P101 Ergonomic Longevity in Dentistry: Positioning for Life JUDY BENDIT, RDH THURSDAY, FEBRUARY 26

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1 P101 Ergonomic Longevity in Dentistry: Positioning for Life JUDY BENDIT, RDH THURSDAY, FEBRUARY 26 Please complete the speaker evaluation form in the Midwinter Meeting App. DISCLAIMER: This work, audio recordings and the accompanying handout, are the intellectual property of the clinician, and permission has been granted to the Chicago Dental Society, its members, successors and assigns, for the unrestricted, absolute, perpetual, worldwide right to distribute solely as an educational material at the scientific program being presented at the Midwinter Meeting. Permission has been granted for this work to be shared for non-commercial education purposes only. No other use, including reproduction, retransmission in any form or by any means or editing of the information may be made without the written permission of the author. The Chicago Dental Society does not assume any responsibility or liability for the content, accuracy, or compliance with applicable laws, and the Chicago Dental Society shall not be sued for any claim involving the distribution of this work.

2 Let s take a close look at all the ways that you can make your job easier, and then say Goodbye to pain with smarter working techniques. This hands- on half- day workshop will focus on practical principles to enhance your dexterity, preserve your strength, and increase your confidence when confronting clinical challenges. Included in the discussion will be your room layout, gloves, instruments, loupes and a lot of other great tips to make your clinical experience more effective. Join us to see things that will make your career better: Better Vision Better Access Better Technique Why not take a look? Let s get ready to position yourself for life

3 Things that will make your career better. Take a look. Consideration: Are you getting enough sleep? Do you take time to stretch daily? Resistance Exercises- see Judy s web site for links to all sites Major Issues: Room Layout- analyze your workspace, can you reach everything you need? Scheduling issues- how much time do you have to do all that you do? Operatory stool consideration/challenges- see Judy s website for all the different companies. Patient positioning- consider Crescent pillows to assist with patient positioning. Access to instruments- are they within 15 inches. Consider the Zirc tray if you can t access instruments, handpieces or power scalers. Magnification- see below Gloves consider Right/ Left gloves Instrument selection- see list for instruments discussed in program.

4 Buying loupes Options Features Benefits Magnification & Power Depth of Field Working distance Width of field Resolution Fixed or flip- up? Companies to trust for Dental Loupes Surgitel Orascoptic Chair Considerations: The backrest should conform to the natural curvature of your spine, and provide adequate lumbar support. The seat should be comfortable and allow your feet to rest flat on the floor or footrest. Armrests, if provided, should be soft, allow your shoulders to relax and your elbows to stay close to your body. The chair should have a five- leg base with casters that allow easy movement along the floor. Glove Options: Ambidextrous vs. Hand specific Cranberry or Arellia- companies that make hand specific gloves Microflex gloves- only ergo approved glove

5 Suction Options: BlueBoa- Mirror Suction by Hager Isolite- EMS Dental Designs- Instrument Considerations: Handle diameter Handle weight Balance Rigidity- Standard (finishing), Rigid Length of terminal shank Instrument design Require sharpening? Instrument Companies: American Eagle Brassler Hu- Friedy LM Dental Miltex Nordent Premier PDT Go- Probe by Florida Probe

6 Dental Rat Instruments See web site for a list by procedure Selective Polishing Concept origin in 1980 s Encouraged good treatment decisions Supported by ADHA Position Paper * on polishing New ACP benefits challenge research on value of polishing & fluoride uptake** Contraindication for polishing Tooth hypersensitivity Newly erupted teeth Exposed root surfaces Respiratory condition Severe gingival inflammation Susceptibility to bacteremia Highly contagious diseases Consider cordless handpiece Freedom by Dentsply Taskel Wizard by Brassler Zen by Discus See Judy s web site for prophy angle options.

7 OSHA Checklist Modified from: html WORKING POSTURES The workstation is designed or arranged for doing computer tasks so it allows your Y N 1. Head and neck to be upright, or in-line with the torso (not bent down/back). 2. Head, neck, and trunk to face forward (not twisted). 3. Trunk to be perpendicular to floor (may lean back into backrest but not forward or to one side). 4. Shoulders and upper arms to be in-line with the torso, generally about perpendicular to the floor and relaxed (not elevated or stretched forward). 5. Upper arms and elbows to be close to the body (not extended outward). 6. Forearms, wrists, and hands to be straight and in-line (forearm at about 90 degrees to the upper arm). 7. Wrists and hands to be straight /Neutral (not bent up/down or sideways toward the little finger). 8. Thighs to be slightly elevated above knee and the lower legs to be perpendicular to floor (especially if using saddle stool) 9. Feet rest flat on the floor. 10. Backrest provides support for your lower back (lumbar area). 11. Seat width and depth accommodate the specific user (seat pan not too big/small). 12. Seat front does not press against the back of your knees and lower legs (seat pan not too long).

8 13. Seat has cushioning and is rounded with a "waterfall" front (no sharp edge). 14. Armrests, if used, support both forearms while you perform tasks and they do not interfere with movement. Caution: be Careful turning chair with patients head near by. 15. Use Loupes to avoid bending the head or neck too close to patient. 16. Thighs have sufficient clearance space between the top of the thighs and your patients chair (thighs are not trapped). 17. Workstation and equipment have sufficient adjustability so you are in a safe working posture and can make occasional changes in posture while performing your tasks. 18. Your schedule is organized in a way that allows you to vary tasks with other activities, (x-rays, charting etc) and you take micro-breaks to recovery from lengthily instrumentation procedures. If the answer is NO to any questions, you need to figure out how to make corrections.