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Scaling sequence

Just wondering if you use a sequence when scaling and what instruments are utilized? Had my first day in the hygiene chair and felt so out of sync and ran behind on patients. I’m not use to cleaning so fast because of school lol



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I start on the anteriors and do all surfaces towards me at an 8:00 position, then move to 12:00 and do the surfaces away. I then move to the posterior starting on tooth 1 or 2 and do all surfaces toward me (again) then move chair positions and do surfaces away. I use American Eagle XP instruments; generally I use a Blackjack on the anteriors and a Barnhart 5-6 or double graceys on the posteriors. This all depends on pocket depths, amount of calculus, furcation involvement, and recession. You will get faster, it just takes time and getting into your groove! Here’s a link to another question that I went into more detail about my instrument set-ups: https://www.dentalhygieneanswers.com/american-eagle-instruments/

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I start with ultrasonic on #2 buccal and go to 15. Then #15 lingual and go to 2. Then drop to 18 buccal to 31 and lingual 31 back to 18. Then use my American eagle Black jack as an explorer removing any thing I come across and polish in the same sequence. This is for a healthy adult prophy. I’ve got many AE instruments that I use for S/RP and harder prophies. I go in this sequence just in case I’m interrupted I usually know where I was.

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