You're welcome. Don't forget to like and share the video to help boost the channel 😊

Darina is amazing! Are there any other topics you'd like her to cover?

We're glad you found the video helpful 😊. We love the support ❤️

You are so welcome. Feel free to share with anyone you think this will help. It'll help boost the channel too 😊

How did your first root planing go? Thanks for the feedback. I'll try and find some less distracting music (would love any recommendations 😊).

Please consider not playing music at all. I find it difficult to concentrate to teaching videos in particular when there is background music. Other wise good job on the demo and explanations.

​​@@DrTiv for educational videos don't add any background music it just disturbs the concentration on the teaching.

All great questions! I would personally always remove subgingival calculus under LA. The patient will be more comfortable and you will be able to do a better job. Depending on the area of the mouth, I usually do infiltrations or IAN block for lower teeth. Depending on severity you could treat in quadrants, sextants or even half a mouth at a time. When deciding you should take into account your level of experience and depth of pockets. Most commonly I do 60min per quadrant. If you have periodontal abscess present and mobility, the disease has progressed to a severe stage. Consider prescribing antibiotics in addition to root planing. Focus on your patient communication and setting expectations in severe cases. The patient must understand the prognosis before beginning root planing. You can treat mobile teeth but be careful to support the tooth so you don't accidentally extract it with your graceys. Root planing will not reverse mobility as the bone has already been lost. Bone will also not regenerate through root planing. You are merely preventing further loss of bone and helping reduce further gingival inflammation and destruction. If you do a good job and the patient follows strict oral hygiene at home, hopefully you will see a reduction in periodontal pocket depths. If the case is beyond your level of expertise or if the patient would like to explore other treatment options for gum disease or bone regeneration you may refer the patient to a periodontist. Hope this helps :)

Great question, I used nail polish. You can also mix sand into it to give it more of a calculus texture

I have an acadental typodont and the “calculus” is brown flat stain like, (even intrinsic). There is no dimension to simulate even the slightest “calculus”I’m wondering if the manikin exam has true, explorable calculus? I understand the need to practice instrument adaptation, stroke, etc. and I sure get plenty of that 😊. Thank you for the above demon.

I usually use gracey 1/2 only for all anterior teeth 3-3 (which includes canines)

It depends on the brand but usually they will have numbers like "11/12" written on them. With some experience you'll find you won't need to look for numbers any more as you'll know by the shape of the instrument which is which

@@darinanirmalann4849 thank you so much your tutorials are helpful! You're a good teacher please do more dental hygiene and therapy related videos

by the touch

@@ksenijastojkovski6836 oh wow, thanks, that's impressive, need a lot practice if only by touch.

Using an explorer to detect where the calculus is, it has a different more vibratory feeling than going over just enamel

@@kenzie9384 yeah I just finished my first visit for deep cleaning today, and I confirmed it with my own experience. When my dentist using the instrument I can clearly feel the touch of the surface when it is not smooth. Secondly she use some needle like stuff during the procedure, it just feel like the same thing she used last time for detecting the depth of my pocket, now by reading your comment I know it's the explorer that you mentioned. Thank you.

@@liu3gz needle is used for irrigation the pocket and cleaning the pocket, have a great day!

Yes it is true it is a little more challenge in the mouth and you also forgot all the bleeding that happens! Sometimes a lip retractor such as an optragate can help. A bite block can help the patient open wider & relax the jaws too. If you're working on the lower teeth the tongue should not be an issue with LA, especially if you do an IAN block & anaesthetise the lingual nerve too. In the upper teeth the tongue is usually not an issue