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Assessment Stroke

"Exploratory Stroke"

Used to detect calculus deposits or other tooth surface irregularities on the tooth surface.

Characteristics of an Assessment Stroke

Relaxed Grasp

Middle finger resting lightly on the shank

  • AVOID a tight, tense grip

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Adaptation

1-2 mm of the

SIDE of the tip

Lateral Pressure

Feather light pressure with working-end against the tooth

  • AVOID pressure against shank: reduces tactile sensitivity

Activation

Wrist activation is recommended

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Stroke Numbers

Many, close, overlapping multidirectional strokes

Stroke Characteristics

Fluid, sweeping strokes

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Tactile sensitivity

The ability to detect tooth irregularities, such as calculus deposits, by feeling vibrations transferred from the explorer tip to the instrument shank and handle.

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  • explorer tip quivers as it passes over a calculus deposit on the root of the tooth.

  • vibrations are transmitted from the tip through the instrument shank and handle.

    • clinician feels these vibrations with his or her fingers resting on the instrument shank and handle.

    • clinician recognizes these vibrations as calculus deposits.

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Types of Directional Strokes

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Useful to detect calculus deposits in the following areas:​

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Vertical Strokes:

  • interproximal (mesial and distal) surfaces

    • between two adjacent teeth​

  • facial/buccal and lingual/palatal surfaces

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Oblique Strokes:

  • posterior teeth: facial/buccal and lingual/palatal surfaces​​

Horizontal Strokes:

  • posterior teeth: distofacial (DF) or distolingual (DL) line angles​​​​​​​​​

  • anterior teeth: midline of facial or lingual surfaces

    • lower the handle until the point is toward, NOT TOUCHING, the base of the pocket​

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Knowledge Check

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