1. Study Guide Power Point
Chapters
32, 33, 34, & 35
Clinical Dentistry

2. Knowledge
This study power point is to be used as an aid, to help you understand what to study
To be successful, you must take accountability for your own destiny.
Which means that I give you this as a guide, not a complete “answer key” for the test!
Success should always be a goal.

3. Chapter 32 Office Environment Temperature Lighting
Wall and Floor Coverings
Traffic Control
Sound Control
Privacy

4. Specific Areas of the Dental Office
Reception area
Administrative/business area
Clinical treatment areas
Sterilization center
Dental Lab
Dentist’s private office
Dental staff lounge

5. Reception area Patients are received Greeted pleasantly and welcomed
Cleaned everyday
Adequate seating
Current journals
Play area

6. Administrative Area
Hub of the office
Management and business

7. Treatment Area Also known as the Dental Operatory
Usually two or more units
Comfort and mobility for team

8. Clinical Equipment Patient Dental Chair Designed for comfort
Patient seated with chair in lowest and upright and arm rest raised

9. Stools Operator– large seat and back
Adjustable
Assistant’s stool—provide stability, mobility and comfort
4-6 inches higher than operator

10. Dental Unit
Basic function– provide necessary electrical and air-operated mechanics
Delivery systems
Can be mounted on the floor, wall or side
Rheostat
Operates hand pieces
Waterlines
Supplies water

11. Cont. Air-Water syringe-needed for every procedure
Delivers a stream of water
Delivers a stream of air
Delivers a combined spray of air and water

12. Operating Light Illuminates the oral cavity during procedures
After patient is seated in supine position, light is positioned over patients chest approximately 25 to 30 inches below patients chin

13. Oral Evacuation system
Saliva ejector
High-volume evacuator (HVE)
Both used to remove water/debris from patients mouth

14. Dental Equipment Understand the following Central Vacuum Compressor
Central Air Compressor

15. Central Sterilization
Used for maintaining dental instruments
Two areas
Contaminated area
Clean area

16. Understand the following
Dental Lab
Private Office
Staff lounge
Morning and evening routines for assistants

17. Chapter 33 Delivering Dental Care
Understand how to prepare the treatment area
Knowing your patient
Reviewing their chart
Treatment room checklist

18. Greeting and Seating a patient
Understand the proper steps for the procedure (found in your book)

19. Team Dentistry Theory—four-handed dentistry
Operator and assistant work together to perform clinical procedures in an ergonomically structured environment.
Main goal—to deliver the best and most effective care to your patient by increasing productivity

20. Goals of Team Dentistry
Utilize ergonomically correct dental equipment
Utilize preset trays
Minimize stress and fatigue
Follow the principles of motion economy during transfer of instruments and materials
Use appropriate moisture-control techniques
Delegate expanded functions

21. Team Positioning Patient Operator Lowered to supine position
Operator will make final adjustments
Operator
Access and vision are most essential
Needs comfort and support
Seated as far back as possible, front edge of stool just touching the backs of knees
Thighs parallel to floor
Feet kept flat on floor
Backrest of chair positioned to support
Height to maintained to allow forearms parallel to the floor

22. Cont. Dental Assistant Anticipate what is needed next
Seated well back on stool
Feet resting on foot ring
Positioned as close as possible to dental chair
Legs parallel to patients chair
Eye level four to six inches above the operator

23. Classification of Motion
Movement of fingers only
Class II
Movement of fingers and wrist
Class III
Movement of finger, wrist and elbow
Class IV-
Use of entire arm and shoulder
Class V-
Use of entire upper torso

24. Motion Economy Understand examples of each Class
Used to reduce fatigue

25. Operating Zones Using the Clock concept understand the (time) zones.
Example transfer zone is 4 – 7 for right-handed operator
Always assume that you are working with a right-handed operator unless otherwise stated.

26. Instrument Transfer
Four-handed dentistry is the concept that a qualified chair side assistant is seated across from the dentist and they work as a team

27. Objectives for Efficient Instrument Transfer
In your book there is a list of the objectives, please be very familiar with these objectives

28. Grasps Pen grasp Palm grasp Palm-thumb grasp
You should be able to identify the grasp that should be used with any given instrument
Understand the concept of the different grasp

29. Four-Handed Transfer
You will need to know the method of four-handed instrument transfer
Including each type of instrument as well as grasp

30. Expanded Functions Dental Assistants
Understand the laws applying to EFDA’s
Credentialing
Dental Supervision

31. Chapter 34
Dental Hand Instruments

32. Identifying Instruments
Number
Design
Handle, shank, working end
Black’s Formula
Id the 1st , 2nd and 3rd number

33. Classification of Hand Instruments
Examination instruments
examples
Hand cutting instruments
Restorative Instruments
Accessory instruments

34. Instrument Sequence
How is the tray set up??

35. Basic Set-up
Mouth Mirror
Explorer
Cotton Pliers

36. Instruments
You are responsible for knowing the names and uses of each instrument that we have covered in class

37. Chapter 35
Dental Hand pieces and Accessories

38. Hand pieces What types of hand pieces are there?
What is the difference in the hand pieces?
What type of burs are used in each?
What type of attachments are there, and which hand pieces do the fit in?

39. Burs Name the different types of burs.
What burs are used in what areas/procedures
How do you know??

40. Hand pieces Maintenance
Know and understand the general considerations for Hand piece sterilization

41. Burs Parts of a Bur Straight shank--??? Latch type shank--???
Neck
Head
Straight shank--???
Latch type shank--???
Finishing burs, diamond rotary , abrasive rotary, laboratory rotary

42. Burs Carbide steel burs Lab burs
Used in the operatory, in patients mouth
Lab burs
Used in Lab to smooth or shape, models, dentures, appliances, crowns, etc.

43. Attachments
Straight attachment???
Contra angle--???
Prophy angle--???