牙周非手术治疗讲义.ppt

Handle Options 提高探诊及治疗中的敏感度 粗柄：手是放松姿态，敏感度提高 细柄：手姿紧张，易疲劳，敏感度下降 手工器械的选择 手柄 探针 口镜 龈上洁治 Gracey高级细刮 区域特定型刮治器 PCPUNC 15University of North Carolina Patient Observes Probing Results 牙周病的诊断 所需诊断器械 牙周袋诊断 牙周袋探查探针 （PCP11.5B7） 直径为0.5ｍｍ的球末端 色带从3.5mm延伸到5.5mm及从8.5mm到11.5mm 探针力量不应超过0.2-0.25Ｎ(20-25g) 牙周袋诊断 根分歧诊断 Nabors Probe on Maxillary Molar 牙结石探针 牙周袋内牙石探查探针（EXD11/12） 形如Gracy刮治，可以探查根分叉及近远中处 手工器械的选择 手柄 探针 口镜 龈上洁治 Gracey高级细刮 区域特定型刮治器 手工器械的选择 手柄 探针 口镜 龈上洁治 Gracey高级细刮 区域特定型刮治器 Nevi Series Scaler Selection For Anterior Teeth SCNEVI19 SCNEV1/H59 For Posterior Teeth SCNEVI29 SCNEVI39 SCNEVI49 NEW! Nevi 1 Anterior Scaler Nevi 1 Scaler Disk end Nevi1 Nevi Scalers Sharpening the disk end with a Bates Stone (Arkansas stone). Nevi ４ Scaler 龈上洁治 手工器械的选择 手柄 探针 口镜 龈上洁治 区域特定型刮治器 Gracey高级细刮 其他 龈下刮治细刮治 Instrumentation Gracey Family Curettes Gracey 1/2 Gracey ? Gracey 5/6 Gracey 7/8 Gracey 9/10 Gracey 11/12 Gracey 15/16 Gracey 13/14 Gracey 17/18 Anterior Anterior and premolars Posterior buccal and lingual --- Posterior mesial Posterior distal Instrumentation Gracey Family Curettes Gracey 1/2 Gracey ? Gracey 5/6 Gracey 7/8 Gracey 9/10 好用 Gracey 11/12 Gracey 15/16 坐姿 Gracey 13/14 Gracey 17/18 坐姿 Anterior Anterior and premolars Posterior buccal and lingual --- Posterior mesial Posterior distal 30-40年代标准 60年代After Five 70年代Mini After Five 现时又发明Micro Mini Five ? ask participants how many had gracey's on their most valuable instruement list and why! 11/12 Gracey 15/16 Gracey Traditional vs. Contemporary Instrument Design Note extra-oral fulcrum 13/14 Gracey 17/18 Gracey Traditional vs. Contemporary * * * * * * * Bates Sharpening Stone An instrument with a disk-shaped working end can present some challenges to sharpening. One alternative is a Bates Stone. This Arkansas stone has a num