1. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Instrument Transfer and Maintaining the Operating Field Chapter 17

2. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Dental Office Design Reception room Reception desk and business office Sterilizing area Dental office laboratory © Cengage Learning 2013

3. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Dental Office Design X-ray processing room Radiography room Optional rooms: –Dentist’s private office –Staff lounge –Patient education area

4. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Treatment Rooms Dental chair –Supine –Sub-supine Dental stools Operating light © Cengage Learning 2013

5. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Treatment Rooms Dental unit –Mobile cart –Air-water syringe –Dental handpieces –Ultrasonic scaler –Saliva ejector –High-volume evacuation Courtesy of A-dec, Inc., Newberg, Oregon, USA.

6. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Treatment Rooms Cabinetry Sink Dental x-ray unit Dental air compressor Central vacuum system

7. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Treatment Rooms Small equipment –X-ray viewbox –Dental curing light –Amalgamator –Communication system –Computerized equipment © Cengage Learning 2013

8. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Dental Check Name the types of dental unit delivery systems and state a benefit of each. –Rear – will be out of the patient’s field of vision –Side – can repositioned to either side of the dentist –Front – can be placed between the dentist and assistant

9. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Routine Office Care Daily routine to open office Daily routine to close office

10. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Concepts of Dental Assisting Four-handed dentistry –Dentist and dental assistant working together Six-handed dentistry –Dentist, dental assistant, and additional dental assistant working together

11. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Activity Zones Operating zone Assisting zone Static zone Transfer zone Shown for right-handed operator © Cengage Learning 2013

12. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Classifications of Motions Class I: Only finger movement Class II: Fingers and wrist Class III: Fingers, wrist, and elbow Class IV: Entire arm and shoulder Class V: Arm and twisting of body

13. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Dental Check Which classification of motion involves movement of the entire arm and shoulder? –Class IV motion

14. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Preparing the Treatment Room Dental assistant prepares treatment room for each patient –Clean and disinfect –New barriers –Room straightened up –Arm of chair raised or turned for easy access –Review patient records

15. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Seating the Dental Patient Greet and escort Seat and prepare –Napkin/bib –Safety glasses –Supine position –Position light © Cengage Learning 2013

16. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Ergonomics for the Operator and Assistant Ergonomics –Study and analysis of human work Including anatomic and psychological aspects of people and their work environments

17. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Ergonomics for the Operator Positioned squarely Weight distributed evenly Feet flat on floor Back supported and in upright position Elbows close to body

18. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Ergonomics for the Operator Patient’s chair lowered over operator’s thighs Distance between operator’s face and patient’s oral cavity approximately 14 to 18 inches

19. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Ergonomics for Assistant Stool –4 to 6 inches above operator’s stool Weight distributed evenly over seat Front edge of stool even with patient’s mouth Feet on base of stool with thighs parallel to floor

20. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Dismissing the Patient Raise chair to upright position Wipe debris from patient’s face Ask if patient has questions Give post-operative instructions Escort patient to reception area

21. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Patients with Special Needs Child Senior Pregnant Hearing impaired or blind Patients with wheelchairs or walkers Patients who do not speak English

22. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Dental Check What are some things a dental assistant can do to aid the patient who is hearing impaired? –Position oneself so the patient can see lip movement and facial expression; speak slowly; make eye contact; perhaps learn some sign language