OBJECTIVES OF PROPER POSITIONING 1. Access to the operative field 2. Visibility 3. Comfort 4. Patient safety OPERATING POSITIONS 1.Right/left front position Mandibular anterior teeth Mandibular posterior teeth Maxillary anterior teeth 2.Right/left position Facial surface of the mandibular, maxillary right/left posterior teeth. Occlusal surface of the mandibular posterior teeth. 3.Right/left rear position Lingual & incisal (Occlusal) surface of maxillary teeth Mandibular teeth of left side 4. Direct rear position Lingual surface of mandibular anterior teeth FOUR ZONES IN OPERATIVE FIELD 1. Operators’ zone 2. Transfer zone 3. Assistant zone 4.Static zone COMMON POSITION’S WITHIN THE OPERATORS’ ZONE 12 o’clock Utilized for maxillary & mandibular interior segments. Resulting in severe bending of the operators back and neck. 11 o’clock Most universal operating position. 9 o’clock An alternate position for mandibular right quadrant. 7 o’clock Usually used in conjunction with a mirror. Neck & Shoulder Disorders
Myofacial Pain Disorder
Herniated spinal disc DeQuervain’s Disease Cervical Spondylolysis Lower back pain Trigger Finger Thoracic outlet syndrome Sciatica Carpal Tunnel Syndrome, Rotator’s cuff/tendonitis Back ache Back Disorders Herniated spinal disc Lower back pain Sciatica Hand & Wrist Disorders DeQuervain’s Disease Trigger Finger Carpal Tunnel Syndrome, Rotator’s cuff/tendonitis Guyon’s Syndrome Cubital Tunnel Syndrome Hand-Arm Vibration Syndrome, Raynaud’s Phenomenon PRECAUTIONS TO AVOID TO MSDs’ Always try to maintain erect posture. Consider horizontal patient position. Use an adjustable chair with lumbar, thoracic & arm support. Alternate work position between sitting, standing & side of patient Minimize excessive wrist movement. Check the placement of the adjustable light. Work close to your body. Check the temperature of the room. Avoid excessive finger movement. Adjust the height of the chair. PRECAUTIONS TO AVOID TO MSDs EXERCISES FOR THE DENTISTS Arms, back arching, session ending, hands, wrist rolling, chin tuck & pelvic rocking
EXERCISES FOR THE DENTISTS
Arms, back arching, session ending, hands, wrist rolling, chin tuck & pelvic rocking THANK YOU