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Lower Anterior Calculus

I have been working as a hygienist for several months now. Twice it has been brought to my attention that I am missing interproximal calculus on the lower anterior. I would never purposely leave calculus behind, and this is the only area where it seems to be an issue. For some reason, I am just not seeing it. Any advice on how to troubleshoot this issue? I was very strong clinically in school. I can’t figure out whY I seem to be having this issue now, but it’s embarrassing and discouraging. Thoughts?



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5 Answers

Are you using ultrasonic or piezo along with sharp hand instruments? I know that the tried and true method for missed calculus detection is AIR. Just when you think you’ve gotten it all off rinse and dry again and there’s always a tiny spot missed. Are you using loupes with light? Air is your best friend. Try it.

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I agree with Hygenius, using air helps to see the calculus that you missed. I’ll also take my floss and slowly feel interproximal and that helps to detect the larger pieces.

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Sit in twelve o’clock position and then blow air. This is usually position DDS checking patient. Light and loupes help tons also

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Thanks everyone! I have also found that if I sit at 8:00 and use indirect vision I will see things I didn’t see before.

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I love using the 204s on the anteriors! I feel like the sharp tip gets interproximal really well, sometimes better than anterior specific scalers.

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