About Mark Bornfeld DDS Expertise I can respond to all questions dealing with the practice of dentistry, from both the dentist`s and patient`s perspective. I am knowledgeable about all dental disciplines, from cosmetic dentistry to surgery, from restorative dentistry to root canal treatment. I have strong opinions about controversial issues in dental practice, including those topics which directly impact on the reputation of the profession in the eyes of both the lay public and our health profession colleagues.
Experience
Past/Present Clients Editor, Queens County Academy of General Dentistry newsletter; contributor to Dentistry.com 29 years practicing general dentistry partnered with brother Steve as one-half of the DentalTwins®
Question My hygienist uses a cavitron to clean all her patients teeth, because "it's easier". Is it harmful to use a cavitron on a persons teeth every 3 months for their perio maintenance?
Answer Dear Gale Burke,
All dental instruments, whether mechanical (e.g., Cavitron) or manual (curettes and scalers) have the potential for causing damage if used improperly, but will not cause damage if used in a way that is consistent with good practice. The choice of whether to use mechanical or manual instruments for periodontal maintenance is largely one of personal preference; it can be effectively performed either way.
If an ultrasonic scaler is used on a reasonable power setting, with its tip oriented in such a way that it will not gouge the surfaces of the tooth roots, and if the tip is repaired or replaced when worn, and if sufficient coolant water is used, and the tip kept moving to minimize heat generation, it will safely perform its intended function with minimal risk of damage.
By the way, a 3-month interval is now a commonly accepted standard in periodontal maintenance.
Hope this helps...
Mark Bornfeld DDS
www.dentaltwins.com
Brooklyn, NY