In dental hygiene school during skill development, traditional hand fulcruming positions were often taught with the fulcruming finger placed intraorally and securely on a tooth near the area in which the clinician was scaling. Traditional “patient/operator” positioning between 8 o’clock and 12 o’clock positions were also emphasized. This traditional positioning often required the clinician to work in uncomfortable and strained positions for hands, arms, back and neck.
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