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Dentsply Sirona USA
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Home Products Preventive SmartScaling

Oral Diseases

Promoting a lifetime of oral health starts with SMART choices.

Research highlights some significant and alarming trends with oral diseases—what has been termed as a “silent epidemic.”¹


Affects 50 to 90% of adults worldwide. It is the mildest form of periodontal disease, and when left untreated, can lead to severe periodontitis.²


Impacts almost 50% of U.S. Adults³. It may result in tooth loss and is linked to systemic conditions such as cardiovascular disease, type 2 diabetes and pre-term deliveries or low birthweight babies.⁴


Causes approximately 15% of adult patients to avoid regular dental care. Getting patients to do what it takes to keep their teeth and gums healthy can be challenging.

The key to addressing oral diseases is a comprehensive effort that includes education, prevention and routine dental care.



Janoa Hayes, LDH

See how Janoa discusses the importance of regular dental hygiene care in maintaining oral health, specifically in patients with chronic periodontal disease.

Watch her testimonial ►

Ultrasonic Scaling

The SMART choice in patient comfort.


Ultrasonic scaling can quickly and effectively remove even the most tenacious calculus, which means less chair time.⁷


Patients experience less pressure and greater comfort during ultrasonic scaling procedures compared to hand scaling.⁶


The more comfortable and less intimidating the procedure, the more likely the patient will return for more frequent dental visits.

Cavitron Touch Ultrasonic Scaling System

Precision driven by software

  • Cavitron Touch’s exclusive digital operating system is our most efficient system ever.⁸
  • The exclusive system runs so efficiently that it produces less heat, requiring less water for better patient comfort.⁸
  • Quieter than other ultrasonic systems.⁸


Learn More ►


Pat Martin, RDH

Learn why Pat prefers ultrasonic scaling over hand scaling. She discusses how her view has changed over time and what many of the benefits are to the clinician and the patient.

Watch her testimonial ►

Insert Selection

The SMART choice in inserts.

Just like with hand scaling, inserts are designed for removing different levels of deposit. Most clinicians prefer more than one type of insert. Selecting and using the proper inserts can help improve patient comfort and efficiency of your practice.


Cavitron Thinsert Ultrasonic Insert

47% thinner than FSI Slimline-10, the Thinsert provides access in difficult areas, including misalignments, interproximal surfaces and tight tissues,  without loss of tactile sensation.

The Thinsert provides a tactile feel so you can efficiently detect and remove calculus without transitioning between an explorer and your insert.

Learn More ►



Cavitron Slimline Ultrasonic Inserts

30% thinner than Powerline Ultrasonic Inserts for improved subgingival access.

Learn More ►






Cavitron Powerline Ultrasonic Inserts

Thicker inserts with larger tips, specifically designed for efficient removal of heavier deposits.


Learn More ►

Pat Martin, RDH

Discover why Pat uses multiple inserts on her patients and how the patients benefit from each selection.

Watch her testimonial ►

Karen Walker, RDH

Karen likes to use a combination of inserts to create a more efficent, effective, and comfortable experience for the patient. 

Watch her testimonial ►

Insert Wear

As a tip wears from use over time, this loss of tip length translates into a loss of efficiency. Worn tips can cause the use of excessive pressure while scaling, which results in discomfort for both the clinician and patient.

Procedures like Scaling and Root Planing (SRP) are important to preventive care because removing calculus and disrupting bio lm is critical to maintaining oral health. But getting patients to commit to regular visits and procedures like SRP isn’t so easy. Dentsply Sirona Preventive offers a range of products and support to ensure the best and most comfortable patient experience possible, which is important to the prevention of oral diseases. 


The last 4mm of a Cavitron Ultrasonic Insert is referred to as the tip’s active area.



Ultrasonic inserts move from a fixed point.


Using worn tips reduces the area being scaled.


The SMART choice in anesthetics.

Additionally, failure to comply with an ongoing periodontal maintenance program may contribute to the recurrence or progression of the periodontal disease process.

That’s why providing a better patient experience during periodontal therapy is so important.

of periodontal recall patients report tooth sensitivity.¹²

of periodontal recall patients prefer a non-injectable anesthetic gel over an injection.¹³

of patients who preferred a noninjectable anesthetic gel would be more willing to return for recare if they knew a non-injectable option was available.¹⁴

Oraqix (lidocaine and prilocaine periodontal gel) 2.5%/2.5%

The only FDA approved anesthetic for scaling and/or root planing patients.
  • pH Neutral -- safe for use on inflamed tissue
  • Needle free
  • Fast onset (30 seconds) and short duration (approx. 20 minutes)
  • Transforms from a liquid to a gel on contact and can be dispensed directly into a pocket

Learn More ►

Kim Miller, RDH, BSDH

Kim talks about her viewpoints on when Oraqix (lidocaine and prilocaine periodontal gel) 2.5%/2.5% should be used and how the topical helps patients stay comfortable and assists in making sure patients return for recare visits.

Watch her testimonial ►


For patients that need more profound anesthesia.

Injectable Anesthetic Options

4% Citanest Plain DENTAL (prilocaine HCl Injection, USP) Without Vasoconstrictor
4% Citanest Forte DENTAL With Epinephrine 1:200,000 (prilocaine HCl and epinephrine injection, USP)
Articadent DENTAL (articaine HCl and epinephrine) Injection
2% Xylocaine DENTAL With Epinephrine 1:100,000 (lidocaine HCl and epinephrine injection, USP) Or with Epinephrine 1:50,000
3% Polocaine DENTAL (mepivacaine HCl Injection, USP) Without Vasoconstrictor

Learn More ►




To improve the patient experience.


During SRP:

Maintain a light, featherlike touch similar to the exploratory stroke during ultrasonic scaling.

Adapt 2-4 mm of the active tip area and 0-15 degree angulation from long axis of tooth

Utilize short, overlapping strokes in a methodical pattern to debride the tooth surfrace.

Additional Helpful Tips:

Nupro Extra Care

Cleans and polishes teeth and provides clinically proven immediate and long-lasting tooth sensitivity relief (up to 28 days)¹⁷ in a single application; available in four flavors; dye-free, gluten-free, SLS-free.


Learn More ►

Nupro White Varnish

Uniquely formulated for hypersensitivity relief; with rapid fluoride release¹⁸ and only a 2-hour wear time.* It can be applied to a wet tooth surface, alleviating the need to dry teeth following SRP.


Learn More ►

Nupro Chlorhexidine Gluconate 0.12% Oral Rinse
For use between dental visits as part of a professional program for the treatment of gingivitis as characterized by redness and swelling of the gingivae, including gingival bleeding upon probing.


Our online learning portal provides the knowledge, skills, and certifcation dental professionals need to stay up-to-date.


Find CE courses, Technical Courses, and Practice Management Resources ►

* Data on file.
1. National Center for Chronic Disease Prevention and Health Promotion
2. Albandar JM, Rams TE. Global epidemiology of periodontal diseases. Periodontol 2000. 2002;29:7-10.
3. P.I. Eke, B.A. Dye, L. Wei, G.O. Thornton-Evans, and R.J. Genco. Prevalence of Periodontitis in Adults in the United States: 2009 and 2010. J DENT RES 0022034512457373, first published on August 30, 2012 as doi:10.1177/0022034512457373
4. Petersen, P. E., & Ogawa, H. (2005, December). Strengthening the Prevention of Periodontal Disease: The WHO Approach. Retrieved from
5. Gatchel RJ, Ingersoll BD, Bowman L, Robertson MC, Walker C. The prevalence of dental fear and avoidance: a recent survey study. J Am Dent Assoc. 1983 Oct;107(4):609–610. [PubMed]
6. Croft, et al, International Journal of Periodontics & Restorative Dentistry, Volume 23, number 6, 2003.
7. Compared to hand scaling.
8. Compared to other Cavitron models.
9. When compared to a new ultrasonic insert.
10. Bassett, K, et al.  Local Anesthesia for Dental Professionals. Page 38.
11. Logothetis, Demetra D. and Fehrenbach Margaret J.  Local anesthesia options during dental hygiene care. Page 5.
12. Matthews DC., Rocchi A., Gafini A., (2001). Factors affecting patients’ and potential patients choices among anesthetics for periodontal recall visits. Journal of Dentistry 29:173-179.  Page 176
13. Matthews DC., Rocchi A., Gafini A., (2001). Factors affecting patients’ and potential patients choices among anesthetics for periodontal recall visits. Journal of Dentistry 29:173-179.  Page 177
14. Matthews DC., Rocchi A., Gafini A., (2001). Factors affecting patients’ and potential patients choices among anesthetics for periodontal recall visits. Journal of Dentistry 29:173-179.
15. Croft, et al, International Journal of Periodontics & Restorative Dentistry, Volume 23, number 6, 2003.
16. Bassett, K, et al.  Local Anesthesia for Dental Professionals. Page 56.
17. J.L. Milleman, K.R. Milleman, et al. Nupro Sensodyne prophylaxis paste with NovaMin for the treatment of dentin hypersensitivity: A 4-week study. Am J Dent 2012; 25: 262-268.
18. Compared to competitive varnishes. Data on file.
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