Access to Subgingival Calculus Deposits on the Proximal Surfaces of the Mandibular

Multiple Choice

Access to subgingival calculus deposits on the proximal surfaces of the mandibular anterior teeth is difficult because of papillary enlargement of the gingival tissue. Which of the following statements provides the BEST advice for thorough subgingival calculus removal?

A) Use a curet with a small, thin working end, and approach the deposit from both facial and lingual aspects
B) Try to remove the deposit with an explorer using an assessment stroke
C) Apply a topical anesthetic; then use a calculus removal stroke subgingivally with an anterior sickle scaler
D) Use the ultrasonic with a universal insert applying heavy lateral pressure and working as quickly as possible