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The Explorer: A great adventure!. TECHNIQUE FOCUS EXD 11/12 Presented by: Mellissa Boyd, RDH, BSDH. Calculus??. Now you see it…. Now you don’t…. How do I use the EXD 11/12?. Assessment strokes Physical strength NOT required EXD 11/12 Small, overlapping Vertical, oblique, horizontal.
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The Explorer:A great adventure! TECHNIQUE FOCUS EXD 11/12 Presented by: Mellissa Boyd, RDH, BSDH
How do I use the EXD 11/12? • Assessment strokes • Physical strength NOT required • EXD 11/12 • Small, overlapping • Vertical, oblique, horizontal • RELAXED modified pen grasp • Activation • Hand-forearm motion • Digital motion
EXD 11/12 - Specifics • Side of tip 1/3 always touches tooth • Never use point • Very light, small, overlapping strokes • Visualize contour of teeth and roots
Posterior Teeth • Select correct working end • VISUAL CHECK • Check terminal shank at DISTAL of premolar • Terminal shank will be parallel to long axis of tooth • Tip directed toward D of tooth YES NO
Adaptation & Activation • Place terminal shank @ DB line angle • tip pointed toward DISTAL • Keep terminal shank parallel to long-axis of tooth • Insert tip to base of sulcus • Small overlapping strokes • ROLL handle, advance interproximally • half way across D
Adaptation & Activation • Back out, roll handle so tip pointed toward mesial • Keep fulcrum on tooth • Explore entire Buccal surface • Keep tip sub-gingival
Adaptation & Activation • ROLL handle to keep side of tip 1/3 adapted around MB line angle • Advance interproximally • Under contact • Half way across M • Use opposite working-end for L surfaces
Anterior Teeth • VISUAL CHECK • Terminal shank will cross over midline • Working-end curves around tooth surface working toward • Side of tip 1/3 touches tooth surface (1-2mm) • NOT point
Adaptation & Activation for Anterior Teethfor R & L Handed Clinicians • Insert tip to base of sulcus at midline • Tip pointed in direction of surfaces toward • ROLL handle at line angle • Small overlapping strokes • Explore all surfaces toward, then flip ends for surfaces away • Complete all F surfaces, then L • Overlap @ midline • Use horizontal stroke R: toward / L: away R: away / L: toward
Challenges for Maintaining Adaptation • Line angles • Convex and rounded surfaces • Proximal root surfaces • Operator positioning
Why would I miss calculus? • Irregular calculus pattern • Instrument choice • Wrong explorer • Wrong end • Grasp • “Death-Grip” • Middle finger • Too much pressure • Incorrect position • Strokes • Not overlapping • Too big