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Medical Forum / General / Dentistry / January 2005

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curettes and scales for a beginner

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treeline12345@yahoo.com - 17 Jan 2005 21:35 GMT
I finally looked at the scaler I occasionally use:
Hu Friedy SC 13/14 - lasted me a while.

I'd like to get some more scalers and some curettes. Where and what do
you
recommend? eBay? Want some fairly good stuff. And some sharpeners
too. Arkansas stone, rectangles or actual cone sticks?

What do you recommend for a beginner? I'm pretty good with tools but
I like to touch up now and then, a bit of tartar that I feel on
my teeth or at the gum line. I am not a dental person although
I once taught dental hygienists. But not how to clean teeth.

It's okay. I know my stuff somewhat. Injected chlorhexidine into a
pocket and
shrunk it and have not hurt myself with the needle but it
was blunted so unlikely. Much better than the crude dull
plastic thingees they throw at clients nowadays.

And I'm pretty good with handtools. Used the dental stuff originally
for electronic assembly boards. But need new stuff. Hate to use
dental tools loaded up with lead from the old-fashioned lead solder :)

Any thoughts? I rarely get a hygienist or dentist like the ones from
the old days. My old dentist used to love the curette. Now it's usually
fast and sloppy with the Calcitron (TM) zip zip zip
and I can feel the tartar or calculus still on my teeth. It's hard to
find
a good one now willing to take the time. Maybe I should offer
to pay three times as much??? I need to start saving up. I found a
dental
professor who loved to clean teeth but seemed to ignore everything
else.
Oh well, that's a start.
Steven Bornfeld - 17 Jan 2005 21:46 GMT
> I finally looked at the scaler I occasionally use:
> Hu Friedy SC 13/14 - lasted me a while.
[quoted text clipped - 30 lines]
> else.
> Oh well, that's a start.

OK, a couple of thoughts.

1) Don't curet your own teeth.  I'm not good enough to do it, and not to
be harsh, but it's doubtful you are.
2) A McCall 13s/14s is an excellent all-around curette.
3) Don't, don't, don't inject chlorhexidene into your gums.  Unless
you're from the Tom Hanks "Castaway" school of dentistry.

Steve
treeline12345@yahoo.com - 18 Jan 2005 18:24 GMT
Thanks. Just a little curettage, not anything else, a tad, maybe a
Columbia 13/14 or a McCall 13/14? Columbia 4L/4R?

The curette you mentioned is an exception. Is that not the only curette
with a sharp point? Trying to make your point that curettes are a no-no
(smiley here).

McCalls 13S/14S - Universal Curette - Nautical Blue. A curette
exception. Has a pointed tip with a rounded back. Very good
interproximally.

That's from PDTdental.com which has a colorful Mountain Jack Sickle and
an H5/L5 Scaler/Curette. Liked their colors.

I think you misunderstood. It's not injecting. Nothing breaking the
skin. It's a squirting with a blunt needle so that the chlorhexidine
washes out the pocket. Just a glorified mouth wash, a tad, with some
direction.

But thanks for your concern and answering my question.
Mark & Steven Bornfeld DDS - 18 Jan 2005 18:34 GMT
> Thanks. Just a little curettage, not anything else, a tad, maybe a
> Columbia 13/14 or a McCall 13/14? Columbia 4L/4R?
>
> The curette you mentioned is an exception. Is that not the only curette
> with a sharp point? Trying to make your point that curettes are a no-no
> (smiley here).

    No.  Periodontists may use a whole lot of different curettes, but I use
primarily McCalls 13/14.  I think Gracie curettes also have pointed
tips, and an extra bend in the blade.  I also use Jaquette scalers,
which probably have less potential for damage.
    The problem is not only the potential for slipping (though that's
there, for sure).  It is difficult to do scaling well, even with direct
vision.  If you ever get the chance to examine some extracted teeth and
note the contours and concavities of the roots of many teeth, you'll see
what I mean.
    Another risk is that with some of these small curettes, it is quite
easy to get the blade caught between the lower incisors.  It is possible
to dislodge it by careful turning and direct vision, but probably
difficult to do in a mirror--with potential for tooth breakage.
    Folks are going to do what they like anyway, but be careful!

Steve

> McCalls 13S/14S - Universal Curette - Nautical Blue. A curette
> exception. Has a pointed tip with a rounded back. Very good
[quoted text clipped - 9 lines]
>
> But thanks for your concern and answering my question.

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

W_B - 19 Jan 2005 20:32 GMT
>Folks are going to do what they like anyway, but be careful!
>
>Steve

The doctor that treats himself has a fool for a patient.
--

W_B

Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Treeline - 21 Jan 2005 12:01 GMT
"W_B" <no_one@nowhere.net> wrote in a noisy message:

> The doctor that treats himself has a fool for a patient.
> W_B
> wubbabubbazG@RBAGEyahoo.com

Benjamin Franklin who did many firsts, like find electricity before
waiting for a union electrician to come around said, and you might
consider this the calculus for your instrumentation, it's better to keep
quiet and have people think you are a fool than to open your mouth and
have people know you are a fool.

Don't fret about me. I'm not a doctor. And a fool can, paradoxically, be
a path to wisdom.

Chalk it up to Pareto optimality ;)
W_B - 19 Jan 2005 20:17 GMT
>3) Don't, don't, don't inject chlorhexidene into your gums.  Unless
>you're from the Tom Hanks "Castaway" school of dentistry.
>
>Steve

And just in case, have a fist sized rock and ice skate handy
--

W_B

Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
 
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