541 Implant Instrumentation: Preserving the Implant While Treating the Patient — From Single Implants to Full-Arch Fixed Prostheses
A Tale of Two Hygienists Podcast
Release Date: 06/03/2026
A Tale of Two Hygienists Podcast
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In this special bonus episode of A Tale of Two Hygienists, Jessica and Dave welcome back Noel and Richard Paschke, better known as Mr. and Mrs. Ultrasonics, for a deep dive into ultrasonic insert performance, wear, and innovation. The Paschkes explore why all ultrasonic tips wear over time, how worn inserts impact patient outcomes and clinician efficiency, and the engineering principles behind DuraTip, Rich's latest invention manufactured by Parkell. They also discuss practical systems for measuring insert performance, the risks of using ineffective instruments, and how technology...
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In this episode of A Tale of Two Hygienists, Jessica and Dave welcome back Noel and Richard Paschke, better known as Mr. and Mrs. Ultrasonics. Together, they break down the science behind ultrasonic instrumentation, separating fact from fiction on topics like frequency, amplitude, cavitation, cleaning efficiency, and clinical technique. Rich shares an engineer's perspective on how ultrasonic devices are designed, while Noel translates the physics into practical applications for today's clinician. They also discuss common misconceptions about piezo and magnetostrictive units, how...
info_outlineIn this episode of A Tale of Two Hygienists, Jessica and Dave sit down with implant maintenance expert Alison Stahl to unpack the hidden risks surrounding dental implants — and why successful implant therapy requires far more than simply placing the implant.
Alison explains why implants remain vulnerable to periodontal and systemic disease, why water flossers are essential for long-term implant health, and how palpation and 3D radiographs can dramatically improve diagnosis and treatment outcomes. She also reveals why stainless steel instruments may be damaging implants without clinicians realizing it and shares the essential protocols every hygienist should know when treating implant patients.
From single implants to full-arch fixed prostheses, this conversation challenges outdated approaches to implant care and highlights what modern clinicians need to protect both the implant and the patient.
Guest:
Alison Stahl
alisonstahl@precisionperi-implantacademy.com
What We Discuss:
Why implants are still susceptible to periodontal and systemic disease
Why water flossers are critical for implant maintenance
The importance of palpation and 3D radiographs in implant assessment
How stainless steel instruments can damage implant surfaces
Essential implant maintenance protocols for clinicians
Treatment considerations for single implants and full-arch prostheses
Resources & Links:
Website: https://precisionperi-implantacademy.com/
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