More Related Content
Similar to Instrument Transfer and Maintaining Operating Field
Similar to Instrument Transfer and Maintaining Operating Field (20)
More from HeatherSeghi (20)
Instrument Transfer and Maintaining Operating Field
- 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 19
- 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.
Instrument Transfer
• Proper instrument transfer occurs when:
– Operator’s view remains on oral cavity
– Stress and fatigue are reduced
– Safety and comfort are maintained
– Production is increased with less motion
- 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.
Instrument Transfer
• Transfer zone
– Area just below patient’s nose near chin
• Fulcrum
– Point of rest on which fingers are stabilized
and can pivot
• Tactile sensation
– Feeling sensed by touch
- 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.
Instrument Transfer
• Transfer hand
– Assistant passes and receives instruments
with left hand while working with right-handed
dentist
– Assistant passes and receives instruments
with right hand while working with left-handed
dentist
- 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.
Instrument Grasps
• Pen • Modified pen
© Cengage Learning 2013 © Cengage Learning 2013
- 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.
Instrument Grasps
• Palm • Palm-thumb
© Cengage Learning 2013© Cengage Learning 2013
- 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.
Instrument Grasps
• Reverse palm-thumb
© 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.
Eight Basic Instrument Transfer
Methods
1. Primary working end should be placed
away from assistant on tray
2. With straight-shank instruments, primary
working end should be placed toward
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.
Eight Basic Instrument Transfer
Methods
3. With hinged instruments, beaks are
placed toward assistant
4. Hold instrument between thumb and
index finger and middle finger
- 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.
Eight Basic Instrument Transfer
Methods
5. With pen grasp instrument, pick up
instrument from tray near end closest to
assistant
6. Assistant’s hand is placed on instrument
opposite from end operator uses
- 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.
Eight Basic Instrument Transfer
Methods
7. Rotate working end of instrument until it
is directed toward dental arch being
treated
8. Hold instrument to be passed parallel to
instrument held by operator
- 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.
Instrument Transfer Methods
• Instruments transferred by:
– One-handed transfer
– Two-handed transfer
- 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
• What grasp would you use when using a
Wedelstaedt?
– Palm-thumb grasp
- 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.
Instrument Transfer Modifications
• Mirror and explorer
transfer
© Cengage Learning 2013
- 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.
Instrument Transfer Modifications
• Cotton pliers transfer
© 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.
Instrument Transfer Modifications
• Scissors transfer
© Cengage Learning 2013
- 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.
Instrument Transfer Modifications
• Dental handpieces
© Cengage Learning 2013
- 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.
Instrument Transfer Modifications
• Air-water syringe transfer
© Cengage Learning 2013
- 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.
Maintaining Operating Field
• Lighting
– Positioning
– Illumination of
oral cavity
© Cengage Learning 2013
- 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.
Maintaining Operating Field
• Evacuation system
– Remove water, saliva, blood, and debris
– Hose, evacuation tip, and handle
– Grasps
– Placement
- 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.
Placement for Evacuation
© Cengage Learning 2013 © Cengage Learning 2013
- 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.
Placement for Evacuation
© Cengage Learning 2013
© Cengage Learning 2013
- 23. ©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.
Placement for Evacuation
© Cengage Learning 2013
© Cengage Learning 2013
- 24. ©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.
Placement for Evacuation
© Cengage Learning 2013© Cengage Learning 2013
- 25. ©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.
Maintaining Operating Field
• Saliva ejector
– Removal of saliva
© Cengage Learning 2013
- 26. ©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.
Maintaining Operating Field
• Air-water syringe
– Emits water, air, or
combination of both
– Rinse mouth
– Dry areas of mouth
© Cengage Learning 2013
- 27. ©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.
Maintaining Operating Field
• Retraction of tissues
to increase visual field
– Mouth mirror
– Mouth props
– Gauze
© Cengage Learning 2013
- 28. ©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.
Isolite System
• System to maintain clear, dry field for
operator
• Provides:
– Isolation
– Retraction
– Evacuation
– Light source
- 29. ©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.
Techniques for Moisture Control
and Isolation
• Cotton rolls
– Come in various sizes and shapes
– Isolate area
– Rest evacuator
– Place materials
– Serve as something on which patient can bite
- 30. ©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.
Techniques for Moisture Control
and Isolation
• Dry angles
– Triangular, absorbent
pads
– Absorb flow of saliva
and provide surface
for cheek retraction
© Cengage Learning 2013
- 31. ©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.
Expanded Functions
• Taking x-rays
• Placing and removing
rubber dam
• Coronal polishing
• Taking study model
impressions
• Placing sealants
• Making provisionals
• Placing bases and
liners
• Taking photographs
• Performing orthodontic
procedures
• Removing sutures
• Placing periodontal
dressing