Subjects 1-3

Demo Prezi
- Carlos Fernandez
S1910 Dr. Iulya Isacov.
Preclinical Restorative Odontherapy
Organization, Design & Ergonomics
Waiting Room Good vs Bad
Management*
( Moldova)

 Dentist responsible for…

• Patient exam
• Preparations
• Lab work
 Office workers for specific tasks
• Janitor
• Sterilization
• Front desk operator
• Assistant
 Teamwork is crucial for maximal efficiency
 Dentist
 Most important personnel
 Liable for everything that happens in
office
 Does nearly everything in the office
directly affecting patient
 Alpha leader of the team
 Assistant
• Help doctor
• Assist patient needs
• Help doctor suit up & removal
( maintain hygiene )
• In US writes on expedient & brings
patient to and from reception
Front desk operator
 Patient registry
 Patient accommodations
 Task scheduler
 Task manager
 Phone operator
 Dressed in formal attire ( US )
Janitor & Sterilization
Aux
 Compressor
 Vacuum
 Fire extinguishers
 O2 ( emergency )
 O2 & N2 ( some drills for OMF )
 Servers
 Dental units
 Ergonomic
 Dentist accommodations
 Assistant accommodations
 Patient accommodations
 Monitor
 High CRI lamp
 Elevator system
 Irrigation system
Ergonomics
 Streight back
 Strict angle allowances for neck,
back, and arms 30-40*
 Height adjustment patient and doctor
 Axis to patient should face vertical
to operational quadrant either
opposing or facing affected tooth
Organization
 Private Dental Studios
 Novel treatments
 State of the art
 Aesthetic
 Diverse selection of treatment
 Basic necessities +
 Preventative focus & Quality of life
 Focused on long term resolutions
 ( grow old with your natural teeth by
preventing possible cause of problems )
 Public Dental Clinics
 Standard treatments
 Functionality focused
 Rehabilitation and Restoration
 Small selection
 Only basic necessities
 Government funded
 Focus on short term resolutions
 ( as you grow old they fix problems that arise )
 Long term treatments limited in quantity funded by
government
 Similarity & Difference
 Same standard of care
 Patient equality
 Different treatment focus
 Functionality vs Aesthetics
 Restorative vs Preventative
 Short term vs Long term
 ( long term ex: implant & bone
strength vs Denture & bone loss )
Equipment
 Instruments ( intro )
 Make operation easier
 Proper tools reduce risk of injury
 Makes operation more comfortable
 Maximizes efficiency
 Reduces loss of time
 Speed vs Precision vs Torque
Classifications
 Surgical
 Periodontal
 Exploratory
 Restorative
 Scaling / Hygienic
 Examination instrumentation ( basic kit )
 Explorer
 Probe
 Forceps ( serrated )
 Mirror
 Suction Tips
 Dental Mirror
Head

Body
Neck
Convex Dental Mirror

 High zoom
 Easy to see structures
 Improved doctor vision
 Useful for finding cavity and
imperfections
 Finding cracks
 Flat Mirror

 1 : 1 Reproduction
 Crisp clean picture
 Symmetrical operations
 What you see is what you get
BSI vs FSI
Dental Probes
 Mm depth markings
 Used to see periodontal pockets
 Different types serve different roles
 45* neck extension to reach lengual
tooth surfaces
Tweezers
Hand instruments
 Slow Speed
 High torque
 Low gear ratio
 Slower speeds 600 -25,000 rpm
 Removal of little material
 Denture adjustments
High Speed
 Low torque
 High gear ratio
 High speeds 180,000 rpm
 Fast removal of much material
 Cavity prep
 Cavity filling instruments
 Used for contouring the composite
 Packing into cavity
 Preparatory too
 Hachets
 Trimmeers
 Excavators
 Continuation ( Amalgams )
 Enviroment hazard
 Amalgam carrier added to kit
 More robust tools used
 Compaction tool also used
 Amalgams are being phased out due
to hazards and reducing costs of
composite material
Sterilization & Waste management
 What is sterilization
 Bacterial destruction
 Membrain destruction
 Endospore destruction
 Spore destruction
 0% pathogen viability if done properly
 Complete protein denaturing
 DNA destabilization & destruction
Steps
 Decontamination
 Surfactant clense
 Packaging
 Sterilization
 Decontamination
 Removal of organic material by physically or
chemically dissolving
 Surfactants used to dissolve contaminants
 Done before sterilization
 Surfactants kill some bacteria
 Think of it as washing a plate
 Surfactant
 Surfactactants :
 Dissolve lipids
 Emulsify
 Destroy membranes
 Trap particulates
 Blood contains
 Heme
 Lipids
 Shugar
 Perfect for hosting pathogens

Surface
 Packaging
 Organizes instruments
 Prevents atmospheric contamination
 Protects instruments from enviroment
 Keeps instruments safe from damage
 Signals if properly sterilized
 Indicator tape used to signal completion
Sterilization methods
 Heat, pressure, steam
 Vacuum combos
 Cold
 Chemical
 Iodophors
 Chlorin
 Ammoniates
 Gamma ray
 Cobalt 60
 Xray
 COLD TUBES
 UV
 COLD TUBES
 PULSE TUBES
 Hot air steri
 Common
 18-30 Minutes
 Hot compressed air
 121 - 134 C
 250 – 273 F
 High humidity & steam
 High pressures
 100 kpa
 15 psi
Cold methods
 Mix of surfactants & active
ingredients
 Ionic compounds
 High energy radiation
 Dental handpiece steri
 Run for 30 seconds for discharge
 Run further with oil
 Clean with disinfectant wipe
 Don’t steri for too long in autoclave
 Method
 Handpiece purge
 Oil run
 Decontamination
 Surface chemical steri
 Autoclav
Tool sterilization
 Decontamination forst
 Then ultrasound with surfactants
 Autoclave last
 Sensitive instruments require:
 Different methods of steri
 Lower temps
 No heat
 No humidity
 Burrs steri
 Ultrasonic cleanse with surfactants
 Single use discarded
 Diamond absolutely needs
ultrasound
 Carbide debridement
 Small pits and creviced need to be
freed
Steri staff regulation
 Cant enter other rooms
 In charge of her station
 Must clean station before leaving
 Must be organized
 Is generally a technician or certified
 Must run weekly sterilizer tests
 Chemical sterilization
 Wide range disinfectants
 Chlorine
 Iodophors
 Ammoniates
 Alcohols
 Some metallic surfaces ( Cu… )
 Doesent destroy spores or endospore
Waste management
 Red = Plastics
 Yellow = Miscellany ( gauz,
bodypart )
 Blue = Medicament, Glass
 Black = Needles, Sharps, Metals
Thank you