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Being more effective with Cavitron

I have a frustration that keeps coming up in my appts on and off. I will get a patient whose X-rays don’t seem to have too much calc. Then I will get started with Cavitron and go back through with HS, and find a lot of calc interprox and gumline sub. I have two questions about it. One is I feel I end up taking too much time on the patient because I was not expecting so much calc, and therefore didn’t decide to make it two appts maybe? The second is, I don’t feel I’m being effective enough with Cavitron or I would have gotten more of that IP calc off and have an easier time when I handscale. Because I can’t feel the calc with Cavitron I pass over it I know. Any ideas on how I can fix this issue? Thank you.



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2 Answers

I have also had that happen. Do you have more than one kind of cavitron tip? Maybe switch to a thinner or thicker one depending what you started with. Is this patient coming to you with probing already done? If not I probe first. That sometimes will give you a feel for how much is there. Otherwise maybe use your explorer first to check areas before you start to scale. Even if you just quick check posterior teeth Otherwise as you get done on a quadrant check with explorer. Then if it seems like one appt is not enough time to finish you can let them know sooner and not rush

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You may want to try to use a slim tip to help with being able to get interproximal. One thing that I do sometimes if I see I have missed a decent amount of calculus with the ultrasonic is I go back with the ultrasonic in those spots, but I will take the tip and feel sub with it like how I would with an explorer, then I will activate the ultrasonic and get it off. That seems to work well for me. It does take some extra time to go back in to feel it with the tip, but it ultimately makes it faster because removing it with the ultrasonic sames with since you don’t have to remove as much with the hand scaler. Also just try to make an effort to take the ultrasonic more interproximal than you normally would and take it a little sub to make sure you are getting everything. When I go around the tooth, I take it interpromimal, then I go around with the tip like a probe so I can make sure I am getting the calculus and plaque that is right at the gumline and just sub. I have found that there are some patients that I have to ask to come back just because the buildup is too heavy to get done in my normal scheduled hygiene time. For the most part, my patients are fine with it and understand. Those cases are usually people that are late with their recall and they understand that it can take more time.

Hope this helps, and good luck!

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