Dental polishing

Re: Dental polishing

Evelyn Barbour-Hill — Sat, 12 Mar 2011 17:38:51 GMT

[quote user="Michael Woodhouse"]

[quote user="Evelyn Barbour-Hill"]

You do disconnect the oxygen in order to turn the patient, don't you?

[/quote]

Yes, but not when moving the head to elevate or access a particular tooth.

[/quote]

Well, I'm afraid I just don't see that as at all likely to dislodge the tube.

[quote user="Bob Russell"] would be less worried about a tube coming out (it can always be put back!). However we always tie tubes in to minimise the risk of trauma caused by the inflated cuff should the tube move for any reason.[/quote]

Well, I dunno, my tubes don't shift. And surely the cuff (if any) should not be so highly inflated?

[quote user="Laurence Webb"]

They're consierably cheaper than where we get our dental stuff from currently.

Do you get your dental X-ray films from them as well? And if so which ones do you use?

[/quote]

I got my films from them when I used films. Usually Kodak no.1 size and no.2 size, and Agfa Dentus no.4 size but I can't remember why. Kodak and Agfa are both perfectly good.

Re: Dental polishing

Laurence Webb — Sat, 12 Mar 2011 11:42:06 GMT

[quote user="Evelyn Barbour-Hill"]

Kent Express.

www.kentexp.com

[/quote]

They're consierably cheaper than where we get our dental stuff from currently.

Do you get your dental X-ray films from them as well? And if so which ones do you use?

Re: Dental polishing

Bob Russell — Sat, 12 Mar 2011 10:11:07 GMT

I would be less worried about a tube coming out (it can always be put back!). However we always tie tubes in to minimise the risk of trauma caused by the inflated cuff should the tube move for any reason.

Re: Dental polishing

Michael Woodhouse — Sat, 12 Mar 2011 00:14:32 GMT

[quote user="Evelyn Barbour-Hill"]

You do disconnect the oxygen in order to turn the patient, don't you?

[/quote]

Yes, but not when moving the head to elevate or access a particular tooth.

Re: Dental polishing

Evelyn Barbour-Hill — Fri, 11 Mar 2011 23:45:28 GMT

You do disconnect the oxygen in order to turn the patient, don't you?

Re: Dental polishing

Michael Woodhouse — Fri, 11 Mar 2011 23:39:11 GMT

[quote user="Evelyn Barbour-Hill"]Indeed you do. I truly cannot see why that is a problem. [/quote]

I am thinking it may be more to do with the movement of the head against the anaesthetic tubing. When doing things to the teeth. I don't know, but I did extubate a couple of animals when I didn't mean to as a new grad and they were both dentals.

Re: Dental polishing

Evelyn Barbour-Hill — Fri, 11 Mar 2011 23:35:45 GMT

[quote user="Michael Woodhouse"]Have to turn the patient over at least once and sometimes a lot more often[/quote]

Indeed you do. I truly cannot see why that is a problem.

Re: Dental polishing

Michael Woodhouse — Fri, 11 Mar 2011 23:16:54 GMT

[quote user="Evelyn Barbour-Hill"]As it happens, a dental procedure should be the least likely to shift the tube[/quote]

Personally I have found them the worst! Have to turn the patient over at least once and sometimes a lot more often [I like to finish one job before I start the next]. With a normal operation dog is put on table, connected to anaesthetic machine and the next move is disconnecting the oxygen. I always tie tubes in [or use an elastic band].

Re: Dental polishing

Evelyn Barbour-Hill — Fri, 11 Mar 2011 23:11:03 GMT

[quote user="Rob Davis"]

[quote user="Evelyn Barbour-Hill"]Ah, I should have guessed. I very rarely use such a thing. I cannot see why I would ever want to use one in a dental procedure.[/quote]

At the risk of seeming very dim..... how do you prevent your ET tube from moving if you don't tie it in?

[/quote]

It doesn't need preventing from moving, in the majority of surgical procedures. Why would it move? Apart from certain procedures where the head has to be in an odd position, or similar circumstances, then the only thing that will move it is drag from the anaesthetic apparatus. The solution is to position and secure the apparatus better, and if there is still a problem then use better-designed apparatus.

As it happens, a dental procedure should be the least likely to shift the tube, because, as well as the tube and the oesophageal stethoscope, there is the proper throat pack in the pharynx, all helping to wedge things in.

Re: Dental polishing

Mark Hedberg — Fri, 11 Mar 2011 20:18:04 GMT

[quote user="Rob Davis"]

[quote user="Evelyn Barbour-Hill"]Ah, I should have guessed. I very rarely use such a thing. I cannot see why I would ever want to use one in a dental procedure.[/quote]

At the risk of seeming very dim..... how do you prevent your ET tube from moving if you don't tie it in?

[/quote]

Maybe simply no et tube. It can be done, albeit carefully ;)

Re: Dental polishing

Rob Davis — Fri, 11 Mar 2011 19:55:34 GMT

[quote user="Evelyn Barbour-Hill"]Ah, I should have guessed. I very rarely use such a thing. I cannot see why I would ever want to use one in a dental procedure.[/quote]

At the risk of seeming very dim..... how do you prevent your ET tube from moving if you don't tie it in?

Re: Dental polishing

Evelyn Barbour-Hill — Fri, 11 Mar 2011 16:08:36 GMT

[quote user="Gerry Henry"]Went to a dental day a while back; tutor was emphatic about not using coarse polishing paste; if anybody knows a source of fine paste please post as we've been using bicarb toothpaste pro tem.[/quote]

Kent Express.

www.kentexp.com

[quote user="Gerry Henry"]Tube tie = the bit of bandage holding the tube in ... unless you were being facetious[/quote]

Ah, I should have guessed. I very rarely use such a thing. I cannot see why I would ever want to use one in a dental procedure.

Re: Dental polishing

Gerry Henry — Fri, 11 Mar 2011 10:42:25 GMT

Went to a dental day a while back; tutor was emphatic about not using coarse polishing paste; if anybody knows a source of fine paste please post as we've been using bicarb toothpaste pro tem.

Tube tie = the bit of bandage holding the tube in ... unless you were being facetious.

Re: Dental polishing

Bob Russell — Fri, 11 Mar 2011 10:40:09 GMT

Has anyone used air polishers? Amazingly like everything dental they are available on ebay!

Re: Dental polishing

Martin Atkinson — Fri, 11 Mar 2011 10:15:48 GMT

The action of the Kruuse disposable heads seems a bit agricultural compared with a steel contra angle but the benefits of cost and the lack of maintenance and need to sterilise soon overcome that. I really dont see that there would be much issue between using smooth or coarse paste on the enamel after all its a lot less traumatic than the ultrasonic scaler you've just used! I prefer the soft cups and coarse paste for the optimum feel.

Re: Dental polishing

Evelyn Barbour-Hill — Thu, 10 Mar 2011 23:36:10 GMT

[quote user="robloxley"]fine paste and soft rubber cups[/quote]

Yes.

[quote user="Rob Davis"]the disposable oscillating polisher heads from Kruuse - much less heat build up[/quote]

I regularly argue with Kruuse about that. Why should there be less heat generated? It makes no sense. You are transferring the same amount of energy from cup to tooth for a given amount of polishing whether the cup is oscillating or rotating steadily.

I also think they are clumsy compared with a steel contra-angle prophy head. [quote user="Rob Davis"]no more snagging the polisher on hair[/quote] But that's true of course.

[quote user="Rob Davis"]tube tie[/quote] What's that?

Re: Dental polishing

Rob Davis — Thu, 10 Mar 2011 14:17:36 GMT

Definitely use fine paste - the enamel in cats and dogs is much thinner than in people.

I would highly recommend the disposable oscillating polisher heads from Kruuse - much less heat build up, no more snagging the polisher on hair, tube tie etc!