Académique Documents
Professionnel Documents
Culture Documents
Presented by
Hemam Shankar Singh
CONTENTS
1. INTRODUCTION
2. CHAIR AND PATIENT POSITIONS
UPRIGHT POSITION
ALMOST SUPINE
RECLINED 45 DEGREE
3. OPERATING POSITION
INTRODUCTION
CHAIR AND PATIENT POSITIONS ARE
IMPORTANT
CONSIDERATIONS.
MODERN
DENTAL
CHAIRS
ARE
DESIGNED TO PROVIDE TOTAL BODY
SUPPORT IN ANY CHAIR POSITION.
INTRODUCTION
CHAIR POSITION IS A VERY IMPORTANT ASPECT
IN THE SUCCESS OF A DENTAL TREATMENT.
THE
CORRECT
POSITIONING
HELPS
THE
OPERATOR TO HAVE A GOOD VISIBILITY AND
ACCESSIBILITY OF THE ORAL CAVITY
PROPER POSITIONING OF THE PATIENT AND THE
OPERATOR, ILLUMINATION AND RETRACTION
FOR
OPTIMAL
VISIBILITY
ARE
THE
FUNDAMENTAL PRE-REQUISITES TO PROPER
DENTAL TREATMENT
IF OPERATOR MAINTAINS PROPER POSITION AND
POSTURE DURING TREATMENT, THE OPERATOR IS
LESS LIKELY TO GET STRAIN, FATIGUE, BE MORE
EFFICIENT AND LESS CHANCES OF GETTING
MUSCULOSKELETAL DISORDERS.
4
PATIENT POSITIONS
VL
CHAIR POSITIONS
FOR RESTORATIVE DENTAL PROCEDURES, THE
MOST PREFERRED OPERATING POSITIONS ARE:
1. UPRIGHT POSITION
2. ALMOST SUPINE
3. RECLINED 45 DEGREE
THE MOST COMMON PATIENT POSITIONS FOR
OPERATIVE DENTISTRY ARE ALMOST SUPINE OR
RECLINED 45 DEGREES. THE CHOICE OF PATIENT
POSITION VARIES WITH THE OPERATOR, THE
TYPE OF PROCEDURE, AND THE AREA OF THE
MOUTH INVOLVED IN THE OPERATION.
7
Chair position
UPRIGHT POSITION
THIS IS THE INITIAL POSITION OF CHAIR FROM
WHICH FURTHER ADJUSTMENTS ARE MADE
ALMOST SUPINE
IN THIS , CHAIR POSITION IS SUCH THAT HEAD, KNEES
AND FEET ARE APPROX. AT SAME LEVEL
PATIENTS HEAD SHOULD NOT BE LOWER THAN FEET
EXCEPT IN CASE OF SYNCOPAL ATTACK
CLINED 45 DEGREES
HIS POSITION , CHAIR IS RECLINED AT 45 DEGREE
DIBULAR OCCLUSAL SURFACE ARE ALMOST 45 DEGREE TO THE F
10
OPERATING POSITIONS
ONCE THE PATIENT HAS BEEN
COMFORTABLY POSITIONED, THE
DENTIST AND THE ASSISTANT
SHOULD SIT THEMSELVES IN THE
PROPER
POSITIONS
FOR
TREATMENT.
USUALLY SITTING POSITION IS
PREFERRED
IN
MODERM
DENTISTRY TO RELIEVE STRESS
ON
OPERATOR'S
LEG
AND
SUPPORT
THE
OPERATOR'S
BACK.
THE LEVEL OF TEETH BEING
TREATED SHOULD BE PLACED AT
SAME LEVEL AS THE LEVEL OF
OPERATOR'S ELBOW.
11
FOR
BETTER
UNDERSTANDING,
SITTING
POSITIONS OF OPERATOR
ARE RELATED TO A CLOCK. IN
THIS CLOCK CONCEPT, AN
IMAGINARY
CIRCLE
IS
DRAWN OVER THE DENTAL
CHAIR,
KEEPING
THE
PATIENT'S HEAD AT THE
CENTER OF THE CIRCLE.
12
13
RIGHT
REAR
POSITION
(11
O'CLOCK)
1. IN THIS POSITION, DENTIST SITS
BEHIND AND SLIGHTLY TO THE
RIGHT OF THE PATIENT AND THE
LEFT
ARM
IS
POSITIONED
AROUND PATIENT'S HEAD
2. THIS IS PREFERRED POSITION
FOR
MOST
OF
DENTAL
PROCEDURES
3. MOST AREAS OF MOUTH ARE
ACCESSIBLE
FROM
THIS
POSITION EITHER USING DIRECT
OR INDIRECT VISION
4. WORKING AREAS INCLUDE:
a) PALATAL
AND
INCISAL
(OCCLUSAL) SURFACES OF
MAXILLARY TEETH
b) MANDIBULAR
TEETH
(DIRECT VISION).
15
16
3 PREFERRED POSITIONS
3 PREFERRED POSITIONS
7 OCLOCK
5 OCLOCK
9 OCLOCK
3 OCLOCK
11 OCLOCK
1 OCLOCK
17
19
20
ME.
ASSUME THE CLOCK POSITION FOR THE
TREATMENT AREA
MY PATIENT.
ESTABLISH PATIENT CHAIR AND HEAD POSITION.
MY EQUIPMENT.
ADJUST THE UNIT LIGHT. PAUSE AND SELF-CHECK
THE CLINICIAN, PATIENT, AND EQUIPMENT
POSITION.
MY NONDOMINANT HAND.
PLACE THE FINGERTIPS OF MY NONDOMINANT
HAND AS SHOWN IN THE ILLUSTRATION FOR THE
CLOCK POSITION.
MY DOMINANT HAND.
PLACE THE FINGERTIPS OF MY DOMINANT HAND
AS SHOWN IN THE ILLUSTRATION FOR THE CLOCK
POSITION.
21
POSITIONING TERMINOLOGY
POSITIONING TERMINOLOGY
POSTERIOR
ASPECTS
FACING
TOWARD
METHE
COLORED
POSTERIOR
SURFACES
IN
THIS
ILLUSTRATION.
MAXILLARY RIGHT POSTERIOR
SEXTANT, FACIAL SURFACES
MAXILLARY LEFT POSTERIOR
SEXTANT, LINGUAL SURFACES
MANDIBULAR RIGHT POSTERIOR
SEXTANT, FACIAL SURFACES
MANDIBULAR LEFT POSTERIOR
SEXTANT, LINGUAL SURFACES
23
POSITIONING TERMINOLOGY
POSTERIOR ASPECTS FACING AWAY
FROM METHE COLORED POSTERIOR
SURFACES IN THIS ILLUSTRATION.
MAXILLARY LEFT POSTERIOR
SEXTANT, FACIAL SURFACES
MAXILLARY RIGHT POSTERIOR
SEXTANT, LINGUAL SURFACES
MANDIBULAR LEFT POSTERIOR
SEXTANT, FACIAL SURFACES
MANDIBULAR RIGHT POSTERIOR
SEXTANT, LINGUAL SURFACES
24
MAXILLAR
Y ARCH
MANDIBUL
AR ARCH
MAXILLAR
Y ARCH
TREATMENT AREA
CLOCK
POSITION
HEAD POSITION
89
SLIGHTLY
TOWARD, CHIN
DOWN
12
SLIGHTLY
TOWARD, CHIN
DOWN
89
SLIGHTLY
TOWARD, CHIN
UP
12
SLIGHTLY
TOWARD, CHIN
UP
SLIGHTLY AWAY,
CHIN DOWN
1011
TOWARD, CHIN
DOWN
1011
TOWARD, CHIN
UP
25
26
27
12 OCLOCK POSITION
TURNED SLIGHTLY TOWARD THE
CLINICIAN
28
12 OCLOCK POSITION
TURNED SLIGHTLY TOWARD THE
CLINICIAN
CHIN-UP POSITION
29
10 TO 11 0CLOCK
TURNED TOWARD THE CLINICIAN
CHIN-DOWN POSITION
32
10 TO 11 0CLOCK
TURNED TOWARD THE CLINICIAN
CHIN-UP POSITION
33
CONCLUSION
34
35