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Cavitron

How do ya’ll go about explaining the Cavitron to patients? I recently worked at an office where the other hyg. never uses it, and all the patients look at me like I’m crazy for using it. Then they ask me how come the other hyg. never uses it? Also what are some your favorite tips and what settings do you usually have it on? In school we weren’t allowed to go past “2 o’clock” but when I’ve temped I’ve seen it at as high as 4 o’clock.



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8 Answers

What I’m going to use today to clean your teeth is an ultrasonic scaler. It sounds screechy, sprays water and vibrates. It makes your cleaning more comfortable instead of scraping everywhere. I still scrape a little bit, but probably not as much as you’re used to.
The bubbling action of the water with the ultrasound waves KILL bacteria. I’d rather kill the bacteria instead of move it around from place to place with hand instruments. Would you rather kill the bacteria instead of spread it around?
Do you have any areas of gum recession that “Zing” you while brushing or if you rub your fingernail between the tooth and gum line that “Zings” you or feels like an electric shock? Yes….. Well I will be very careful in those areas. I always use the ultrasonic scaler on a very low setting because the higher the setting the worse a “Zing” can be. If you don’t know about “Zings” then you probably will be fine, but I always let patients know what can happen and if it does happen to you just know this machine can and will find those “Zings” and if it does happen you know what to expect instead of catching you off guard. I will avoid those areas as much as possible. Raise your hand if at anytime anything bothers you and we will make the proper adjustments.

Benefit: there is less tissue trauma compared to hand instrumentation. Cavitation of the water and the ultrasound waves Kill bacteria.
I like the triple bend focused spray for everyday use.
I use triple bend or slim line extra thin and left and rights during S/RP or Perio Patients.
I never use the ultrasonic on recession that does not have soft/hard deposit or stain….or is sensitive.

Never turn the dial past 9 o’clock for any patient!

I can’t believe I’ve read hygienists use the ultrasonic at 2 o’clock and 4 o’clock……no wonder patients hate it and hygienists do no learn to use it on most every patient.
Yeah….a higher setting knocks calc off really fast…….but OMG are you trying to kill the patient? All hygienists that use a very high setting should try it on themselves at the same settings!
Lower the dial…… It may take a little longer. You can use the burst setting on the pedal occasionally for large calc.
Hope this helps

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Depending on the pt, I either explain the whole concept of the ultrasonic scaler or just tell them it’s a “power washer” for the teeth. I keep the setting as low as possible to avoid a mess.

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I am probably one of those hygienist that uses it less then more, I would expect if someone came in and used it on every patient my patients would wonder why and probably not like it. Every time I use it I tell my patients that it will vibrate and there is a lot of water, I let them know I will keep it suctioned out and that most patients don’t like the noise more then anything else, but if anything is uncomfortable just let me know. I keep the setting lower.

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I explain that benefits, especially calculus and stain removal…I tell them this means less scraping. I also talk about the health benefits and always hand them a tissue so they can wipe as much as they’d like. 🙂

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I tell patients that the ultrasonic is a pressure washer for the mouth (like Sally316) and that it shakes really fast and sprays water (like RDHMares). I tell patients that I will take many breaks as to not drown them. I find that many patients are quite sensitive to it; and not their gingiva, but their actual teeth (it feels like lightening!). Because of this I tend to only use it for SRPs, heavy supra calc, stain, heavy plaque, you get the drift. So when patients ask why I have to use it, I explain one of those reasons to them. This explanation goes two-fold, because I’m explaining what I’m doing and giving them a hint that homecare might not be up to par. This is also a great opening to give homecare suggestions.

Like you, I learned in school to not go past 2 o’clock; I use this power for SRPs. I use the very lowest setting I can otherwise, normally at about 9-10 o’clock, again because of sensitivity.

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I only use the Cavitron when the patient presents with a large amount of tarter, tenacious tarter or SRP. I explain to them that it’s a water instrument that vibrates and sprays water creating little bubbles that pop the tarter off easily.
A lot of patients don’t really like the Cavitron. I actually replaced a hygienist that used it on EVERY patient regardless of their specific situation. Some of my patients will say “Are you going to use that water thing” or “Why don’t you use the water instrument like the last hygienist?” I usually explain that every hygienist is different for their reasoning behind using it and that I prefer handscaling.
I use the lowest setting because let’s face it, it’s a total mess. I also offer the patient to hold the saliva ejector so they can control when they remove the water and I always give them a paper towel to wipe their face.

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Use on low setting on most or all patients throughout the day. I love the swivel hu friedy inserts especially the triple bend, slim, rt and left & universal. I explain it pretty much the same as previous posts. I’ve found that even some of the most ultra-sensitive patients prefer the ultrasonic to hand instruments.

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Also I use the high volume suction when working on anteriors unless there’s a lot of recession. I really want a blue boa!

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