Hodges, K. (2018). Hand instrumentation of the first molar teeth.
Dimensions of Dental
Hygiene, 16(5), 16-18.
First molar teeth have complex root anatomy, causing certain challenges during
instrumentation. In order to become successful at instrumentation of the first molars, it is
important to memorize the correct anatomy. If you select the incorrect instrument, for example
a flexible shank, it might not have enough strength to remove the calculus that is usually
present in this area.
This article is important to read as a dental hygiene student. Learning instrumentation is
stressful and frustrating, causing me to forget some of the basics, such as tooth numbers or
root anatomy. The maxillary first molar buccal furcation is location about 4mm from the CEJ
and the mesial furcation is 3mm from the CEJ. The furcation could be exposed with slight
periodontitis depending on the gingival margin height and recession amount. It is important to
know the root anatomy in order to select the correct instrument during the appointment. I will
use the information from this article as a future hygienist. It gave me useful information on
which instruments to use to help remove tenacious calculus in this area of the mouth. Currently
in clinic, we are learning instrumentation and this reminder of root anatomy and how close the
CEJ is to the furcation.