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What do you think about a hygienist that never picks up a hand scaler during SRP and only uses the ultrasonic?

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Depending on the insert(s) used, some research has shown that ultrasonic scaling is as effective as hand instrumentation. Here’s a study for example: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3928767/ With that said, the dental hygiene educators I know teach the use of ultrasonics should be followed by hand scaling for the most effective clinical outcomes. Personally, I wouldn’t feel like I treated a patient thoroughly without using both hand instruments and an ultrasonic. I feel I have more tactile sense with hand instruments too.

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