Learning Objectives

• Develop an understanding of the role ultrasonic instrumentation in biofilm reduction and access to anatomical challenges 
• Discuss the need for a variety of ultrasonic inserts/tips/instruments for thorough periodontal scaling/debridement including effective access to furcation entrances.
• Identify the steps to ensure thorough removal of deposits and biofilm utilizing slim and ultrathin inserts/tips with an exploratory approach.

This course examines the need for proper foundational skills in ultrasonic technique with both magnetostrictive and piezo technology. A review of proper adaptation, angulation and adaptation will be discussed as well as features of both technologies to achieve better clinical outcomes. Understanding the working mechanisms of both technologies, advantages and limitations, and visual indicators to ensure proper utilization of the power scaling technologies. These fundamental principles will then be applied to advanced instrumentation in the periodontal patient with focus on furcation involvement and areas of challenging anatomical access. Maintenance of ultrasonic inserts and tips will be discussed along with optimum water management and individual patient considerations.