Module 3

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Module 3

  1. 1. PowerPoint ® Presentation for Chairside Dental Assisting with Labs Module: Chairside Assisting: The Dental Office and Instrument Exchange
  2. 2. Module: Chairside Assisting: The Dental Office and Instrument Exchange Chairside Assisting: The Dental Office and Instrument Exchange Part A: The Dental Office Part B: Instrument Exchange
  3. 3. Module: Chairside Assisting: The Dental Office and Instrument Exchange <ul><li>Learning Objectives </li></ul><ul><li>1. Define the Key Terms. </li></ul><ul><li>2. Explain basic concepts of chairside dental assisting. </li></ul><ul><li>3. Demonstrate the necessary steps to prepare for patient treatment. </li></ul><ul><li>4. Demonstrate seating and dismissing a patient. </li></ul>
  4. 4. Module: Chairside Assisting: The Dental Office and Instrument Exchange <ul><li>Learning Objectives </li></ul><ul><li>5. Demonstrate proper dental instrument transfer. </li></ul><ul><li>6. Demonstrate ergonomics of the operator and dental assistant at chairside. </li></ul><ul><li>7. Demonstrate the use of equipment used for treatment in the oral cavity. </li></ul>
  5. 5. Key Terms <ul><li>Activity zones </li></ul><ul><li>Air compressor </li></ul><ul><li>Air-water syringe </li></ul><ul><li>Amalgamator </li></ul><ul><li>Central vacuum system </li></ul><ul><li>Classification of motion </li></ul><ul><li>Curing light </li></ul><ul><li>Pen grasp </li></ul><ul><li>Delivery system </li></ul><ul><li>Dental unit </li></ul><ul><li>Day angles </li></ul><ul><li>Ergonomics </li></ul><ul><li>Four-handed dentistry </li></ul><ul><li>Fulcrum </li></ul><ul><li>Handpieces </li></ul><ul><li>High volume evacuator (HVE) </li></ul><ul><li>Intraoral camera </li></ul><ul><li>Laboratory </li></ul>
  6. 6. Key Terms <ul><li>Lumbar </li></ul><ul><li>Mobile carts </li></ul><ul><li>Modified pen grasp </li></ul><ul><li>Operating light </li></ul><ul><li>Palm grasp </li></ul><ul><li>Palm-thumb grasp </li></ul><ul><li>Patient record </li></ul><ul><li>Pen grasp </li></ul><ul><li>Reception room </li></ul><ul><li>Reverse-palm grasp </li></ul><ul><li>Rheostat </li></ul><ul><li>Saliva ejector </li></ul><ul><li>Six-handed dentistry </li></ul><ul><li>Sterilizing area </li></ul><ul><li>Subsupine position </li></ul><ul><li>Treatment rooms </li></ul><ul><li>Triturates </li></ul><ul><li>Ultrasonic scaler </li></ul><ul><li>Water reservoir </li></ul>
  7. 7. Part A: The Dental Office <ul><li>Extraoral x-ray room </li></ul><ul><li>Dentist’s private office </li></ul><ul><li>Staff lounge </li></ul><ul><li>Patient education room </li></ul><ul><li>Reception room </li></ul><ul><li>Business desk </li></ul><ul><li>Treatment rooms (operatories) </li></ul><ul><li>Sterilization area </li></ul><ul><li>Lab </li></ul><ul><li>Darkroom </li></ul>
  8. 8. The Dental Operatory <ul><li>Dental chair </li></ul><ul><li>Operator stool </li></ul><ul><li>Assistant stool </li></ul><ul><li>Overhead light </li></ul><ul><li>Dental tray with handpieces </li></ul><ul><li>Air-water syringe, HVE, saliva ejectors </li></ul><ul><li>Rheostat </li></ul>
  9. 9. The Dental Assistant Stool <ul><li>Assistant 4-8&quot; higher than dentist </li></ul><ul><li>Feet on foot ring </li></ul><ul><li>Thighs parallel with floor </li></ul><ul><li>Extended arm </li></ul><ul><ul><li>Back rest </li></ul></ul><ul><ul><li>Abdominal support </li></ul></ul>
  10. 10. Activity Zones Operating zone Assisting zone Static zone Transfer zone
  11. 11. Right-Handed Operator Positions Operating zone Assisting zone Static zone Transfer zone 7 to 12 o’clock 2 to 4 o’clock 12 to 2 o’clock 4 to 7 o’clock
  12. 12. Left-Handed Operator Positions Operating zone 12 to 5 o’clock Assisting zone 8 to 10 o’clock Static zone 10 to 12 o’clock Transfer zone 5 to 8 o’clock
  13. 13. Office Routines <ul><li>Daily </li></ul><ul><ul><li>Open office </li></ul></ul><ul><ul><li>Close office </li></ul></ul><ul><li>Weekly or monthly </li></ul><ul><ul><li>X-ray processor </li></ul></ul><ul><ul><li>Ultrasonic solutions </li></ul></ul><ul><ul><li>Sterilizer solutions </li></ul></ul><ul><ul><li>Vacuum traps </li></ul></ul><ul><ul><li>Plaster traps </li></ul></ul>
  14. 14. Patient Treatment <ul><li>Prepare operatory </li></ul><ul><ul><li>Patient’s record </li></ul></ul><ul><ul><li>Radiographs </li></ul></ul><ul><ul><li>Lab work </li></ul></ul><ul><ul><li>Proper instrument set-up </li></ul></ul><ul><li>Greet and seat patient </li></ul><ul><ul><li>Communication skills </li></ul></ul><ul><li>Review medical and dental history </li></ul><ul><li>Patient napkin, safety glasses </li></ul><ul><li>Wash hands </li></ul>
  15. 15. Patient Position – Mandibular Arch <ul><li>Patient in supine position </li></ul><ul><li>Light directed downward for mandibular illumination </li></ul>
  16. 16. Patient Position – Maxillary Arch <ul><li>Patient in supine position </li></ul><ul><li>Light directed upward for maxillary illumination </li></ul>
  17. 17. Operator Position Feet flat on floor and thighs parallel to floor Patient at operator’s elbow Back supported Elbows close to body Operator/patient distance 14–18&quot;
  18. 18. Assistant Position 4–6&quot; higher than operator Thighs parallel to floor Feet on foot rest Close to patient Back straight Within arm’s reach of instruments Extended arm as abdominal or back support
  19. 19. Dismissing Your Patient <ul><li>Ensure patient’s face is clean </li></ul><ul><li>Light out of patient’s path </li></ul><ul><li>Remove patient napkin, glasses </li></ul><ul><li>Wash hands </li></ul><ul><li>Postoperative instructions </li></ul><ul><li>Patient’s records with treatment documented </li></ul><ul><li>Escort patient to reception area </li></ul>
  20. 20. Special Patients <ul><li>Children </li></ul><ul><li>Seniors </li></ul><ul><li>Pregnant </li></ul><ul><li>Hearing impaired </li></ul><ul><li>Site impaired </li></ul><ul><li>Wheelchair users </li></ul><ul><li>Non-English speaking </li></ul>
  21. 21. Part B: Instrument Exchange One-handed instrument transfer Transfer zone Under patient’s chin Anticipate dentist’s needs Pass & receive in smooth motion Finger, wrist, elbow movement
  22. 22. Instrument Exchange <ul><li>Right-handed dentist </li></ul><ul><ul><li>Pass instruments with left hand </li></ul></ul><ul><ul><li>HVE in right hand </li></ul></ul><ul><li>Left-handed dentist </li></ul><ul><ul><li>Pass instruments with right hand </li></ul></ul><ul><ul><li>HVE in left hand </li></ul></ul>
  23. 23. Instrument Grasps <ul><li>Pen grasp </li></ul><ul><li>Modified pen </li></ul><ul><li>grasp </li></ul><ul><li>Palm grasp </li></ul><ul><li>Palm-thumb grasp </li></ul><ul><li>Reverse </li></ul><ul><li>palm-thumb </li></ul>
  24. 24. Operating Field <ul><li>Maxillary right quadrant </li></ul><ul><li>Assistant ensures </li></ul><ul><ul><li>Operator’s vision </li></ul></ul><ul><ul><li>Remove fluids </li></ul></ul><ul><ul><li>Retract cheek </li></ul></ul><ul><ul><li>HVE in R hand </li></ul></ul><ul><ul><li>A/W syringe in L hand </li></ul></ul>
  25. 25. Operating Field <ul><li>Maxillary left quadrant </li></ul><ul><li>Assistant ensures </li></ul><ul><ul><li>Operator’s vision </li></ul></ul><ul><ul><li>Remove fluids </li></ul></ul><ul><ul><li>Retract cheek </li></ul></ul><ul><ul><li>HVE in R hand </li></ul></ul><ul><ul><li>A/W syringe in L hand </li></ul></ul>
  26. 26. Operating Field <ul><li>Mandibular right quadrant </li></ul><ul><li>Assistant ensures </li></ul><ul><ul><li>Operator’s vision </li></ul></ul><ul><ul><li>Remove fluids </li></ul></ul><ul><ul><li>Retract tongue </li></ul></ul><ul><ul><li>HVE in R hand </li></ul></ul><ul><ul><li>A/W syringe in L hand </li></ul></ul>
  27. 27. Operating Field <ul><li>Mandibular left quadrant </li></ul><ul><li>Assistant ensures </li></ul><ul><ul><li>Operator’s vision </li></ul></ul><ul><ul><li>Remove fluids </li></ul></ul><ul><ul><li>Retract cheek </li></ul></ul><ul><ul><li>HVE in R hand </li></ul></ul><ul><ul><li>A/W syringe in L hand </li></ul></ul>
  28. 28. Oral Evacuation <ul><li>HVE placement </li></ul><ul><li>Reverse palm-thumb grasp </li></ul><ul><li>Modified pen grasp </li></ul><ul><li>Saliva ejector </li></ul><ul><li>Under rubber dam </li></ul><ul><li>Coronal polish procedure </li></ul><ul><li>Fluoride treatment </li></ul>
  29. 29. Assessment Questions <ul><li>Describe the height of the assistant’s chair. </li></ul><ul><li>It should be 4–6&quot; higher than the dentist’s chair </li></ul><ul><li>Where is the instrument transfer zone? </li></ul><ul><li>Under the patient’s chin </li></ul><ul><li>How is the High Volume Evacuator held? </li></ul><ul><li>With a modified pen grasp or a reverse palm-thumb grasp </li></ul>
  30. 30. Summary of Module <ul><li>Key Terms </li></ul><ul><li>The dental office </li></ul><ul><li>Instrument exchange </li></ul>

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