Below is a comparison between our most recent version and the prior quarterly release. It is very important that you meet with anAcademic Advisorby calling937-512-3700, or visiting Building 10, Room 301, to make sure you are scheduling the correct classes for your program choices. Have questions about your smile? Surfaces of restorations may be damaged by conventional tooth polishing with prophylactic paste. Areas of Demineralization The Ohio State Dental Board allows Certified Dental Assistants, Registered Dental Assistants,and Registered Dental Hygienists to enroll in this training. This suggests that tooth polishing should be based on the clients individual needs. Influence of different air-abrasive powders on cell viability at biologically contaminated titanium dental implant surfaces. UC Blue Ash College 9555 Plainfield Road Blue Ash, Ohio 45236 Phone: 513-558-9495 Salvatore, S, Watson, TF, Thompson, I. Dentine desensitization induced by prophylactic and air-polishing procedures: an in-vitro dentine permeability and confocal microscopy study. 27-32, and food debris is usually present in the maxillary posterior areas, her pocket depths remain stable, reminding me that periodontal disease is not entirely dependent on the amount of plaque or poor home care. https://www.linkedin.com/showcase/4000114/. demonstrate correct coronal polishing techniques including patient/operator position and instrumentation . In vitro and in vivo research studies have begun to test this new device and, to date, no adverse effects on patients have been noted.15-17 This device is not designed for subgingival "polishing" but it could eventually become an alternative (under certain strict conditions including shallow anatomic probing depths and medical clearance) or adjunct to subgingival biofilm disruption with ultrasonics or hand instrumentation. I had already decided that this was the time to try out the polishing first thing.. By polishing first on a gingivitis patient who requires only one scaling appointment, or polishing the previously scaled quadrant on a patient who requires multiple appointments for periodontal scaling and root planing, you avoid embedding particles that are out of reach from rinsing. Root caries. [5] It is important to refer to manufacturer's directions before using any product on dental restorations. Dentists and licensed dental hygienists are the only professionals legally allowed to perform a complete oral prophylaxis. Your teeth are newly erupted and the enamel hasn't fully mineralized. This patient described polishing first in a wonderful way, Its like sweeping the floor before you scrub it. Why would you want to mop around a bunch of loose dirt on the floor? ", 182485813 / Inflammation Info723783 | Dreamstime.com, Inflammation: A major link between oral and systemic diseases, Ancient remedies: Some healing secrets for dental pain have withstood the test of time, Nonsurgical periodontal therapy to extinguish inflammation seen in rheumatoid arthritis, Untreated periodontitis and COVID-19? The porcelain remains intact while removing stains and dirt. If you meet any of the following criteria outlined by the DentistryIQ article, your dentist will likely not recommend polishing: In addition to maintaining a good oral care regimen at home, keeping up with routine dental visits and cleanings will keep your teeth healthy and stain-free most of the time. 14. Note: For students under age 18 there may be restrictions on participating in certain Health Sciences programs. Wilkins also said, Stain removal after gingival and periodontal treatments, including scaling and root planing, is not recommended on the same day.. 2010 Jul-Aug; 41 (7): 3 141-8. You want that stuff out of your way so you can concentrate on cleaning the real dirt. Prepare teeth for various dental procedures.ONE IMPORTANAT POINT is that coronal polishing is not a substitute for dental prophylaxis. Faculty Marie Desmarais, CDA, M.A.T. It will include 14 hours of didactic and 4 hours of laboratory . VmaxV_{max}Vmax = maximum rate (the point at which addition of glucose has no effect on the rate) KtK_tKt = transport constant. As oral health-care providers, we are constantly pushing to keep current with technology and research. A contraindication, then, is a symptom or condition that makes a treatment risky, such as taking certain other medications at the same time. Currently, the most commonly used tool for tooth polishing is prophy angle. Want to see the full answer? Gloves Off: Can a nightguard kill a sleep apnea patient? Perform laboratory exercises utilizing manikins or extracted teeth. Yeah, we know. The sodium phosphosilicate polishing agent has no salty taste, no sodium contraindications, and there isn't any stinging or irritation of soft tissue. Results indicated that sealants had become thinner and revealed minor defects after five seconds of air polishing with the sodium bicarbonate-based powder, practically disappearing after 10 seconds. The trade name for this bioactive glass is NovaMin. A dental assistant must have successfully completed an approved coronal polishing and dental sealant course prior to taking the amalgam and composite restoration course. Or you may have done all the right things! Pre-polishing is not a new idea. She can be contacted at catblue@aol.com, or visit her Web site at dentalinspirations.org. Removal of light plaque. Role of CT colonography in early follow-up of acute complicated diverticulitis. 2023 Endeavor Business Media, LLC. In most circumstances this stain can be removed by prophylactic polishing. This includes not only subgingival plaque, but supragingival plaque as well. Knows indication/contraindications for sealants. I proceeded as I had with the older girl, but did not expect the generalized brown stain and stained calculus the 9-year-old had on her lower anterior teeth. If you know your indications and contraindications, you will provide better care. In addition, this bioactive glass creates a compact and substantially thicker smear layer that is more resistant to acid attack. Chromogenic bacteria found in plaque that is left behind due to poor oral hygiene can also cause staining. For example, the UT Health San Antonio School of Dentistry offers a training course that is required for any dental assistants who want to perform coronal polishing in Texas. Because the mineralization of newly erupted teeth is incomplete, polishing should be avoided. Narongdej T, Sakoolnamarka, R, Boonroung T. The effectiveness of a calcium sodium phosphosilicate desensitizer in reducing cervical dentin hypersensitivity. However, to obtain successful clinical outcomes, we must: Have the proper protective equipment for our patients and ourselves, Learn to recognize and properly interpret the signals within clinical guidelines that assist us in patient selection. After removing supragingival deposits, the glycine spray was applied for four to five seconds in all sites 5 mm in the test quadrant, whereas curette/ultrasonic debridement was used in the control quadrant. [6], Current evidence suggest that prophylactic polishing is only necessary when extrinsic stain is present on the tooth surface. After 48 hours, all titanium discs were covered completely in plaque/biofilm. We hope the information you find here on our website is informative and useful. Polishing paste: choose a polishing paste appropriate for the conditions in the patients mouth. Titanium abutments should not be polished. The only stains I cannot see in my mouth are on the linguals of the maxillary anterior teeth. American Dental Hygienists Position Paper on Polishing Procedures. When adapting the rubber cup, angle to flare at the gingival margin to reach the distal, facial, lingual, and mesial surfaces, and maintain this by rotating the handpiece. Ability to perform coronal polishing; CDHC Course registration CDHC Course payment. For thick plaque, orange stain, and most brown stains, a coarse prophy paste is necessary to tackle the job. (9th ed). McGraw-Hill Dictionary of Scientific . Shorten appointment time/scaling time. [Glucose]outside(mM)0.51.02.03.04.0RateofGlucoseEntry(M/min)1219273235, The kinetics of glucose transport through the membrane follows the Michaelis-Menten equation: V0=Vmax[glucose]Kt+[glucose]V_{0}=\frac{V_{\max }[\text { glucose }]}{K_{t}+[\text { glucose }]}V0=Kt+[glucose]Vmax[glucose], V0V_0V0 = rate of glucose entry. Description: Denise Kissell, RDH, MS, EFDA Postle Hall 305 W. 12th Avenue This lecture/hands-on course satisfies the 7 hour CE requirement for CDA's seeking Coronal Polishing Certification from the Ohio State Dental Board (OSDB). Trauma to soft tissues may result from improper technique or prior inflammation of tissues. In addition, clinicians have also mentioned that the polishing molecules are so small that very little powder is needed. Revisiting our polishing options is beneficial to patients and clinicians. 2009 Sep; 70(5):363-70. When these conditions are present, it is best to postpone coronal polishing until healing takes place. Polishing can be done at succeeding appointments. You have three opportunities to successfully take the TEAS. indications and contraindications of polishing; (6) selective polishing . I proceed in this manner every time I see the patient. Lastly, a recent study in 2010 evaluated the safety, patient acceptance, and short-term microbiologic effect of GPAP in periodontal maintenance patients with residual pockets 5 mm.15. Bristle brushes are used in the prophylaxis angle with a polishing paste. Lynne is also the owner and moderator of the periotherapist yahoo group: www.yahoogroups.com/group/periotherapist. 1. The act or process of polishing: gave the lamp a polish. The Dental Hygiene Program at Sinclair Community College prepares students who are able to assess, diagnose, plan, implement, evaluate and document contemporary dental hygiene care. Polishing is contraindicated for tooth surfaces that either have no stains or have stains that are not visible when the patient smiles or engages in conversation. 3. 18. Full mouth polishing is still widely practiced but selective polishing is recommended by many educational institutions. There is evidence of tooth polishing dating back to Roman and Greek times. Your teeth are sensitive or you have recessed gums. These include: sodium restricted diet, hypertension, respiratory illnesses, infectious diseases, chronic kidney disease, Addison's or Cushing's disease, and some medications (mineralocorticoid steroids, anti-diuretics, potassium supplements). Next, they will use an abrasive paste and a motorized handpiece with an attached rubber cup to polish your crowns which are the visible portions of your teeth. Approval of coronal polishing courses . I challenge those of you who have not tried polishing first to try it for one day, and see if you observe the same benefits that I have over the past 11 years. However, Pierre Fauchard, the father of modern dentistry, is credited for the introduction of tooth polishing to remove dental stains. Provide the patient with protective eyewear. Courtesy of KHN (Makris Music Society; Boja Kragulj), Dental device purported to fix jaws results in wrecked teeth, allege patients, Medical History Mysteries: Benzodiazepines vs. barbiturates: What to know before you prescribe, 162063215 Sergey Chuyko | Dreamstime.com, Dentists top 5 financial mistakes (and how to avoid them), 66404851 Iakov Filimonov | Dreamstime.com, In brief: Why toothpaste flavor matters; Senate concerned about HCW shortage. As the founder of SmarterDA dental assisting exam prep solution, I would like to offer a summary on coronal polishing. General principles- according to marzouk. Lack of Stain Evidence-based guidelines help us navigate our way to clinical decision-making in a way that determines the proper course of action for individualized care. Note: ALH 1130 will be waived for anyone with proof of American Heart Association Healthcare Provider Basic Life Support, see Academic Advising. I am always amazed at the plaque that polishing and flossing do not remove. If the lesions are small or are located in an area that . Anaerobe cultivation was used to assess the mean reduction of total colony-forming units immediately after treatment. Wilkins EM, Clinical Practice of the Dental Hygienist. [5] Foods and beverages such as coffee, tea, and red wine can stain the enamel. Then I told her I was going to use my tools to carefully check around each tooth to make sure I removed all of the plaque. For tougher stains (coffee, tea, tobacco, black line stain), consider NADA pumice paste. Use these key points as a checklist to assess whether youre making the right choices when performing coronal polishing. Lets get progressive! 1). If you use NuCare or Proclude and do not apply it first, you are defeating the purpose of the product. Before and immediately after treatment, subgingival plaque/biofilm samples were taken from interdental sites with 3-5 mm probing depths. You're really going to love how your teeth feel afterwards and we'll have you out of here in no time.". Synonym (s): frontal plane. Any student under age 18 must contact the program director/department chair to discuss whether he or she may enroll. Arizona State Board of Dental Examiners. What is the current in each strand? Please complete the below questions: Explain the difference between a prophylaxis and a coronal [1][2] Tooth polishing has little therapeutic value and is usually done as a cosmetic procedure after debridement and before fluoride application. The American Dental Hygienists' Association 2010 Position on Polishing Procedures lists the following as contraindications for air polishing procedures:1 Patients with restricted sodium diets Patients with respiratory, renal, or metabolic disease Patients with infectious disease Children Patients on diuretics or long-term steroid therapy Untreated perio and COVID-19: What is the evidence? Not all (though many) patients with renal disease would be on sodium restriction. I have been treating an 87-year-old patient in the dental practice where I work for 11 years. Chlorhexidinethe good, the bad, and the ugly, ID 5929809 Monkey Business Images | Dreamstime.com, OraCare rinse: Decreasing calculus, plaque, bleeding, and more, Tongue chewing: Causes, treatments, and information for patients, Modern oral rinses: A revolution in dentistry. Petersilka G et al. Author Lynne Slim's hygiene operatory at Legacy Dental Care in Kennesaw, GA. Have you heard the term selective polishing? To provide opportunities to further student skills in the areas of expanded functions for the dental auxiliary and with the basics of dental assisting. It is challenging to read every professional journal and keep up with all of the latest information available. Flemmig et al. [1] The purpose of polishing is to remove extrinsic stains, remove dental plaque accumulation, increase aesthetics and to reduce corrosion of metallic restorations. Risk of generating frictional heat, and increased abrasion to the tooth surface may result from increased contact time, increased speed of rotation, and increased pressure of the cup on the tooth. You would like to work with a variety of people and perform multiple tasks. Programs equip students with a variety of educational tools and techniques to use in their health professions by emphasizing both health behavior theories and practical application. Register, Volume 40, Number 50, December 11, 2015, TexReg, Texas What about the idea of polishing first? I would like to present the idea that it is indeed therapeutic. Discover how coronal polishing differs from a routine dental cleaning, and learn why your dentist may recommend it. Objectives: The successful student will meet the following objectives and demonstrate an understanding of the facts, principles and techniques in this course. Abrasive powders of sodium bicarbonate and glycine, combined at different treatment times and distances from teeth were tested. Clinicians such as Fay Brown, RDH, from a New York City periodontal practice, have commented (anecdotally) that this particular air polishing agent is a great desensitizer that removes stains quickly. Here are the contraindications for coronal polishing: Absence of stain. You've come a long way since the day I used to spit in a bowl! Waterpik also has a new polishing paste (Soft Shine) that is especially formulated for esthetic restorations. Important Information about Health Sciences Programs:The Health Sciences (HS) Programs consist of open enrollment courses (general education and division specific) and program specific courses with limited enrollment. Medical Dictionary for the Health Professions and Nursing Farlex 2012 coronal plane A vertical anatomical plane that divides the standing body into front and rear halves. [4] Within the last century, Alfred Fones, the founder of dental hygiene, began educating students on coronal tooth polishing. For dentin sensitivity or root or dentin exposure, NuCare or Proclude are very effective and low in abrasion. A copy of the standards and Commissions policy on third-party comments may be obtained on the internet at www.ada.org. Tooth polishing is done to smooth the surfaces of teeth and restorations. 22. This course will provide the required didactic and laboratory requirements for certification. Placement of orthodontic bands and brackets. The goal is to enhance knowledge and become the best dental professional you can be! You are planning to get a crown, bridge, sealants or orthodontic bands and brackets. Decalcified or demineralized areas appear chalky white. Newly-erupted teeth as the surfaces have not been fully mineralized yet. I explain to the patient that it helps me look around their entire mouth before I begin scaling one tooth at a time, assists me in evaluating home care, helps me focus on what cannot be removed with the toothbrush, floss, or other interproximal aid, reduces scaling time, and alerts me to possible sensitive areas. 17. Cost: $425 Designed For Emphasis is placed on sealants, amalgam restorations, composite restorations and temporary restorations. Just as air polishing devices often result in clinically relevant tooth surface damage and restorative material loss, air polishing of sealants always results in substance loss and surface damage, according to Pelka, Altmaier, Petschelt and Lohbauer.13 The authors made plane specimens (N=180) of dental restorative materials and treated the specimens with standardized air polishing for 10 seconds each. To qualify for entry to limited enrollment courses, please see the program specific information packet located on each HS program's webpage. discuss the indications and contraindications, objectives, and uses of coronal polishing techniques. In addition, several cases may contraindicate teeth polishing or the use of certain polishing pastes, including: 1 Acute gingivitis or periodontitis Aesthetic restorations (ceramic, composite, and/or porcelain to fix teeth or as implants) Allergy to the abrasive or solution being used Cavities or problems with enamel Coronal Polishing Certificate Practice when the dentist is not physically present ALL SECTIONS OF THIS DOCUMENT MUST BE COMPLETED INDICATING THE DUTIES AND/OR FUNCTIONS YOU HAVE BEEN APPROPRIATELY TRAINED/EDUCATED TO PROVIDE. Additionally, we offer several Continuing Education courses throughout the year. Eur J Orthod. "There is no health benefit to polishing," said Julie Frantsve-Hawley, the editor of The International Journal of Evidence-Based Practice for the Dental Hygienist. Kentucky Community & Technical College System 300 North Main Street Versailles, KY 40383 Toll Free (877) 528-2748. Let's look at the science and professional guidelines surrounding this "elephant in the room," because it hasn't been talked about much. To contact . For any students applying under the Accelerated Admission for Academic Achievement (AAAA) you must have a GPA of 3.0 with an overall TEAS score of 65 and a science score of 55. (2005). Participants who successfully complete the course may obtain coronal polishing certification in the State of Ohio. This course is designed to meet the requirements of the State of Nebraska to allow dental assistants to perform coronal polishing under the direct supervision of a licensed practicing dentist. Dentistry and dental hygiene, on the other hand, change by the minute. Recession with tooth sensitivity. Demineralizedareas or thin enamel as in amelogenesis imperfecta. However, if you're looking for a much more noticeable change in tooth color, other whitening options might be more appropriate. Have a wonderful time polishing! Additionally, the program strives to motivate students to become community-minded citizens and life-long learners. I sometimes feel a bit guilty that I might be removing so many microns of enamel. She has a full dentition (30 teeth!) 7. The glycine-based powder product produced the smallest defect depth and volume loss. assessed the subgingival efficacy of glycine-based powder air polishing (GPAP) in periodontal pockets of various depths.17 In each of 60 patients with severe periodontitis, one tooth with a probing depth of 6 mm was randomly assigned to one of three interventions: no treatment; GPAP performed in previously noninstrumented teeth; and GPAP performed in teeth instrumented three months earlier. 11. These include: sodium restricted diet, hypertension, respiratory illnesses, infectious diseases, chronic kidney disease, Addison's or Cushing's disease, and some medications (mineralocorticoid steroids, anti-diuretics, potassium supplements). - before placement of a sealant. Regardless of the abrasive used, there was some variation in root defects generated by different devices and the glycine-based powder produced the least amount of root damage. Prophylactic paste contains abrasives that vary in size, shape, and hardness. You have acrylic veneers or restorations that are gold or porcelain. In fact, polishing only the crown portion of your teeth is sometimes called cosmetic polishing, according to an article published in the Journal of Indian Society of Periodontology (JISP). Although I nearly always polish first, there are times when I do not polish at all, or polish selectively. Pelka MA, Altmaier K, Petschelt A, Lohbauer U. However, you can take it the first semester. Know appropriate patient and operator positions. Gutkowski S. (Nov. 2001). Click here for the Dental Hygiene Program Advisory Committee, Sinclair Community College Subgingival debridement efficacy of glycine powder air polishing. Coronal polish procedures may aggravate ulcerations and/or wounds of the lips and intraoral tissues and highly inflamed or traumatized gingiva thereby complicating the healing process. RDH Magazine. Prophylaxis removes plaque, stains, debris, and calculus from the teeth. 2010 Jan; 141(1): 63-70. Last edited on 28 February 2022, at 07:17, "Selective Polishing: An Approach to Comprehensive Polishing", "American Dental Hygienists' Association Position Paper on the Oral Prophylaxis", https://en.wikipedia.org/w/index.php?title=Tooth_polishing&oldid=1074435846, This page was last edited on 28 February 2022, at 07:17. Some clinicians believe it is not important to remove stain the patient cannot see, but the. The air polishing system required less time to remove biofilm and extrinsic stain and was reported to be the most effective method for removal of extrinsic stains. Take a moment to look back at your experiences. fPRINCIPLES OF CAVITY PREPARATION FOR. Phoenix, AZ 85007 Concepts and techniques of basic equipment, four-handed dentistry, oral evacuation, instrument identification, and proper use are discussed. Coronal Polishing for Dental Assistants is organized by Creighton University and will be held from Jan 31 - Feb 01, 2020 at Creighton University School of Dentistry, Omaha, Nebraska, United States of America. [1] There are also various flavours of prophylactic paste available. Borneo? J Orofac Orthop. Preparation path. Journal of Dentistry 38(2010); 411-422. Remove extrinsic stain. I will say, You can be sure that all that gritty stuff will be rinsed out of your mouth by the time treatment is complete.. State regulations are updated quarterly; we currently have two versions available. They are best used as an instrument to assist and direct us with patient selection and proper patient care. Some of this supragingival biofilm is quite adherent and requires a scaler to remove it. Demineralized spots. Yeah, we know. Perhaps because it works better. Why is this, I wonder? (A) Qualifications - Within ninety days from receipt of successfully passing the standardized examination required pursuant to division (B)(5) of section 4715.39 . [1] Previously, tooth polishing was a service provided at every hygiene appointment, due to this many patients expect this as part of the routine care. Microbiologic samples were taken and total bacterial counts and counts of six periodontal pathogens were determined by real-time polymerase chain reaction. She can be reached at periocdent@mindspring.com or www.periocdent.com. "Coronal polishing" means the removal of plaque and extrinsic stain from exposed natural and restored tooth surfaces using an appropriate rotary instrument with rubber cup or brush and polishing agent. Oral Care Center articles are reviewed by an oral health medical professional. You have a respiratory or infectious condition that may be irritated by the aerosol spray involved in polishing. Evaluate tissue color, contour, consistency, and bleeding at the same time plaque is removed. Results indicated that all powders studied were equally effective in removing plaque/biofilms on titanium surfaces. No one likes the cleaning lady stigma. Mone R, Dcaillet F, Anderson E, Mombelli A., Subgingival plaque removal using a new air-polishing device. It is a bioactive glass, which is a chemical compound composed of naturally occurring elements (calcium, phosphorus, silica, and sodium) that have been used in medicine for decades to promote bone growth. One of the first things I tell them is to polish and floss first. Clinical practice of the dental hygienist. Polishing first gives you a chance to look around the entire mouth before you scale. Many states allow dental assistants to perform this service, but in order to do so assistants might need to meet state exam, education, or credential requirements. The curriculum is approved by the Commission on Dental Accreditation of the American Dental Association and leads to an Associate of Science Degree in Dental Assisting. Familiarity with aerosol shield reduction devices or the difference between air polishing powders is paramount. After completing the course and meeting state requirements, they can perform the polishing procedure with the supervision of a dentist. Surface roughness is a factor affecting plaque/biofilm adhesion on dental surfaces in vivo. View Week 2 assignment and recall.pdf from DENTAL ASSISTING DA23.3 at Carrington College, Phoenix. This includes the use of a toothbrush. Briefly, selective polishing means that you must carefully choose the cases and teeth for coronal polishing. Advances in Dental Research 2009; 21: 35-9. Surface cleaning before the selection of a tooth shade guide. The Michaelis-Menten equation can be rearranged so that a plot 1/V01 / V_01/V0 versus 1/[glucose] produces a straight line. 13. What is coronal polishing? 6. 2023 Endeavor Business Media, LLC. Introduction to dental specialties are discussed. Further investigation into alternative stain removal methods is recommended. Excessive pressure can lead to frictional heat that may cause pulpal discomfort or necrosis of the dental pulp.[5]. Ramaglia L, Sbordone L, Ciaglia RN, Barone A, Martina R.A., A clinical comparison of the efficacy and efficiency of two professional prophylaxis procedures in orthodontic patients. Dayton, Ohio 45402, Expanded Functions for Dental Auxiliaries. Wilkins states, Certain stains can be removed by scaling, whereas others require polishing. Darby and Walsh state, Because hand instruments are small, they can remove stain in areas inaccessible to a rubber cup., Therefore, it makes sense to remove stains with polishing first, then the clinician can focus on the remaining stains with power-driven or hand scalers. Results showed that GPAP for five seconds per surface was effective in removing most of the subgingival plaque/ biofilm with an anatomic probing depth of 2 mm to 3 mm. There are two popular types of prophy cups: 4 webs and 6 webs. The Indiana State Board of Dentistry approved coronal polishing and fluoride administration as a permitted function for a trained Dental Assistant. This 4-page document describes common errors in vaccine administration and provides links to resources that can help prevent them [#P3033] Guide to contraindications and precautions to commonly used vaccines for all ages. An example is the lingual surfaces of the maxillary anteriors. This has placed dental professionals into an ethical dilemma on whether or not this service should be provided.[2]. Polishing is a method of debridement that is generally not painful or invasive. Lynne Slim, RDH, BSDH, MSDH, is an award-winning writer who has published extensively in dental/dental hygiene journals. Implant Abutments "Coronal polishing" pertains to the removal of plaque and extrinsic stain from exposed natural and restored tooth surfaces using an appropriate rotary instrument with rubber cup or brush and polishing agent. With the fast rotation of a rubber cup, particles of a polishing agent can be forced into the subepithelial tissues and create a source of irritation.. 3. The effect of air-polishing abrasives on wear of direct restoration materials and sealants. I selected coarse prophy paste, because I did not need disclosing solution to tell me this dental biofilm was thick and adherent. What is therapy? Gold, composite, acrylic veneers, porcelain restorations. Current air polishing powders such as sodium bicarbonate or calcium carbonate are composed of lighter molecular structures that easily produce a messy overspray and/or aerosol.