Power Point Presentation for Chairside Dental Assisting with

Module: Chairside Assisting: The Dental Office and Instrument Exchange Part A: The Dental Office

Module: Chairside Assisting: The Dental Office and Instrument Exchange Learning Objectives 1. Define the

Module: Chairside Assisting: The Dental Office and Instrument Exchange Learning Objectives 5. Demonstrate proper

Key Terms • • • Activity zones Air compressor Air-water syringe Amalgamator Central vacuum

Key Terms • • • Lumbar Mobile carts Modified pen grasp Operating light Palm

Part A: The Dental Office • Reception room • Business desk • Treatment rooms

The Dental Operatory • • • Dental chair Operator stool Assistant stool Overhead light

The Dental Assistant Stool • Assistant 4 -8" higher than dentist • Feet on

Activity Zones Operating zone Assisting zone Static zone Transfer zone Copyright © 2006 Thomson

Right-Handed Operator Positions Operating zone 7 to 12 o’clock Assisting zone 2 to 4

Left-Handed Operator Positions Operating zone 12 to 5 o’clock Assisting zone 8 to 10

Office Routines • Daily – Open office – Close office • Weekly or monthly

Patient Treatment • Prepare operatory • Greet and seat patient – Patient’s record –

Patient Position – Mandibular Arch • Patient in supine position • Light directed downward

Patient Position – Maxillary Arch • Patient in supine position • Light directed upward

Operator Position Feet flat on floor and thighs parallel to floor Back supported Elbows

Assistant Position 4– 6" higher than operator Feet on foot rest Thighs parallel to

Dismissing Your Patient • • • Ensure patient’s face is clean Light out of

Special Patients • • Children Seniors Pregnant Hearing impaired Site impaired Wheelchair users Non-English

Part B: Instrument Exchange One-handed instrument transfer Transfer zone Under patient’s chin Anticipate dentist’s

Instrument Exchange • Right-handed • Left-handed dentist – Pass instruments with right hand –

Instrument Grasps • Pen grasp • Modified pen grasp • Palm-thumb grasp • Reverse

Operating Field Maxillary right quadrant • Assistant ensures – Operator’s vision – Remove fluids

Operating Field Maxillary left quadrant • Assistant ensures – Operator’s vision – Remove fluids

Operating Field Mandibular right quadrant • Assistant ensures – Operator’s vision – Remove fluids

Operating Field Mandibular left quadrant • Assistant ensures – Operator’s vision – Remove fluids

Oral Evacuation HVE placement Saliva ejector • Reverse palm • Under rubber dam thumb

Assessment Questions • Describe the height of the assistant’s chair. It should be 4–

Summary of Module • Key Terms • The dental office • Instrument exchange Copyright

Slides: 30

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Power. Point® Presentation for Chairside Dental Assisting with Labs Module: Chairside Assisting: The Dental Office and Instrument Exchange Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 1

Module: Chairside Assisting: The Dental Office and Instrument Exchange Learning Objectives 1. Define the Key Terms. 2. Explain basic concepts of chairside dental assisting. 3. Demonstrate the necessary steps to prepare for patient treatment. 4. Demonstrate seating and dismissing a patient. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 3

Module: Chairside Assisting: The Dental Office and Instrument Exchange Learning Objectives 5. Demonstrate proper dental instrument transfer. 6. Demonstrate ergonomics of the operator and dental assistant at chairside. 7. Demonstrate the use of equipment used for treatment in the oral cavity. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 4

Key Terms • • • Activity zones Air compressor Air-water syringe Amalgamator Central vacuum system • Classification of motion • Curing light • Pen grasp • • Delivery system Dental unit Day angles Ergonomics Four-handed dentistry Fulcrum Handpieces High volume evacuator (HVE) • Intraoral camera • Laboratory Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 5

Key Terms • • • Lumbar Mobile carts Modified pen grasp Operating light Palm grasp Palm-thumb grasp Patient record Pen grasp Reception room Reverse-palm grasp • • • Rheostat Saliva ejector Six-handed dentistry Sterilizing area Subsupine position Treatment rooms Triturates Ultrasonic scaler Water reservoir Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 6

Part A: The Dental Office • Reception room • Business desk • Treatment rooms (operatories) • Sterilization area • Lab • Darkroom • Extraoral x-ray room • Dentist’s private office • Staff lounge • Patient education room Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 7

The Dental Operatory • • • Dental chair Operator stool Assistant stool Overhead light Dental tray with handpieces • Air-water syringe, HVE, saliva ejectors • Rheostat Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 8

The Dental Assistant Stool • Assistant 4 -8" higher than dentist • Feet on foot ring • Thighs parallel with floor • Extended arm – Back rest – Abdominal support Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 9

Right-Handed Operator Positions Operating zone 7 to 12 o’clock Assisting zone 2 to 4 o’clock Static zone 12 to 2 o’clock Transfer zone 4 to 7 o’clock Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 11

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 Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 12

Office Routines • Daily – Open office – Close office • Weekly or monthly – X-ray processor – Ultrasonic solutions – Sterilizer solutions – Vacuum traps – Plaster traps Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 13

Patient Treatment • Prepare operatory • Greet and seat patient – Patient’s record – Communication – Radiographs skills – Lab work • Review medical – Proper and dental history instrument set-up • Patient napkin, safety glasses • Wash hands Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 14

Operator Position Feet flat on floor and thighs parallel to floor Back supported Elbows close to body Patient at operator’s elbow Operator/patient distance 14– 18" Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 17

Assistant Position 4– 6" higher than operator Feet on foot rest Thighs parallel to floor Close to patient Back straight Within arm’s reach of instruments Extended arm as abdominal or back support Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 18

Dismissing Your Patient • • • Ensure patient’s face is clean Light out of patient’s path Remove patient napkin, glasses Wash hands Postoperative instructions Patient’s records with treatment documented • Escort patient to reception area Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 19

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 Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 21

Instrument Exchange • Right-handed • Left-handed dentist – Pass instruments with right hand – Pass instruments with left hand – HVE in right hand Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 22

Operating Field Maxillary right quadrant • Assistant ensures – Operator’s vision – Remove fluids – Retract cheek – HVE in R hand – A/W syringe in L hand Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 24

Operating Field Maxillary left quadrant • Assistant ensures – Operator’s vision – Remove fluids – Retract cheek – HVE in R hand – A/W syringe in L hand Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 25

Operating Field Mandibular right quadrant • Assistant ensures – Operator’s vision – Remove fluids – Retract tongue – HVE in R hand – A/W syringe in L hand Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 26

Operating Field Mandibular left quadrant • Assistant ensures – Operator’s vision – Remove fluids – Retract cheek – HVE in R hand – A/W syringe in L hand Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 27

Oral Evacuation HVE placement Saliva ejector • Reverse palm • Under rubber dam thumb grasp • Coronal polish • Modified pen grasp procedure • Fluoride treatment Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 28

Assessment Questions • Describe the height of the assistant’s chair. It should be 4– 6" higher than the dentist’s chair • Where is the instrument transfer zone? Under the patient’s chin • How is the High Volume Evacuator held? With a modified pen grasp or a reverse palm-thumb grasp Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 29