We train with ultrasonics only (hand instrumentation is not necessary with perioscopy).

1. We recommend magnetostrictive vs. piezo because magnetostrictive is more efficient for changing inserts, especially when providing full mouth treatment and advanced procedures.
2. Magnetostrictive technology is less expensive overall and the inserts can be recycled (making them "greener").
3. Clinicians experience less hand fatigue utilizing ultrasonics.

Instrumentation courses are “in-office,” 1 to 1 1/2 days of hands-on training, specifically designed for individual needs.

We provide "Hands-on" instruction for you at your office with:

• Simulator/Typodont: Two-handed instrumentation and scope adaptation in preparation for patients.
• Hands-on: Two-handed technique with patient treatment.

• for patient treatment and simulator and bench work
• Note: Simulator and typodont bench work prepare the clinician for two-handed instrumentation and Periodontal Endoscopy adaptation prior to seeing patients

• Bench practice with typodont models and Perioscopy explorers
• Simulator practice with the two handed technique; Perioscopy explorer in non-dominant hand, ultrasonic hand piece and insert in the other hand

• The afternoon is for hands-on training.
• One patient should arrive at 1pm and the other at 3pm.
• They should have pocketing in at least 2 quads and on opposite sides.
• The first patient in the afternoon, work on is done on one side of the mouth (UR/LR, or UL/LL).
• Instrument training for the second patient will take place the opposite side.
• This allows for the trainee to experience instrumentation with all 4 of the Perioscope explorers in all quadrants of the mouth.

1pm - 3pm: Hands-on instrumentation in 2 quadrants

Note: Pocket depths of 4-6mm are ideal for beginners (but not manditory); deeper pockets that have more infection may be quite challenging due to difficulty seeing through infection.

1. The office is responsible for having their Periodontal Endoscope in working order. This includes water delivery.
   Older dental endoscopes relied on water pressure from the dental unit and the water was routed through the back of the scope. Unfortunately, many found that their scopes developed problems with this method of water delivery and an independent water source was developed.
   If your unit is older and has not been outfitted with a water modification kit, you must purchase one. Water delivery units may be purchased from Zest Dental Solutions.
2. Perioscopy explorers (a minimum of 2 sets of all 4 explorers is recommended)
3. Enough Endoscopy sheaths for instruction.
4. The office is responsible for providing the patients for instruction. A recent set of radiographs and full mouth periodontal charting is recommended for each patient prior to instruction

Each clinician will receive a certificate of completion in hands-on instruction.
For more information on Periodontal Endoscopy or Diode laser Instruction, phone Suzanne Newkirk at: (425) 770-0520, or email her at rnrwkirk@yahoo.com