Prophy Paste Selection: Grit, Abrasiveness, and Indications
Match prophy paste grit and flavor to the clinical indication without damaging restorations or enamel surfaces.
Indication-Driven Selection
Polishing should be selective, not automatic. Choose paste based on the presence and tenacity of stain rather than as a default step.
Grit and Abrasiveness
- Coarse grit for heavy extrinsic stain; reserve for enamel only.
- Fine grit for light stain and for polishing around restorations.
- Avoid coarse paste on composite, glass ionomer, or demineralized enamel.
Flavor and Patient Experience
Flavor affects acceptance, especially with anxious patients. Offer options and keep a mild, non-mint alternative for patients with sensitivity or mucosal irritation.
Practical Takeaway
Polish selectively. Match grit to stain tenacity and tooth surface, and avoid coarse paste on restorations or demineralized enamel.
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