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Field Guide · Domain II · 20%

Equipment, condensed

The motor, the angle, the cup and brush, the science of abrasives, and the armor — Domain II in one pass.

4 lessons distilled 20% of the exam ★ G·P·S·D·T — the five levers of abrasion
Every image in this domain · tap to jump back to the lesson
7 · Prophy Angles teaching image7 · Prophy Angles 7 · Cup vs. Brush teaching image7 · Cup vs. Brush 8 · Abrasives & Paste teaching image8 · Abrasives & Paste 9 · The Handpiece teaching image9 · The Handpiece
1The setup

Low-speed handpiece + prophy angle (usually disposable) + rubber cup (all smooth surfaces) or bristle brush (occlusal pits and grooves ONLY — never near gingiva). Speed is governed by the rheostat — feather it; a whining handpiece means too fast. High-speed handpieces have no role in polishing.

2The five levers of abrasion
LeverMore abrasion when…
🪨Grit (particle size)
Coarserthe biggest lever
Pressure
Heavieralso generates heat
🏃Speed (RPM)
Fastermore strokes/second
silver foil dry angle padDryness
Driermoisture lubricates
Time on tooth
Longerseconds, not dwell

Safe polishing = all five LOW: finest effective grit, light intermittent pressure, low speed, moist paste, brief contact. And always: the least abrasive agent that removes the stain.

3Agents

Prophy paste (coarse/medium/fine — most contain fluoride, which offsets what polishing removes but is not a fluoride treatment). Flour of pumice — mild abrasive for enamel stain. Chalk (whiting) — fine polish. Tin oxide — final shine on metal restorations.

4PPE & tray

Polishing makes spatter + aerosols → gloves (donned last), surgical mask, eyewear with side shields, gown; the patient wears safety glasses + bib. Tray: handpiece + angle, paste grades, disposable tips, ejector/HVE, air-water tip, floss, gauze. Disposables are single-use — discard; reusable metal angles get cleaned, lubricated, heat-sterilized.

Trap check
"What controls handpiece speed?"the rheostat (foot pedal)
"Where may the brush be used?"occlusal surfaces only
"Make the same paste less abrasive"add moisture, lighten, slow, shorten
"Agent for gold/amalgam"tin oxide
"Used disposable angle"discard — never reprocess
"Why fluoride in paste?"offsets removed surface fluoride — not a treatment
Self-test
Which combination is MOST abrasive?
Coarse + dry + fast + heavy = maximum abrasion (and maximum frictional heat). Every lever pushed up.
Self-test
The patient’s protective equipment during polishing includes:
Safety glasses (plus the bib) — spatter and debris fly. Masks and gloves are the operator’s PPE; lead aprons belong to radiography.
Know each tool by its job — and keep every abrasion lever low.

Review the full lessons any time, or head back to your dashboard.

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