Dental Clinician Positioning: Clock Positions PDF

Module 2—Clinician Position in Relation to the Treatment Area Section 1 Clock Positions for Instrumentation  Skill Building When practicing positioning, use this reminder sequence: “Me, My Patient, My Light, My Nondominant Hand, My Dominant Hand”...

Module 2—Clinician Position in Relation to the Treatment Area Section 1 Clock Positions for Instrumentation  Skill Building When practicing positioning, use this reminder sequence: “Me, My Patient, My Light, My Nondominant Hand, My Dominant Hand” 2 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Clinician Position During instrumentation the clinician moves around the patient to maintain a neutral body position. Use the face of an analog clock as a guide to identify the clinician’s position in relation to the patient’s head. 3 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Clock Positions Using an analog clock face as a guide: The patient’s head is at 12 o’clock. The patient’s feet are at 6 o’clock. 4 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Range of Positions Instrumentation of the various treatment areas may be accomplished from a range of clinician positions in relation to the patient’s head. -Right-handed clinicians sit from 8 to 1 o’clock -Left-handed clinicians sit from 11 to 4 o’clock 5 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Patient Head Position The patient’s head position should facilitate neutral arm, wrist, and hand position for the clinician. 6 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Right-Handed Clinician Clock Positions 7 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 8:00—To the Front of the Patient 8 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 9:00—To the Side of the Patient Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 9 10–11:00—Corner of Headrest Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 10 12:00—Behind the Patient Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 11 1–2:00—Corner of Headrest Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 12 Left-Handed Clinician Clock Positions Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 13 3–4:00—To the Front of the Patient Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 14 3:00—To the Side of the Patient Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 15 1–2:00—Corner of Headrest Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 16 12:00—Behind the Patient Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 17 10–11:00—Corner of Headrest Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 18  Summary: Clock Positions During instrumentation the clinician sits in a range of positions in relation to the patient’s head. These positions are named in reference to the hands on an analog clock face. Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 19  Section 2 Positioning for the RIGHT-Handed Clinician Positioning for Anterior Sextants 21 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Recommended Clock Position -Reduces musculoskeletal stress because the clinician can maintain neutral positioning -Provides optimal vision of the tooth surfaces during instrumentation 22 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Divide Anterior Tooth at Midline 23 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Halves of an Anterior Tooth Surface TOWARD the clinician Surface AWAY FROM the clinician 24 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Right-Handed Clinician Anterior Sextants 25 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Anterior surfaces toward right-handed clinician are shaded in yellow Clock position for clinician ranges from 8 to 9 o’clock 26 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Anterior surfaces away from right-handed clinician are shaded in purple Clock position for clinician ranges from 11 to 1 o’clock 27 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Left-Handed Clinician Anterior Sextants 28 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Anterior surfaces toward left-handed clinician are shaded in yellow Clock position for clinician ranges from 3 to 4 o’clock 29 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Anterior surfaces away from left-handed clinician are shaded in purple Clock position for clinician ranges from 11 to 1 o’clock 30 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Summary 31 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Positioning for Posterior Sextants 32 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Divide the Sextant into Two Aspects Buccal Aspect- cheek side Lingual Aspect- tongue side 33 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Right-Handed Clinician Posterior Sextants 34 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Posterior aspects facing toward right- handed clinician are shaded in yellow Clock position for clinician is 9 o’clock 35 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Right-Handed: Aspects Toward Sit at 9:00 for posterior aspects TOWARD you. 36 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Posterior aspects facing away from right-handed clinician are shaded in blue Clock position for clinician ranges from 10 to 11 o’clock 37 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Right-Handed: Aspects Away Sit at 10:00 to 11:00 for posterior aspects FACING AWAY from you. 38 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Left-Handed Clinician Posterior Sextants 39 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Left-Handed Clinician The principle is the same for left-handed clinicians. The terms aspect toward and aspect away always refer to a posterior sextant when viewed from the 3:00 position. 40 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Posterior aspects facing toward left- handed clinician are shaded in yellow Clock position for clinician is 3 o’clock 41 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Left-Handed: Aspects Toward Sit at 3:00 for posterior aspects TOWARD you. 42 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Posterior aspects facing away from left- handed clinician are shaded in blue Clock position for clinician ranges from 2 to 1 o’clock 43 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Left-Handed: Aspects Away Sit at 2:00 to 1:00 for posterior aspects FACING AWAY from you. 44 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Summary: Clock Positions During instrumentation the clinician sits (or stands) in a range of positions. Neutral positioning by the clinician prevents musculoskeletal injuries and provides optimal vision of tooth surfaces. 45 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Section 4 Modified Positioning: Working from a Standing Position  Modified Position—Standing -Used when there is difficulty accessing treatment area -Used when patient cannot be placed in supine position due to medical or physical limitations -Used on mandibular treatment areas 47 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company -Shoulders relaxed -Elbow of dominant hand at waist level -Torso in neutral position 48 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Practical Focus Analyze the positions shown in these slides. 49 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Photo 1 50 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Photo 2 51 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Photo 3 52 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Photo 4 53 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Photo 5 54 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Photo 6 55 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Photo 7 56 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company  Photo 8 57 Copyright © 2016 by Jones & Bartlett Learning, LLC, an Ascend Learning Company