Different Types of Dental Cleaning Instruments - Dentistry

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What types of dental cleaning instruments are there?


Hello, doctor! I have had my teeth cleaned many times.
During my first cleaning, the nurse placed something on my chest, and I accidentally saw that the doctor seemed to be using a long needle-like instrument to clean my teeth.
Since it was my first time, the cleaning took almost an hour and was done very slowly.
Afterward, the doctor mentioned that my teeth would feel a bit rough after the cleaning, so he applied a white substance and said he would also brush my teeth (that was the only time I had my teeth cleaned by that doctor).
Later, when I went to another dentist for a cleaning, they didn't use that long instrument; instead, they used a tool that looked more like a regular dental drill for cavities, and the cleaning was much quicker.
Is it true that if I don't specify which cleaning instrument I want, the dentist will just use the standard method for a simple cleaning? Or is it possible that my tartar buildup wasn't severe enough to require specialized cleaning instruments? Every time I look in the mirror at home, even though I don't see the black tartar, I still feel like my teeth aren't clean.
When I scrape the base with my fingernail, it feels rough and gritty, unlike the smooth surface of my teeth.
What could be the reason for this?

Mi Tang, 20~29 year old female. Ask Date: 2009/03/05

Dr. Huang Zhicheng reply Dentistry


Dear Ms.
Mi Tang: Dental calculus generally accumulates at the root of the teeth.
During your first dental cleaning, the dentist likely used an ultrasonic scaler to deeply remove the calculus from the gingival sulcus, which may have left the root surface feeling uneven.
They might have applied a white polishing paste to smooth the root surface.
During your second cleaning with another dentist, the amount of calculus was reduced, leading to a quicker procedure, and they may have used a lower-powered, flatter instrument.
If you are experiencing a rough texture, please ask your dentist for additional polishing.
Wishing you peace and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Department of Health.

Reply Date: 2009/03/05

More Info


When it comes to dental cleaning instruments, there are several types that dentists use, each serving a specific purpose in maintaining oral health. Your experience with different cleaning methods highlights the variability in dental practices and the tools employed. Let's delve into the types of instruments commonly used for dental cleaning and their respective functions.

1. Ultrasonic Scalers: The "long needle" you mentioned is likely an ultrasonic scaler. This device uses high-frequency vibrations to break down plaque and tartar (calculus) on the teeth. It is particularly effective for removing stubborn deposits and is often used during professional cleanings. The ultrasonic scaler can make the cleaning process quicker and more efficient, but it may take longer for patients with significant buildup, as was your case during your first cleaning. After using the scaler, dentists often apply a polishing paste to smooth the tooth surfaces, which may explain the "white stuff" you experienced.

2. Hand Instruments: The second cleaning you received involved hand instruments, which are more traditional tools like scalers and curettes. These instruments are manually operated and allow for precise removal of plaque and tartar, especially in areas that may be difficult to reach with an ultrasonic scaler. The speed of the cleaning can vary based on the amount of buildup and the dentist's technique. If your dental calculus was not severe, the dentist might have opted for a quicker cleaning using these hand tools.

3. Polishing Tools: After the removal of plaque and tartar, dentists often use a polishing tool, which may look like a small drill with a soft rubber cup. This tool is used in conjunction with a polishing paste to give the teeth a smooth finish, which can help reduce the accumulation of plaque in the future. If you felt a rough texture after cleaning, it might indicate that the polishing step was not thoroughly performed or that some rough spots remained.

4. Air Polishing Devices: Some dental offices use air polishing devices that spray a mixture of air, water, and a special powder to clean teeth. This method can be less abrasive and is often used for patients with sensitive teeth.

5. Flossing and Other Tools: In addition to mechanical cleaning, dentists may recommend using dental floss or interdental brushes to maintain cleanliness between teeth. These tools help remove food particles and plaque that can accumulate in areas that are hard to reach with a toothbrush.

Regarding your concern about feeling roughness or a "slippery" sensation after cleaning, this can occur if there are still some deposits left on the teeth or if the polishing step was not adequately performed. It's essential to communicate with your dentist about any discomfort or concerns you have regarding the cleanliness of your teeth after a cleaning. They can provide additional polishing or recommend specific home care techniques to ensure your teeth feel smooth and clean.

In summary, the type of dental cleaning instrument used can vary based on the condition of your teeth and the dentist's approach. If you feel that your teeth are not as clean as they should be, it is advisable to discuss this with your dental professional. They can assess your oral health and recommend the best cleaning method and frequency for your needs. Regular dental check-ups and cleanings are crucial for preventing dental issues and maintaining optimal oral health.

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