Dr. Marsha Douma, DDS, Washington DC
WHAT I HAVE FOUND
The Sippressor can be used as a stand alone suction or as a supplemental system in conjunction with other suction systems for patients who for various reasons have copious saliva and overactive tongues. It is especially useful for patients who have small mouths, limited interocclusal apace, children fearful of “things” in their mouths, and patients who are intolerant of objects in their mouths because of a gag reflex, or no particular reason at all other than they don’t like the feel of it. Even the most intolerant and sensitive patients find the Sippressor acceptable. No one has yet objected to it. It makes me more efficient, and the dental procedure more comfortable for the patients.
I always work with a dental assistant, and even with her suctioning while I work, using the Sippressor is very helpful. Many of my patients are senior citizens, who are more sensitive to water accumulating in their mouth than a younger patient might be, since their mouths are often dry. It should also be a huge benefit to operators working alone, whether a dentist or a dental hygienist, for the gentle yet effective removal of water and saliva. It is a great third hand.
For many patients, our regular choices for suctioning either are uncomfortable to them either due to soft tissue impingement as the gingiva gets sucked into the suction, or the strong airflow that makes their teeth hurt. The Sippressor doesn’t have these problems.
RESTORATIVE AND CROWN & BRIDGE PREPARATION AND DELIVERY
As I mentioned previously, I found it helpful for all procedures either as a stand alone suction or as a supplemental one. It really is almost a set it and forget it suction aid. A unique and efficient aspect is the occlusion of a restoration can be verified and adjusted with the Sippressor in place, at least the model that does not use the bite block.
For patients who are uncomfortable with their mouth open while waiting for an X-ray to be developed because they feel they can’t swallow - I use open trays - the Sippressor takes the saliva out of their mouths.
Depending on the case, I take both full arch, quadrant, or triple tray impressions. As long as the operator is careful, the Sippressor can almost always stay in the mouth for most of these impressions. I find this aspect very useful, particularly for triple trays when regular suctions prevent the patient from biting down, but I need to be sure there is no saliva on the teeth. This should be equally if not more true for the scanners.
I use a Cavitron and a ProphyJet for all periodontal cleanings. They put so much water into the patients mouth so quickly, constantly and for so long, despite working with an assistant, patients often tell me they feel like they are “drowning”. Using the Sippressor effectively removes enough water so that they are at least as comfortable as possible, and no longer have that panicky sense they are being overwhelmed with water.
Since I have so many suction systems, and refer out endo, I don’t use a rubber dam. But I imagine it would be very effective underneath it.
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