CORONAL POLISH SCALING OF TEETH IS INDICATED PRIOR TO POLISHING Who can perform scaling DDS or RDH Who can perform coronal polishing RDA - Dentist Determines Supervision OBJECTIVES OF CORONAL POLISHING Remove soft deposit and stain from the coronal portion of the tooth Cleaning without injury to gingiva Establish a glossy mirror like coronal surface that reflects light TEETH CAN BE POLISHED BEFORE Banding / bonding procedures Rubber dam application Application of fluoride Others? PURPOSE OF THE PRECORONAL POLISH CHECK BY DDS To diagnosis before treatment Determines degree of difficulty Permits scaling by DDS or RDH Assures pt. needs the procedure Selective Polishing Does not replace an oral prophylaxis OPERATOR POSITION DURING CORONAL POLISHINGArms at waist level and even with the patient’s mouth Back straight Feet flat on floor FULCRUM DIGIT USED FOR MODIFIED PEN GRASP Ring finger Use an intra oral fulcrum – hard tissue (teeth) Ideally normally maintained in the same arch as the area being worked on FOR CORONAL POLISH USE Low speed handpiece MAXIMUM speed is 20,000 rpm WHY DO WE USE LIGHT PRESSURE WHEN POLISHING WITH ARUBBER CUP OR BRUSH To prevent damage to the pulp RUBBER CUP POLISHING STROKE MAY INCLUDE A stroke that begins at the gingival 1/3 Use light pressure while flaring cup slightly Use cup with a patting, wiping motion Tilt cup into IP areas WHY DO WE USE A MOUTH MIRROR Retraction - cheek, tongue Furnish indirect vision Reflect light WHAT AIDS CAN BE USED IN THE IP AREA Floss and fine grade abrasive A fine grade abrasive strip
