Study Guide Power Point

Chapters

32, 33, 34, & 35

Clinical Dentistry

Knowledge

• This study power point is to be used as an aid, to help you understand what to study

• To be successful, you must take accountability for your own destiny.– Which means that I give you this as a guide,

not a complete “answer key” for the test!

• Success should always be a goal.

Chapter 32

• Office Environment– Temperature– Lighting– Wall and Floor Coverings– Traffic Control– Sound Control– Privacy

Specific Areas of the Dental Office

• Reception area

• Administrative/business area

• Clinical treatment areas

• Sterilization center

• Dental Lab

• Dentist’s private office

• Dental staff lounge

Reception area

• Patients are received

• Greeted pleasantly and welcomed

• Cleaned everyday

• Adequate seating

• Current journals

• Play area

Administrative Area

• Hub of the office

• Management and business

Treatment Area

• Also known as the Dental Operatory

• Usually two or more units

• Comfort and mobility for team

Clinical Equipment

• Patient Dental Chair– Designed for comfort– Patient seated with chair in lowest and upright

and arm rest raised

Stools

• Operator– large seat and back– Adjustable

• Assistant’s stool—provide stability, mobility and comfort– 4-6 inches higher than operator

Dental Unit

• Basic function– provide necessary electrical and air-operated mechanics

• Delivery systems– Can be mounted on the floor, wall or side

• Rheostat– Operates hand pieces

• Waterlines– Supplies water

Cont.

• Air-Water syringe-needed for every procedure– Delivers a stream of water– Delivers a stream of air– Delivers a combined spray of air and water

Operating Light

• Illuminates the oral cavity during procedures

• After patient is seated in supine position, light is positioned over patients chest approximately 25 to 30 inches below patients chin

Oral Evacuation system

• Saliva ejector

• High-volume evacuator (HVE)– Both used to remove water/debris from

patients mouth

Dental Equipment

• Understand the following– Central Vacuum Compressor– Central Air Compressor

Central Sterilization

• Used for maintaining dental instruments– Two areas

• Contaminated area• Clean area

Understand the following

• Dental Lab

• Private Office

• Staff lounge

• Morning and evening routines for assistants

Chapter 33Delivering Dental Care

• Understand how to prepare the treatment area

• Knowing your patient

• Reviewing their chart

• Treatment room checklist

Greeting and Seating a patient

• Understand the proper steps for the procedure (found in your book)

Team Dentistry

• Theory—four-handed dentistry– Operator and assistant work together to

perform clinical procedures in an ergonomically structured environment.

– Main goal—to deliver the best and most effective care to your patient by increasing productivity

Goals of Team Dentistry

• Utilize ergonomically correct dental equipment• Utilize preset trays• Minimize stress and fatigue • Follow the principles of motion economy during

transfer of instruments and materials• Use appropriate moisture-control techniques • Delegate expanded functions

Team Positioning

• Patient– Lowered to supine position– Operator will make final adjustments

• Operator– Access and vision are most essential – Needs comfort and support– Seated as far back as possible, front edge of stool just touching

the backs of knees– Thighs parallel to floor– Feet kept flat on floor– Backrest of chair positioned to support– Height to maintained to allow forearms parallel to the floor

Cont.

• Dental Assistant– Anticipate what is needed next– Seated well back on stool– Feet resting on foot ring– Positioned as close as possible to dental chair– Legs parallel to patients chair– Eye level four to six inches above the

operator

Classification of Motion

• Class I—– Movement of fingers only

• Class II– Movement of fingers and wrist

• Class III– Movement of finger, wrist and elbow

• Class IV-– Use of entire arm and shoulder

• Class V-– Use of entire upper torso

Motion Economy

• Understand examples of each Class

• Used to reduce fatigue

Operating Zones

• Using the Clock concept understand the (time) zones.– Example transfer zone is 4 – 7 for right-

handed operator

• Always assume that you are working with a right-handed operator unless otherwise stated.

Instrument Transfer

• Four-handed dentistry is the concept that a qualified chair side assistant is seated across from the dentist and they work as a team

Objectives for Efficient Instrument Transfer

• In your book there is a list of the objectives, please be very familiar with these objectives

Grasps

• Pen grasp

• Palm grasp

• Palm-thumb grasp– You should be able to identify the grasp that

should be used with any given instrument– Understand the concept of the different grasp

Four-Handed Transfer

• You will need to know the method of four-handed instrument transfer– Including each type of instrument as well as

grasp

Expanded Functions Dental Assistants

• Understand the laws applying to EFDA’s

• Credentialing

• Dental Supervision

Chapter 34

• Dental Hand Instruments

Identifying Instruments

• Instrument– Number– Design

• Handle, shank, working end

– Black’s Formula– Id the 1st , 2nd and 3rd number

Classification of Hand Instruments

• Examination instruments– examples

• Hand cutting instruments– examples

• Restorative Instruments– examples

• Accessory instruments– examples

Instrument Sequence

• How is the tray set up??

Basic Set-up

• Mouth Mirror

• Explorer

• Cotton Pliers

Instruments

• You are responsible for knowing the names and uses of each instrument that we have covered in class

Chapter 35

• Dental Hand pieces and Accessories

Hand pieces

• What types of hand pieces are there?

• What is the difference in the hand pieces?

• What type of burs are used in each?

• What type of attachments are there, and which hand pieces do the fit in?

Burs

• Name the different types of burs.

• What burs are used in what areas/procedures

• How do you know??

Hand pieces

• Maintenance– Know and understand the general

considerations for Hand piece sterilization

Burs

• Parts of a Bur– Shank– Neck– Head

• Straight shank--???

• Latch type shank--???

• Finishing burs, diamond rotary , abrasive rotary, laboratory rotary

Burs

• Carbide steel burs – Used in the operatory, in patients mouth

• Lab burs– Used in Lab to smooth or shape, models,

dentures, appliances, crowns, etc.

Attachments

• Straight attachment???

• Contra angle--???

• Prophy angle--???