Chapter 32 The Dental Office Copyright 2003 Elsevier

Introduction Patients often judge the quality of their care by the appearance of the

Environment of the Dental Office § § § Temperature control Effective lighting Walls and

Areas of the Dental Office § Reception area: Patient’s are received, § greeted pleasantly,

Areas of the Dental Office- cont’d § Administrative area: Hub for the § management

Areas of the Dental Office- cont’d § Treatment area: Dental operatory. § Goals: •

Areas of the Dental Office- cont’d § Sterilization area: Sterilization and supply center where

Areas of the Dental Office- cont’d § Dental laboratory: An area with a workbench,

Table 32 -1: Equipment and Supplies Copyright 2003, Elsevier Science (USA). All rights reserved.

Areas of the Dental Office- cont’d § Dentist’s private office: Office for the §

Clinical Equipment § Patient dental chair: Designed to § accommodate patient comfort. Positions of

Clinical Equipment- cont’d § Operators stool: Designed to support the body § for a

Clinical Equipment- cont’d § Dental assistant’s stool must provide stability, § mobility, and comfort,

Clinical Equipment- cont’d § Dental unit: Provides the necessary electrical § and air‑operated mechanics

Clinical Equipment- cont’d § Rheostat: A foot-controlled device placed on § the floor near

Clinical Equipment- cont’d § Air-water syringe is an instrument that is § attached to

Clinical Equipment- cont’d § Operating light is used to illuminate the oral cavity during

Clinical Equipment- cont’d § Oral evacuation system is a means for § § removing

Clinical Equipment- cont’d § The curing light is used to “harden” or light§ cure

Clinical Equipment- cont’d § Central vacuum compressor provides the § suction needed for the

Care of Clinical Areas § Evening routine: • Complete the operatory room exposure control

Care of Clinical Areas- cont’d § Morning Routine • Arrive 30 minutes before the

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Chapter 32 The Dental Office Copyright 2003, Elsevier Science (USA). All rights reserved. No part of this product may be reproduced or transmitted in any form or by any means, electronic or mechanical, including input into or storage in any information system, without permission in writing from the publisher. Power. Point® presentation slides may be displayed and may be reproduced in print form for instructional purposes only, provided a proper copyright notice appears on the last page of each print-out. Produced in the United States of America ISBN 0 -7216 -9770 -4 Copyright 2003, Elsevier Science (USA). All rights reserved.

Areas of the Dental Office § Reception area: Patient’s are received, § greeted pleasantly, and made to feel welcome. Things to remember: • Keep area clean. • Ensure adequate seating. • Maintain up-to-date reading material. • Provide place for coats and umbrellas. • Offer a children's corner. Copyright 2003, Elsevier Science (USA). All rights reserved.

Areas of the Dental Office- cont’d § Administrative area: Hub for the § management or the business side of the practice. Items include: • Desk • Business equipment • Storage area for patient records Copyright 2003, Elsevier Science (USA). All rights reserved.

Areas of the Dental Office- cont’d § Treatment area: Dental operatory. § Goals: • Provide comfort and mobility for the dental team. • Provide privacy and comfort for the dental patient. • Enhance the design of the area for better use of time management and efficient techniques. Copyright 2003, Elsevier Science (USA). All rights reserved.

Areas of the Dental Office- cont’d § Sterilization area: Sterilization and supply center where instruments are maintained, cleaned, sterilized, and stored in preparation for reuse. Copyright 2003, Elsevier Science (USA). All rights reserved.

Areas of the Dental Office- cont’d § Dental laboratory: An area with a workbench, wall‑mounted storage cabinets, and laboratory materials and supplies. Copyright 2003, Elsevier Science (USA). All rights reserved.

Areas of the Dental Office- cont’d § Dentist’s private office: Office for the § dentist’s personal use. Consultation room: Area where proposed treatment plans are discussed with a patient. Copyright 2003, Elsevier Science (USA). All rights reserved.

Clinical Equipment § Patient dental chair: Designed to § accommodate patient comfort. Positions of the dental chair: • Upright: The back of the chair is upright at a 90‑degree angle. • Supine: The patient is lying down so that the patient's head and knees will be at approximately the same level. • Subsupine: The patient's head is lower than the feet. Copyright 2003, Elsevier Science (USA). All rights reserved.

Clinical Equipment- cont’d § Operators stool: Designed to support the body § for a prolonged period of fixed muscular activity. Features • Large seat and back. • Adjustable lumbar support. • Adjusts both higher and lower. • Moves easily around the patient's chair without tilting. Copyright 2003, Elsevier Science (USA). All rights reserved.

Clinical Equipment- cont’d § Dental assistant’s stool must provide stability, § mobility, and comfort, with proper, fatigue‑reducing posture. Features • Twists and turns to reach countertops and shelves. • Provides an adjustable foot platform or foot ring. • Firm, secure cushioning in the seat and an abdominal support bar. • Abdominal bar positioned for support. Copyright 2003, Elsevier Science (USA). All rights reserved.

Clinical Equipment- cont’d § Dental unit: Provides the necessary electrical § and air‑operated mechanics to the hoses, attachments, and working parts of the unit. Dental unit delivery systems • Front delivery: Positioned over the patient's lap. • Side delivery: Positioned at either side of the patient's chair. • Rear delivery: Positioned behind the dental chair. Copyright 2003, Elsevier Science (USA). All rights reserved.

Clinical Equipment- cont’d § Rheostat: A foot-controlled device placed on § the floor near the operator to control the function of the dental handpieces. Dental unit waterlines supplies water through hoses or water lines into dental handpiece. Copyright 2003, Elsevier Science (USA). All rights reserved.

Clinical Equipment- cont’d § Air-water syringe is an instrument that is § attached to the dental unit. Functions • Deliver a stream of water. • Deliver a stream of air. • Deliver a combined spray of air and water. Copyright 2003, Elsevier Science (USA). All rights reserved.

Clinical Equipment- cont’d § Oral evacuation system is a means for § § removing water, saliva, blood, and other fragments during a dental procedure. Types: • Saliva ejector • High volume evacuator (HVE) Disposable traps: Filtering mechanisms for the saliva ejector and high volume evacuator. Copyright 2003, Elsevier Science (USA). All rights reserved.

Clinical Equipment- cont’d § The curing light is used to “harden” or light§ cure dental materials. An amalgamator is used to triturate dental materials by vigorously shaking the ingredients. Copyright 2003, Elsevier Science (USA). All rights reserved.

Clinical Equipment- cont’d § Central vacuum compressor provides the § suction needed for the oral evacuation systems. Central air compressor provides compressed air for the air‑water syringe and air‑driven handpieces. Copyright 2003, Elsevier Science (USA). All rights reserved.

Care of Clinical Areas § Evening routine: • Complete the operatory room exposure control cleanup and preparation protocols. • Turn off all equipment. • Ensure treatment rooms are adequately stocked for the next day. • Post appointment schedules for the next workday. • Ensure that instruments, patient records, and laboratory work are ready for the next day. • Ensure that sterilization center has been cleaned. • Ensure that treatment rooms are ready for use. • Place any soiled protective clothing in the appropriate container. Copyright 2003, Elsevier Science (USA). All rights reserved.

Care of Clinical Areas- cont’d § Morning Routine • Arrive 30 minutes before the first scheduled patient of the day. • Turn on the master switches for the central air compressor and vacuum units. • Ready the dental treatment rooms for patient care. • Recheck the appointment schedule. • Set up the treatment room for the first patient. Copyright 2003, Elsevier Science (USA). All rights reserved.