Visiting the Family Dentist Cleveland for Teeth Polishing
In some states it is within legal limits to have patients' teeth polished by a dental assistant who is licensed to perform this procedure. It may be the registered dental assistant (RDA) or the expanded functions dental assis¬tant (EFDA) that would render this service. Coronal polishing is meant only to remove plaque and extrinsic stains from the natural teeth: it does not involve removal of calculus nor does it take the place of a prophylaxis. To perform coronal polishing, the dental hygienist or Family Dentist Cleveland should have removed calculus from the teeth, and the gingiva should be in a healthy state, not bleeding. Teeth are polished for the purpose of removing plaque and extrinsic stain from the clinical crown (the crown portion of the tooth that is visible in the mouth) of the teeth. However, the operator must always be alert to certain other clinical manifestations that might alter the manner of polishing. Other considerations that would affect the patient's health and well-being would be the presence of artificial joints or heart valvular dam¬age requiring antibiotic premedication.
To polish teeth adequately, the operator should be familiar with all instruments, materials, procedure, and technique required for effective coronal polishing. Patient positioning and operator positioning are of great importance for easy access and comfort. Using the third finger of the hand that holds the instrument, the opera¬tor should establish convenient locations for fulcrum (a point of rest and support that provides stability) posi¬tions while holding the hand piece or instrument in the patient's mouth. A finger rest (a pivot point that allows the hand to turn and move the instrument) is also applied while fulcruming.
The patient must be positioned for easy access, plus patient and operator comfort. The Family Dentist Cleveland will make final adjustments for the elevation of the chair and patient positioning for performance on the maxillary vs. mandibular areas. For maxillary arch, place the patient in a supine posi¬tion so that the maxilla is perpendicular to the floor when the mouth is open. For mandibular arch, place the patient in a supine position with head slightly raised so that the mandible is parallel with the floor when the mouth is open. The operator needs to he positioned in a comfortable, ergonomic (concerned with the design and structure of machines and facilities that contribute to the well-being of an individual's body), and workable place to deliver optimal care to the patient without self-injury or possible long-term debilitation.
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