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What Piezo Scaler setting should I be using?

I recently started a new job where I need to use a piezo scaler. I have never used one before and I asked the dentist and other hygienist what setting I should be using (it’s on a 0-100% scale) and they told me 85-90%. Almost every patient I have had has been jumping out of their seat with sensitivity and when I lowered the setting I was told to change it back because it wasn’t working well.



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1 Answer

You want to use the lowest power setting to get the job done. The power setting also depends on what tip you are using; slim tips should be used at a lower power setting, while larger tips (for heavy calculus) can be used at higher power settings. If you use a slim tip at a high power setting you can damage tissue and tooth structure, burnish calculus, damage the tip, and it’s not comfortable for the patient. There isn’t a “cookie cutter” setting that covers all patients and all tips, like having the power at 85-90% for all patients like you were told. I can’t imagine all patients need the power that high, nor is that power level appropriate for all tips.

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