Clinical Instruction-Adaptation



we wanted to have a conversation on how to teach students adaptation when they are instrumenting around teeth because and that is one thing that students have a lot of difficulty with at times and so as an instructor one of the things that I teach the students is that they want to really when you're going around you want to make sure that you can see the tissues blanch and when you're going around you want to teach them this stroke right this move with your fingers and that's a little bit of a roll in their fingers they're not moving much of their wrists but they are using a roll in their fingers as they go around the tooth to adapt so they're coming here and they need to really roll those fingers as they're coming around each tooth one of the things that I find students have a hard time linking is wrist activation and adaptation so what I like to teach students is to make sure they're up on their fulcrum so they can see that tissue blanch but I'd like to teach them to go up down turn up down turn so the up-down motion is your wrist activation and the turn is the adaptation so then they are able to link those two things together with their wrist activation and their adaptation up down turn oh sometimes with students they want to really hurry when they're trying to figure out adaptation but tell them to go super slow and their stroke length both forward and up-and-down should only be on millimetre sometimes that's really hard to imagine because it's so tiny so I always pull up their probe and show them look how tiny a little millimeter is that's how far you should be walking only another thing you can tell students is make sure as you're adapting always make sure you're feeling that's kind of again a weird concept for them but if they start learning how to feel now it'll make it easier in the long run when they're getting into deeper pockets so as they're going around make sure they can always feel the hardness of the tooth with the last tip third of their instrument if they can't feel anything that means they're into the gingiva and causing pain

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