Copyright 2003, Elsevier Science (USA). All rights reserved.
Chapter 32The Dental Office
Chapter 32The Dental Office
Copyright 2003, Elsevier Science (USA).
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ISBN 0-7216-9770-4
Copyright 2003, Elsevier Science (USA). All rights reserved.
IntroductionIntroductionPatients often judge the quality of their care by the appearance of the dental office.Patients often judge the quality of their care by the appearance of the dental office.
Copyright 2003, Elsevier Science (USA). All rights reserved.
Temperature control Effective lighting Walls and floors Traffic control Sound control Privacy
Temperature control Effective lighting Walls and floors Traffic control Sound control Privacy
Environment of the Dental OfficeEnvironment of the Dental Office
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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.
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.
Areas of the Dental OfficeAreas of the Dental Office
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Administrative area: Hub for the management or the business side of the practice.
Items include:• Desk• Business equipment• Storage area for patient records
Administrative area: Hub for the management or the business side of the practice.
Items include:• Desk• Business equipment• Storage area for patient records
Areas of the Dental Office cont’dAreas of the Dental Office cont’d
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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.
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.
Areas of the Dental Office cont’dAreas of the Dental Office cont’d
Copyright 2003, Elsevier Science (USA). All rights reserved.
Sterilization area: Sterilization and supply center where instruments are maintained, cleaned, sterilized, and stored in preparation for reuse.
Sterilization area: Sterilization and supply center where instruments are maintained, cleaned, sterilized, and stored in preparation for reuse.
Areas of the Dental Office cont’dAreas of the Dental Office cont’d
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Dental laboratory: An area with a workbench, wall‑mounted storage cabinets, and laboratory materials and supplies.
Dental laboratory: An area with a workbench, wall‑mounted storage cabinets, and laboratory materials and supplies.
Areas of the Dental Office cont’dAreas of the Dental Office cont’d
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Table 32-1: Equipment and SuppliesTable 32-1: Equipment and Supplies
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Dentist’s private office: Office for the dentist’s personal use.
Consultation room: Area where proposed treatment plans are discussed with a patient.
Dentist’s private office: Office for the dentist’s personal use.
Consultation room: Area where proposed treatment plans are discussed with a patient.
Areas of the Dental Office cont’dAreas of the Dental Office cont’d
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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.
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.
Clinical EquipmentClinical Equipment
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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.
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.
Clinical Equipment cont’dClinical Equipment cont’d
Copyright 2003, Elsevier Science (USA). All rights reserved.
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.
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.
Clinical Equipment cont’dClinical Equipment cont’d
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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.
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.
Clinical Equipment cont’dClinical Equipment cont’d
Copyright 2003, Elsevier Science (USA). All rights reserved.
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.
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.
Clinical Equipment cont’dClinical Equipment cont’d
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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.
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.
Clinical Equipment cont’dClinical Equipment cont’d
Copyright 2003, Elsevier Science (USA). All rights reserved.
Operating light is used to illuminate the oral cavity during a procedure.
Operating light is used to illuminate the oral cavity during a procedure.
Clinical Equipment cont’dClinical Equipment cont’d
Copyright 2003, Elsevier Science (USA). All rights reserved.
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.
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.
Clinical Equipment cont’dClinical Equipment cont’d
Copyright 2003, Elsevier Science (USA). All rights reserved.
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.
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.
Clinical Equipment cont’dClinical Equipment cont’d
Copyright 2003, Elsevier Science (USA). All rights reserved.
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.
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.
Clinical Equipment cont’dClinical Equipment cont’d
Copyright 2003, Elsevier Science (USA). All rights reserved.
Evening routine:• Complete the operatory room exposure control
clean-up 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.
Evening routine:• Complete the operatory room exposure control
clean-up 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.
Care of Clinical AreasCare of Clinical Areas
Copyright 2003, Elsevier Science (USA). All rights reserved.
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.
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.
Care of Clinical Areas cont’dCare of Clinical Areas cont’d