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

2. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 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. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 3 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.

4. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 4 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.

5. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 5 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

6. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 6 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

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

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

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

10. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 10 Activity Zones Operating zone Assisting zone Static zone Transfer zone

11. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 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. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 12 Left-Handed Operator Positions Operating zone12 to 5 o’clock Assisting zone8 to 10 o’clock Static zone10 to 12 o’clock Transfer zone5 to 8 o’clock

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

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

15. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 15 Patient Position – Mandibular Arch Patient in supine position Light directed downward for mandibular illumination

16. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 16 Patient Position – Maxillary Arch Patient in supine position Light directed upward for maxillary illumination

17. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 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"

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

19. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 19 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

20. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 20 Special Patients Children Seniors Pregnant Hearing impaired Site impaired Wheelchair users Non-English speaking

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

23. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 23 Instrument Grasps Pen grasp Modified pen grasp Palm grasp Palm-thumb grasp Reverse palm-thumb

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

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

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

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

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

29. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 29 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

30. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 30 Summary of Module Key Terms The dental office Instrument exchange