Tehnica Stillman a fost propusă pentru a realiza in principal masajul și pentru a stimula troficitatea mucoasei gingivale ca și curațirea ariei cervicale a coroanei dentare.
Se efectuează cu periuțe de consistență moale
Suprafața activă se așează în unghi de 45 spre apical în 1/3 cervicală a dintelui și pe marginea gingiei libere, mișcările de curațare fiind rotații reduse de vibrare, repetându-se de 10 ori pentru fiecare grup dentar. Pentru a curața și restul suprafețelor dentare s-a propus tehnica Stillman modificată prin care la sfârșitul mișcărilor de rotare-vibrare se va efectua și mișcarea de rulare.
INDICAȚII
- se recomandă tuturor pacienților cu parodonțiu marginal sănătos
- se efectuează cu periuța de duritate medie și e indicată copiilor și tinerilor
- se alternează cu tehnici vibratorii sau ca etapa pregătitoare în implementarea unor tehnici mai dificile (Stillman), la care poziția de plecare a periuței e identică.
TEHNICA STILLMAN MODIFICATĂ (TEHNICA RULOULUI)
DESCRIERE
- cu partea laterală a filamentelor presăm cu blândețe gingia care se poate albi ușor, umând să efectuăm o rotire a periuței din încheietura mâinii, mișcare prin care filamentele prin elasticitatea lor vor efectua o măturare a gingiei și a suprafețelor dentare
- se va efectua de minim 6 ori pt fiecare grup dentar, atât pe suprafața vestibulară cât și pe cea orală
- suprafața palatinală a frontalilor maxilari ca și cele linguale ale celor mandibulari sunt periate cu periuța în lungul ei, la fel ca în tehnica Bass
Suprafața activă a periuței se plasează in zona gingiei și a 1/3 cervicale a dintelui de curațat
Periuța este introdusă inițial paralel cu arcadele dentare cu suprafața activă spre apical in timp ce porțiunea de plastic a capului activ se găsește la nivelul marginii incizale, respectiv suprafețelor ocluzale
PERIAJUL FeȚEI VESTIBULARE A CANINULUI
O atenţie deosebită se va acorda periajului feţei vestibulare a caninului, plasat în zona de maximă convexitate a arcadei, care va fi periat pe segmente: jumătatea feţei vestibulare dinspre distal cu grupul premolar şi jumătatea feţei vestibulare dinspre mezial cu grupul frontal
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