Typically, there are standard dental hygiene instrument set-ups in the general-practice dental office. Yet, these instrument set-ups may not address specific instrumentation needs when debriding supra and subgingival surfaces of the teeth and periodontal pockets. In addition, these instrument set-ups may not be the most effective and efficient to utilize with every patient. This course serves to review different types of dental hygiene instruments, their design and application. Also, alternative fulcrums and patient and clinician positioning, which aids in better access to certain area of the mouth, will be discussed.