During the spring semester of my first year, I treated a patient who presented with heavy, tenacious extrinsic staining caused by frequent tea and coffee consumption. The stain was especially evident on the facial and interproximal surfaces of the mandibular anterior teeth and, at first glance, appeared as though it would require power scaling to remove.

After completing assessments, I began using hand scalers with proper adaptation and firm lateral pressure. I was genuinely amazed at how effectively the stain could be removed without the need for power scalers. I learned that being able to remove stain in this way was an indication of correct adaptation. Selective polishing was then used to smooth the surfaces and help reduce future stain accumulation.

While giving oral health instruction, I explained to the patient how certain beverages like tea and coffee can contribute to stain buildup. This experience highlighted the value of mastering fundamental instrumentation. It reinforced that skillful scaling, combined with patient education, is a powerful tool in long-term oral health.