Scaling is one of the most basic and simple tasks that dental professionals need to master. But, such a simple job we really do a good job? These are my next two years in the dental business of their own ideas, share out with you to exchange. 1, first of all, we should understand why patients come to dental cleaning? Is not clean teeth? Yellow teeth? Or patients themselves feel periodontal obvious bad? Or do you hear that other people scaled their teeth, but you know nothing about scaling? Understanding this is fundamental for us to be able to serve our patients better. There are times when we may misunderstand some of the patient’s intentions, and sometimes even do a disservice with good intentions. Not meeting the patient’s requirements, not understanding the patient’s meaning, and after the treatment is over, the patient feels that the results are very different from what he or she wanted, or that nothing worked. This will easily lead to a doctor-patient crisis of confidence. 2, pay attention to the systemic medical history of the inquiry: some diseases, is an absolute contraindication to dental scaling. For example, pacemaker wearers, of course, there is now a new pacemaker with shielding function is not in the prohibited range. Also, long-term aspirin users must be careful with their first scaling. Most likely, the scaling will lead to spontaneous bleeding after the scaling, which may lead to deep infection in severe cases. Therefore, for this kind of patients, the first scaling can be done for a few teeth for observation, and further treatment can be done after there is no discomfort. Then there is the issue of scaling for infectious patients, which has been very controversial. Generally speaking, ultrasonic scaling is not allowed for infectious patients, mainly because of the contamination of the operating area and the office environment. However, this problem is the most difficult to control, and few patients come to the clinic with the initiative to state that I am a patient of …… infectious diseases. Therefore, infection control measures are very necessary. 3, for patients’ questions: Will scaling loosen the teeth? Will scaling abrade their dental tissues? Such questions are too common, and the most relevant meaning expressed in the most plain language is what we want. The scaling is to wash away the calculus, and for patients with more calculus, especially those who are middle-aged or older with periodontal lesions, it must be explained before scaling. Now there is a lot of calculus on the surface of the teeth where it accumulates, and it is all connected together, disguising the teeth, and once this calculus is removed, the teeth will become loose. Take the simplest example. A small tree, when the wind blows, the whole tree may shake with it. If we pile up some big stones under the tree, the tree may not move so much, but after a few years, remove the stones, he will move even more, or even wither. Because of the accumulation of rocks, the land around the roots of the tree becomes saline, not so much nutrients, the roots of the tree are loose. It’s a very graphic analogy, but it’s a very similar truth, and the same goes for teeth. As for whether scaling will damage your teeth, I don’t need to say much about this. We all know that improper handling can damage teeth. However, can we all guarantee that we are doing it properly? The degree of tooth sensitivity is different for each patient. For each patient, the frequency of application when scaling should be different. The frequency is also different for different parts of the teeth of the same patient, so do not use one power to the end. My teacher used to say that the soreness and pain that patients experience during scaling can actually be avoided, and this is the most direct way to avoid post-operative sensitivity. The maximum power during the scaling process should be used in such a way that it does not cause tooth sensitivity in the patient. 4, about communication: We should be good at letting the patient talk and let him express himself as much as possible. We all resent sales pitches. When facing the patient, do not talk incessantly, it is likely that you are talking at the same time, his errand do not know where to drive to. And that is easy to make the patient resist, produce rebellious psychology. Learn to listen, the effect will be different, so that the patient will feel that you respect him. People are like this, “you respect him a foot, he respects you a ten foot”. Let the patient feel respected, the next treatment and handling, is you guide him away.