Maximize the Use of Sickle Instruments

By Linda Brookman, RDH, BSDH, MSHS, Donna Smith, BSDH, MSEd, RDHAP


Traditionally, the straight-shank sickle instrument, previously known as the sickle scaler, was limited to removal of mandibular anterior supragingival calculus or calculus 1 mm to 2 mm below the gingival margin if the tissue was inflamed and easily distended.1 The introduction of the contra-angle sickle enables clinicians to remove calculus from the posterior teeth.2 This article introduces alternative fulcrums and different body positions that allow clinicians to expand the use of sickles in additional ways and locations in the oral cavity, while maintaining ergonomically correct wrist positions and clinician postures.

* References can be found in the original article via the link below.
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