 Hello everybody, Andrea Mayesca here with dental well tutoring. I'm sorry. I decided to clear my throat really really quick But I wanted to talk to you guys about something that happened to me yesterday actually So what do you do when your piezo or cavatron isn't working? So for those of you who are a dental hygienist you might either always use a piezo or always use the cavatron I have used both depending on the offices where I'm in I'm fine using either or but I do prefer the piezo But what do you do when you show up and it was working yesterday? Or it was working before your last appointment, but for this patient or just today It's not working and it's not like you can get down on your hands and knees and try to fix it If it's an internal unit you can't just move things around to try to fix it If it's just one you just simply plug in those are easier because usually it means you just have to Turn it off turn it on again. Maybe plug it back in again Maybe just keep on trying different tips, you know just weird things happen with these machines But all in all if it just stops working what do you do? So this happened to me the other day and it happened to me for my last patient when I was doing quad Scaling okay, so she was in for quad three for the full the full hour I'm just scaling quad three. I needed that piezo guys Okay, think about thick black tartar rings around every tooth me hand scaling that is impossible Maybe you guys are amazing. I'm not amazing at being able to get those black rings off around the teeth So I was annoyed. I was stressed out. I know the patient can't tell Even when I went to go use the water instrument I like to call it for my patients and she's had it every single time So she knows exactly what it is because I have explained it to her I went to go pick it up and then it just wasn't working. I kind of said to her. Oh our water instruments not working I'm just gonna change the tip I'll be right back and I kept on trying to get it to work for a good couple minutes, but it just wasn't working So instead of me saying to her, okay I'm not gonna be able to do your cleaning today because there's no way but I can hand scale everything I said to her, you know what? That's okay. I'll just use my handed hand instruments. You might feel a little bit more pressure but um Actually, she had full LA so full local anesthetic quad three so that actually helped me out But I said you might feel some more pressure today my water instrument for some reason isn't working So you might kind of see me dig more but things will look amazing Meanwhile inside. I'm thinking oh I have to hand scale for an hour. I won't be able to get it off I won't not all of it anyway, and that's what happens. So considering you know For a lot of patients if they were just in for their cleaning today Opposed to quad scaling. I would have said to them. Oh, there's more plaque than usual I can't clean everything today. So we will bring you back for her. It was quad three for the full hour There's no way I was going to tell her that we can't clean everything did today We're going to have to bring you back for quad three. I just wasn't going to do it Okay, I wasn't going to do it. So I scaled as much as I possibly could thank God Thank goodness. It was my last patient because my hand was hurting. I was sore I was not happy. So thank goodness. It was the last appointment But I just simply said to her okay. Well, we did a great cleaning today The gums will probably bleed more than usual because there was more on this side But the next time we will continue on into quad four But I left charter behind you guys. I know I did because I wasn't able to get my piezo in there I know I did I left charter behind and I didn't tell the patient I left charter behind but what I'm going to do is at her next appointment. She's actually in on Thursday She's in for quad four. I'm going to obviously clean quad four I probably won't have time to go back to quad three and kind of finish it up But since it's quad four what I'm going to do is I'm going to obviously clean entirely quad four She will have local anesthetic again, and then I'm going to at the end of the appointment say to her I Am going to go back with my water instrument and just kind of clean a little bit everywhere And since I didn't have the water instrument last time I'm just going to spend an extra, you know two minutes making sure that it is as You know healthy as possible. So that's it so what I'm what I'm going to do is I'm going to go back with the Piezo because now it's working by the way and I'm just going to spend longer and quad three and make sure to get everything off So that's what I'm going to do. So you see how I did that You see how I did that so it just makes me feel so much better because I know I didn't get everything clean I know I didn't But that's just kind of how I handle the situation So if that happens to you guys just just kind of look and see like if it's some And I did actually have another patient where my piezo was not working once So not the same day, but another day and they had a lot of charter their lower anteriors I was able to use my hand instruments to get it off But it was really hard like it was really tenacious. So I simply said to them You know what I can't do your whole cleaning today because there's just simply not enough time If you could come back for like 20 minutes, that's it next time I will only obviously charge you for the 20 minutes of a cleaning and just do the rest of it So that's what I did because I couldn't get it all off with my hand instruments plain and simple Or if let's just say that that patient had a lot of charter everywhere I did the best I could with my hand instruments But I couldn't get it all off without Using the piezo that I will bring them back for a full hour the next time to do the rest of it You will probably be done early unless they did obviously have a lot But make sure that that the piezo or the cabotron is working when you bring them back Or you're just gonna have to work really hard those hand instruments. I love my piezo I like to use the piezo first and you should always hand scale afterwards anyway because you might miss something So yeah guys, that's what I do if it hasn't happened to you yet It will probably happen to you knock on wood though But that it doesn't happen soon and I hope that these little tips can help you guys any comments Please let me know I might have left something out Please let me know make sure to click like and make sure to subscribe Because I do always appreciate it and it's nice to know that people are actually watching me do these videos So thank you guys so much. Have a good day today. It looks nice outside. Enjoy the weather and I'll see you next time