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Chapter 15  Dental Skills for the Veterinary Assistant  287


                                                                oil, cotton tip applicator, gauze sponge, plastic test stick,
                                                                and a clock. Other helpful equipment includes a magni-
                                                                fying glass. To sharpen an instrument, place a drop of oil
                                                                on the surface of the stone and gently spread it with a
                                                                cotton tip applicator in a small circular shape. Grasp the
                                                                instrument in your non‐dominant hand, with your index
                                                                finger or thumb braced near the shank to counter‐
                                                                balance the pressure caused by the sharpening motion.
                                                                Hold the stone in your dominant hand, with your thumb
                                                                on the edge towards you and your fingers on the edge
                                                                away from you. This grasp will stabilize the stone. It is
                                                                helpful to use the numbers on a clock to position the
                                                                instrument correctly and the stone for sharpening.
                                                                Using the clock as a guide, hold the instrument vertically
                                                                with the blade to be sharpened at 6 o’clock. Hold the
                                                                stone initially at 12 o’clock, then angle it to meet the
                                                                angle of the cutting edge on the instrument. Move your
                                                                entire arm in an up and down motion when sharpening.
                                                                One can move either the stone or the instrument to
                                                                sharpen the edge. When the edge has been sharpened
             FIGURE 15.6 Tooth splitter and extraction forceps – left to right: incisor/  you can take the conical stone and gently remove any
             canine, premolar, molar.                           metal shards from the cutting surface.

                                                                    TIP BOX 15.1
             Preparation of Dental Instruments
                                                                  There are many helpful dental instrument sharpening
                                                                  videos available. View http://www.youtube.com/watch?v=y
             Dental instruments that would be used together can be   UwG0EzyqDY.
             packaged together in autoclavable pouches or in trays.
             For example, an oral examination package would
             include the scaler, curettes, periodontal explorer, probe,
             tartar removal forceps, and mirror. An extraction
             package or tray would include the luxator, elevators, and   Reflection
             extraction forceps. A periosteal elevator, needle holders,   How do you see yourself learning to sharpen
             and scissor would be packaged separately as would     instruments?
             packets  of gauze sponges.  These instruments  are put
             into the autoclave with a sterilization indicator and gen-
             erally, because they are not thick, will sterilize at the
             minimum setting of 15 psi, 15 minutes at 250°F.    Power Scalers

             Sharpening Hand Instruments                        There are two types of powered dental instruments that
                                                                can be used to clean teeth. Both of these scalers require
             Sharp instruments can make the dental cleaning more   water during use to prevent thermal damage to the
             efficient, because they reduce fatigue, improve calculus   tooth. A properly adjusted water flow will create a fine
             removal, and save time. A veterinary assistant should learn   halo of mist to ensure that the scaling tip is properly
             how to sharpen hand instruments properly. To check an   cooled. Water must be constantly pumped through the
             instrument for sharpness, a hard‐plastic test stick can be   handpiece to not only keep it cool, but to cool the tip as
             used. A sharp instrument will grab or bite into the test   well. Without water the tip can become damaged. Be
             stick while a dull instrument will slide along. These can be   sure to read the equipment manual for the scaler to
             purchased where dental instruments are sold. Sharpness   ensure proper use and maximize the equipment’s life
             can also be determined by visually inspecting the instru-  and effectiveness.
             ment. Hold the instrument under a light and rotate the   The ultrasonic scalers convert high frequency
             instrument until the edge is facing the light. A dull cutting   electrical current into mechanical vibrations. It can have
             edge will reflect light when it has been rounded from use.  either a magnetostrictive insert handpiece that contains
               The equipment needed to sharpen  instruments     tightly stacked metal sheets, or a ferrite rod insert that
             includes a flat Arkansas stone, conical stone, sharpening   creates the vibrations. These vibrations knock the tartar
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