the use of the air polishing system. Question concerns the safety of ultrasonic scalers with patients who have pacemakers. It contains controls and components for ultrasonic scaling. Dental ultrasonic scalers, cleaners and drills (Note: Some patients may feel a pacing increase during dental drilling.) - Combined ultrasonic scaler and air polishing unit. Ultrasonic is an easy treatment technique even for inexperienced clinician. The system produces 30,000 strokes per second at the ultrasonic insert’s working tip that when combined with the cavitational effect of the coolant lavage creates a synergistic action that Aug 26th, 2005. This spray contains primarily a large-particle spatter of water, saliva, blood, microorganisms, and other debris. Diagnostic radiation (such as screening X-rays and mammography) Electroconvulsive therapy (such as used for certain mental disorders) Pills swallowed for video endoscopy Laser surgery I’ve been taught (as I’m sure we’ve all been), that we cannot use ultrasonics with patients that have pacemakers. Ultrasonic scaler has several clinical advantages in profylactic and periodontal treatments: Removes effectively calculus and plaque ... gain an ergonomical work habit. Avoid direct contact of the cleaning jet with soft tissue. Recent studies have been showing that it makes no difference as long as the pacemaker was installed after the 1980’s, as … Figure 3-14. Ultrasonic Scaler - Oral Contraindications for Use. ultrasonic scalers may require less time to complete subgingival debridement with decreased clinician fatigue.3,5,9,21,22 Alterations of the tooth surface are directly related to the amount of pressure applied by an instrument - less pressure, less cementum re - moved.4,5,7 Ultrasonic scaling required less … Contraindications • Ultrasonic Systems should not be used for restorative dental procedures involving the condensation of amalgam. Some will always prefer hand scaling, but a growing number of clinicians are using power scalers every day — often on every patient, unless there is a specific contraindication. A visible spray is created during the use of rotary dental and surgical instruments (e.g., handpieces, ultrasonic scalers) and air-water syringes.