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Static Zone
typically where the tray is
12-2 o’clock
Assistant Zone
where the dental assistant is positioned
2-4 o’clock
Operator’s Zone
where the operator is positioned
7-12 o’clock
Transfer Zone
where instruments are passed (across patients chest)
4-7 o’clock
What is the rheostat?
foot controlled
used to operate and control the speed of the bur in the hand pieces
Rear Delivery System
equipment located behind patients head (in the static zone; 12-2)
Side Delivery System
equipment located on the dentists side (operator zone; 7-12)
Front Delivery System
equipment designed to be pulled over the patients chest (transfer zone; 4-7)
ex. dental students or dentists who don’t have dental assistants
How do you maintain the CDA credential?
CPR certification
Annual fee ($75)
12 CE hours per year
How often should health history be updated?
every visit
What is the parent organization for dentistry?
ADA (American Dental Association)
How many dental specialties are there?
12
Dental Public Health
prevention of dental disease
promotes dental health
Endodontics
pathology, morphology of the dental pulp and surrounding tissues due to injury and disease
ex. root canal
Oral and Maxillofacial Pathology
diagnosis and nature of diseases that affect the oral cavity
Oral and Maxillofacial Radiology
1999
production and interpretation of images and data
Oral and Maxillofacial Surgery
diagnosis and surgical treatment of the oral and maxillofacial region due to injury, disease, or defects
referral based
ex. 3rd molar extractions, implants, etc.
Orthodontics
diagnosis, supervision, guidance, and correction of malocclusion in the dentofacial structures
referral based
ex. braces
Pediatric Dentistry
prevention of disease and diagnosis and treatment of oral care in children from birth through adolescence
patients with special needs
referral based
Periodontics
diagnosis and treatment of the diseases of the supporting and surrounding tissues of the tooth
referral based
ex. deep scaling, implants, gingival grafts
Prosthodontics
diagnosis, restoration, and maintenance of the oral functions
replacement of missing teeth through artificial means
referral based
ex. dentures, crowns, bridges, load implants, etc.
Dental Anesthesiology
pain management
putting people to sleep for dentistry
place IV’s
Oral Medicine
oral health care of medically complex patients and for the diagnosis and management of medically-related diseases, disorders and conditions affecting the oral and maxillofacial region
Orofacial Pain
diagnosis, management, and treatment of pain disorders of the jaw, mouth, face, head, and neck
underlying pathophysiology, etiology, prevention, and treatment of these disorders and improving access to interdisciplinary patient care
What is DANB?
Dental Assisting National Board
offers Certified Dental Assistant credential
How do you become a CDA?
graduate a CODA accredited program
pass DANB CDA exam (ICE, RHS, GC)
have up to date CPR
What is the ADAA?
American Dental Assistants Association
Who can be the operator? (sitting in the operator’s chair)
dentist
dental hygienist
dental assistant
What DA II functions or other chair-side functions aren’t legal for a DA I to perform until the receive CE?
taking impressions
applying sealants
placing cavity bases and liners
rubber dams and matrix bands
cementing temporary restorations
applying acid etch and bonding agents
removing sutures and dressings
placing/adjusting orthodontic appliances
What CE course requires a dental assistant (OJT) to be classified as a DAII prior to taking the course?
coronal polishing
How can an OJT dental assistant in NC become a DAII as classified by the NCSBDE?
obtain CPR Certification
complete 3,000 hrs of experience
complete radiography training
complete required courses (3hr sterilization and infection control, 3 hr dental office emergencies)
SOP
standard operating procedures
detailed written instructions that standardize how tasks should be performed to provide consistency
DANB Publication
certified press
Evacuation System Contains..
air water syringe
high volume suction
saliva ejector
ultrasonic scaler unit
Hand piece Unit Contains…
high speed connection hose
low speed connection hose
rheostat
What angle should the patient chair be at when taking x-rays, impressions, or consulting?
90 degrees
What is the ADAA Publication?
“The Dental Assistant”
Normal Pulse Range?
Adults: 60-100 BPM
Teens: 90-100 BPM
Children: 100- 120 or 130 BPM (rapid)
How is BP measured?
Millimeters of Mercury (mm Hg)
Normal Respiration Range?
Adult: 10-20 per minute
Normal Temperature Range?
98.6 degrees F
37 degrees C
Normal Pulse Oximetry?
95-100 percent
What does Pulse Oximetry Measure?
oxygen concentration in blood
Hypoxemia
low oxygen levels in the blood
Arrhythmia
abnormal or irregular force/rhythm of the heartbeat
Diastolic
the last sound you here when taking BP, normal rhythmic relaxation and dilation of the heart chambers
Electrocardiogram
test that..
records the electrical activity of the heart
records the electrical currents associated with the heart muscle activity
Korotkoff Sounds
specific sounds heard in the stethoscope when taking a BP
Metabolism
the process by which your body converts what you eat and drink into energy
Palpate
examining or exploring through touching
Pulse
rhythmic beating of the arteries produced by regular contractions of the heart
Respiration
the act of inhaling and exhaling (breathing)
Systolic
first sound heard when taking BP which is rhythmic contractions of the heart
Tachycardia
fast/rapid heartbeat
Temperature
degree of hot/cold the body or environment is
Indirect Vision
viewing an object with the use of a mirror
First Korotkoff Sound
tapping/snapping sound first heard at systolic pressure
Second Korotkoff Sound
murmurs heard between the systolic and diastolic pressures
Third and Fourth Korotkoff Sound
sound at pressures within 10 mm Hg above the diastolic BP
thumping/muting
Baseline Vital Signs
set of measurements for a patient’s key health indicators
crucial starting point to monitor patient’s health status
Fifth Korotkoff Sound
silence as cuff pressure drops below diastolic BP
Normal BP Range?
Systolic: less than 120
Diastolic: less than 80
WNL meaning?
within normal limits
How to measure Pulse and Respiration together?
count pulse for 30 seconds then multiply by 2
keep palpation on patient’s wrist to trick patient into thinking you’re still counting their pulse when you’re really observing their respiration for another 30 seconds
Rate in relationship to Pulse
rate= beats per minute
Purpose of Handwashing?
to remove pathogens, dirt, and germs from the hands to prevent the spread of infectious diseases
Carpal Tunnel Syndrome (CTS)
condition that causes pain, numbness, and tingling in the hand and arm associated with continued flexion and extension of the wrist
Cumulative Trauma Disorder (CTDs)
painful condition that result from ongoing stresses to muscles, tendons, nerves, and joints
Maximum Horizontal Reach
reach created when the upper arm is fully extended
Maximum Vertical Reach
reach created by a vertical sweep of the forearm while the elbow is kept at midtorso level
Musculoskeletal Disorders
painful conditions that affect both muscles and bones (neck or back and carpal tunnel syndrome)
Neutral Position
position of the body to maintain for a prolonged period, with a natural curvature of the spine
Normal Horizontal Reach
reach created by a sweep of the forearm with the upper arm held at the side
Sprains
injuries caused by sudden twisting or wrenching of a joint with stretching or tearing of ligaments
Strains
injuries caused by extreme stretching of muscles or ligaments
Thenar Eminence
fleshy mound on the palm at base of thumb
Exercises that can reduce muscle fatigue and strengthen muscles
Exercises to reduce Neck Strain
Exercises to reduce Eye Strain
look up from task and focus your eyes at a distance for about 20 seconds
Common Symptoms of Musculoskeletal Disorder
stiffness
fatigue
muscle spasms
Symptoms of Carpal Tunnel Syndrome
painful tingling in both or one hand that occurs at night
decrease in ability and power to squeeze objects or make a tight fist
What is the goal of Ergonomics?
help people stay healthy while performing their work more effectively