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Coarse Prophy Polish

So, in my office we have Nupro brand coarse grit for our adult pts, but even with that I feel like it doesn’t do anything! I will try to cavi off most of it, but if there is still some stain I will polish…finished polishing the rest of the mouth and go back to the stained areas with polish again, but still after I rinse there is stain left! Drives e mad! (And I’m not talking about interproximal stain that the rubber cup can’t reach, either) Is anyone else having this issue?! You’d think with coarse it would remove stain! Please help!



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Extrinsic stain is the worst! Finding the cause of the stain to avoid it all together, or at least make it less severe, is the easiest. Are they using a stannous fluoride toothpaste or mouthwash with cetylpyridinium chloride (CPC)? These can cause stain for some people. Have you gone over their brushing technique? Are they using an electric toothbrush with the proper technique to help keep stain in check? Does their recall schedule need to be tightened up to remove stain more often (3-4 month recall)? Figuring out what is causing the stain is can really help.
 
Beyond that, sometimes polishing with a pumice and hydrogen peroxide slurry can be helpful. If you have access to an air polisher, that would ultimately be best. Also, when using coarse paste on a patient, be sure to follow it up with fine paste to avoid any abrasion that could increase surface area for stain (and biofilm) to adhere to.

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