Anterior Instrumentation
Careful examination of gingival tissue, probe depths, bleeding, attachment loss, and radiographic changes are essential to the implementation of hand instrumentation. The topography of the anterior sextants is examined to aid in instrument choices. Consider embrasure spaces, recession, and gingival tone and thickness (eg, soft tissue biotype, which includes gingival width, gingival thickness, papilla height/proportion, and crown width/height ratio).
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