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Calculus remaining after SRP. What am I doing wrong?

I am very frustrated. I’m a newer hygienist and I had a srp today that had many areas of radiographic calculus. I felt as though I was being very thorough. I did a bitewimg X-ray at the end to make sure I got everything and there were several areas of calc still there. These were 5mm pockets so I should have gotten it. Any tips or advice? I am obviously not going deep enough or doing the right instrumentation: I used both ultrasonic and handscale. I don’t see how I could jab went any deeper though I’m obviously doing something wrong.



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3 Answers

Make sure your instruments are very sharp before you start the patient. I have been a hygienist for 35 years and find that using dull instruments is the number one reason for not removing the calculus. Make sure when you Cavitron you are using overlapping strokes. Good luck

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Do you have any files to use? I would consider using your files first followed by the ultrasonic and then your gracey’s. Also using your explorer first to get an idea where the calculus is and how deep under the pocket it is may help you before you start treatment.

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I use my gracy set up as well as mini scalers (they are great for deep calculus) as well as American eagle instruments (they are very sharp and efficient) as well as cavitron during SRP. I also use an 11/12 explorer as I go along to check my work.
When calculus is burnished it is extremely difficult to remove I have the best luck with my American eagle instruments in that case.

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