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Using piezo or cavitron on everyone?

Our office currently uses a piezo during scaling and root planing but that is usually it. We are debating on starting to use it on everyone to improve appointment times, efficiency and overall treatment for the patient. Obviously there will be contraindications for some patients but are any of you using like this? What are any challenges you’ve faced and do you have any tips?



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10 Answers

Im a sole handscaler by choice.. a past hygienist conned my Dr into getting the Piezo and now im stuck with it.. I have the hu-friedy piezo and feel its VERY bulky so its extremely hard to use on pts with limited opening and it isn’t as easy to use as a cavitron becuase it is technique sensitive.. I do however, use the Piezo if I have to and always with SRP.. I also feel more confident in my handscaling and feel when I use the Piezo it takes me much longer..

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I’m with MarlenaRDH and Lrskda and only use the ultrasonic “as needed” like SRP, heavy supra on the lower lingual anteriors, heavy plaque, ortho, heavy stain, etc. I find that so many patients are sensitive to the ultrasonic, even on a low setting, that they are afraid of having their teeth cleaned because they think it “has” to be used (this is my experience). I have a severe clinching issue which makes my teeth extremely sensitive – I cannot handle the ultrasonic so I will not put my patients through that if they don’t need it! In my research I have found that the ultrasonic is NOT better than hand scaling. Plus the use of an ultrasonic should be followed by handscaling anyway, so why do more work?
http://www.scielo.br/scielo.php?pid=S1678-77572012000100005&script=sci_arttext
http://www.ncbi.nlm.nih.gov/pubmed/3292754
http://www.dimensionsofdentalhygiene.com/print.aspx?id=13010

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Use ultrasonic on everyone. Most children like it too. I won’t use it on children that aren’t comfortable with it. Ortho patients I use no matter what. I have the blue boa with the hygoformic suction that is hooked into the HVE. I have to bend the suction different ways for older patients with extra tissue etc. The cavitron did have a light cover that fit over the hand piece, but it was discontinued. It was great while I had the light.

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There are many studies that show that ultra-sonics have many clinical benefits. I love using it but, still use my hand scalers to smooth. Just my way of doing things, I have a colleague that uses just her US and is able to do it all. 🙂

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I love using the cavitron but with some pts who have (it seems silly) like a bigger tongue that takes up a lot of space, it is very difficult logistically to get the suction in a proper spot! That’s the biggest struggle I’ve had with it. Otherwise i’d use that (followed by touch up with hand inst) every time. And I always use it first on SRPs and perio maintenance pts.

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Cavitron is my lifesaver! I love using it during prophy or even SRP. However, I only handscale if the patients have sensitive teeth during a regular cleaning. I do find that the cavitron is more time efficient and most pt feels a lot cleaner after its use. Also, I go back with fine handscaling afterwards. Some patients don’t like it because it sprays water so it’s good to ask for their opinions too.

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What brand you use would be helpful also!

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I like to use a cavitron on everyone as long as there are no contraindications and as long as the patient is not too sensitive to it. For me it helps remove most of the plaque, calc, and stain so I don’t have to handscale or polish nearly as long as I would without it. And it is a MUST for ortho patients 🙂

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I also will typically cavitation everyone unless there is a reason not to. The benefits of a cavitation are great! I will even use it to de plaque patients if they do not have heavy calc. It is a lifesaver with ortho patients!!

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I am a predominate hand scaler. I know the benefits of US and always use them with SRP and PMT. I believe you need some of both. However, as long as you achieve the end result it ultimately doesn’t matter how you got there!

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