Designed as a area specific instrument Lighter deposit removal Root planing Self-angulated at 70 degrees Gracy Curets are designed for subgingival debridement rounded toe and back design Gracey Curet Design Handle Shank Blade Terminal Shank Functional Shank Long , functional shank Rounded working end One cutting edge Ideal for root planing Cutting Edge Relationship to Terminal Shank Face perpendicular to shank 90 degrees 2 cutting edges Col13/14, McCalls 17/18 Universal Instruments Area Specific Instrument Face offset to shank 70 degrees One cutting edge Gracy curet Gracey 11-12 Gracey 13-14 Cutting Edge Determination o Terminal Shank perpendicular to floor o Lower edge is the cutting edge Terminal Shank Cutting Edge Cutting Edge Cutting Edge Determination Gracey Curets Gracey 11/12 mesial surfaces of posterior teeth Gracey 13/14 distal surfaces of posterior teeth Gracey ! - anterior teeth (surfaces away and surfaces towards the clinician) Gracey 11/12 Gracey 11/12 Gracey 11/12 Correct Working End Correct Working End Mesial instrument Posterior instrument Terminal shank parallel to tooth long axis Gracey 11/12 Gracey 11/12 Mesial Mesial G 11/12 G 13/14 13/14 Gracey Curet Distal instrument Posterior instrument Long shank for deep pockets Angled functional shank posterior tooth access Correct Working End Terminal Shank parallel Incorrect Working End Terminal shank not parallel Gracey 13/14 Distal Instrumentation Gracey 13/14 Distal Instrumentation G 11/12 G 13/14 Gracey 11/12 or 13/14 ? Gracey ! Curet Maxillary and Mandibular Anterior Teeth Gracy ! Curet Terminal shank is parallel to the long axis of the tooth. Fulcrum is next to the operative Tooth. Gracey 1/2 Mand. Anteriors (Surfaces Away) ! flip instrument ! clinician moves from back to front position
Gracey Gracey 1/2 1/2 Mand Mand . . Anteriors Anteriors (Surfaces Toward) (Surfaces Toward) Terminal shank parallel to long axis Terminal shank parallel Gracey 1/2 Curet Adaptation Adaptation Scaler vs Curet Scaler Curet Angulation 0 degrees Optimal 60-80 degrees Greater than 90 degrees Less than 45 degrees Subgingival Debridement/Root Subgingival Debridement/Root Planing for Smooth Surfaces Planing for Smooth Surfaces Calculus on enamel generally snaps off in one piece Subgingival calculus is shaved off Overlapping and multidirectional strokes Stroke Direction Vertical stroke Oblique stroke Horizontal Stroke Thorough Root Debridement Multidirectional stroke activation A - horizontal B - diagonal or oblique C - vertical A. B. C. Curet options Standard, after five (+3 mm to terminal shank), and mini five curettes (blade half length) Many choices Clinical cassettes Detection instruments Debridement instruments