Tips for a Healthier Practice Susan Ferrante, RDH, CEAS

@ASDAnet #ASDAnet A-dec, Inc.

@ASDAnet #ASDAnet Learning Objectives 1.Identify areas in dentistry prone to bad habits/bad postures. 2. Present the impact of poor posture and the effect it has on the overall health of the dental team. 3. Identify common chair side behaviors that lead to poor posture. 4. Present environmental and physical solutions to promote healthier posture for the dental team. 5. Define the five modalities/sources of dental lighting.

@ASDAnet #ASDAnet Access to the Oral Cavity

@ASDAnet #ASDAnet Patient Seating

@ASDAnet #ASDAnet Ample Lighting

@ASDAnet #ASDAnet 67% 80% 70% Dentists experiencing Musculoskeletal Disorders Hygienists Experiencing Body and Back Pain 3 rd Year Students Experiencing Neck, Shoulder and Back Pain

@ASDAnet #ASDAnet Overuse of key muscle groups

@ASDAnet #ASDAnet Habits start in School

@ASDAnet #ASDAnet Neutral Balanced Posture

@ASDAnet #ASDAnet Working the Muscles

@ASDAnet #ASDAnet

@ASDAnet #ASDAnet Look Familiar?

@ASDAnet #ASDAnet Muscles at work

@ASDAnet #ASDAnet Patient accommodation

@ASDAnet #ASDAnet Access to the Patient

@ASDAnet #ASDAnet Positioning the Assistant

@ASDAnet #ASDAnet Posture Checkpoints Begin at the floor and work your way up!

@ASDAnet #ASDAnet Good Posture = Discipline & Practice

@ASDAnet #ASDAnet Dental Teamwork

@ASDAnet #ASDAnet Patient Seating Examples

@ASDAnet #ASDAnet Improving Access with Simple Adjustments

@ASDAnet #ASDAnet Why maintain a balance of all the lights?

@ASDAnet #ASDAnet Impact of Overhead Lighting

@ASDAnet #ASDAnet Shadow dilution = poor dental lighting Caused by foreheads, hands, fingers and instruments Dark shadows impair diagnosis & treatment

@ASDAnet #ASDAnet Other symptoms of poor dental lighting People exposed to glare or having vision problems, tend to lean forward or backward to compensate Awkward body positions lead to eye strain, accelerate postural fatigue, contributing to musculoskeletal injuries

@ASDAnet #ASDAnet Light Modality: Ambient

@ASDAnet #ASDAnet Handpieces

@ASDAnet #ASDAnet Lights Do Different Things - Handpiece Handpiece Lighting - very close to surface Provides lighting directly on surface being treated

@ASDAnet #ASDAnet Loupes & Lighting Magnification with the aid of loupes is becoming a standard of care for dentists and dental hygienists o 78% of dentists surveyed use dental loupes. o 36% of dentists surveyed use an additional light source (beyond overhead lighting). o When asked which type of additional light source they use, their response was: 23% Halogen Headlight 54% Fiber Optic Headlight 5% Lighted Retractors 18% Other Source: DentalTown e-Survey, August 29, 2003

@ASDAnet #ASDAnet Understanding Loupes & Magnification Lighted loupes can enhance the visual and ergonomic benefits of magnification

@ASDAnet #ASDAnet Daylight

@ASDAnet #ASDAnet Summary/Review of our Learning Objectives 1.Identify areas dentistry prone to bad habits/bad postures. Patient access, compromised visibility 2.Present the impact of poor posture and the effect it has on the overall health of the dental team. Pain, fatigue, sore muscles 3.Identify common chair side behaviors that lead to poor posture. Not adjusting headrest, lights not positioned, chair too wide, seating posture 4.Present environmental and physical solutions to promote healthier posture for the dental team. Dental team positioning, light positioning, access under patient chair, proper seating, posture centered and straight. 5.Define the five modalities of dental lighting Overhead light, Ambient (Direct/Indirect, Task), Handpieces, Loupes, Daylight

@ASDAnet #ASDAnet THANK YOU