2. Prof. Asaad Javaid MCPS, MDS
Dept of Operative Dentistry
Peshawar Dental College
Peshawar

3. in Operative Dentistry Clinics & recommended exercises
Stress free Working in
Operative Dentistry Clinics
& recommended exercises

4. Erect spine
You should sit with your back bone in erect position

5. Back support
Your Back should be well supported by the back rest

6. Firmly placed feet
Your feet should be firmly placed on the ground

7. Thighs parallel to floor
Your thighs should be parallel to the floor

8. Relaxed shoulder
Your shoulders should be relaxed

9. Visibility of operation site
you must be able to see the area clearly where you want to work

10. No Neck Bending
While working on upper jaw your neck should not be unnecessarily bent

11. No back bending
you must not bend your back unnecessarily

12. Mandibular parallelism
While working on the lower jaw, patient’s occlusal plane should be parallel to floor

13. Proper use of instruments
you should hold the mirror in non working hand and reflects the light

14. Consequences of stressed working
Discomfort > chronic pain
Fatigue > chances of increased errors, accidents and injuries
Work-related musculoskeletal disorder (MSDs)

15. MSDs: Signs Decreased range of motion Deformity
Decreased grip strength
Loss of muscle function

16. MSDs: Symptoms
Pain
Numbness
Tingling
Burning
Cramping
Stiffness

17. Musculoskeletal Disorders
Headaches
Neck and shoulder pain
Back pain
Carpal Tunnel Syndrome (CTS; a wrist injury) 17

18. Exercises
Stretching and strengthening the muscles that support the back and neck and those used in the forearm, wrist, and hand will help them remain strong and healthy

19. Hand Exercises
Resting the hands frequently is believed to be one of the most important factors in preventing CTS
Use the following exercises to stretch and relax the muscles in the hand

20. Slowly open & close your hands from a completely
Discuss the benefits of this exercise.
Slowly open & close your hands from a completely
open position to a completely closed position
ending with fingers tucked into palms 20

21. Press the palms together & then relax
What part of the body benefits from this exercise?
Press the palms together & then relax
Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved. 21

22. Gently pull & relax each finger on each hand separately22

23. Cross the wrists & gently stretch and relax
What repetitive motions in the dental office might cause pain in the wrists?
Cross the wrists & gently
stretch and relax 23

24. Eye Exercises
To relieve eyestrain caused by focusing intensely at one depth of vision for long periods
Rub your palms together to warm them & place them on your eyes for 5 sec.
Look up from the task and focus your eyes at a distance for approximately 20 seconds
Repeat these exercises many times a day
Have the class practice this exercise in class.
How frequently should this exercise be performed? 24

25. Back Exercise
Let the head roll forward slowly and allow the arms and head to fall between the knees; hold for a few seconds, then rise slowly by contracting the stomach muscles and rolling up. Bring the head up last

26. Neck Exercises
Try head rotations for neck stiffness. Head rotations involve tilting the head from right to left, as well as forward and backward, without forcing the motion beyond your range of comfort
Demonstrate neck exercises to the class.
What might result if the motion is jerky or the head is tilted beyond a comfortable range? 26

27. Shoulder Exercises
Shoulder-shrugging can be used to stretch shoulder muscles that may be stressed by holding oral evacuators & instruments
Pull the shoulders up toward the ears, then roll them backward and forward in a circular motion. 27

28. Shoulder
shrugging 28