_Tarango 2024 Coronal Polishing Operator and Patient Positioning .pptx

CORONAL POLISHING OPERATOR AND PATIENT POSITIONING

1. Mrs. Tarango Patient and Operator Positioning 2024

2. • Adjust the dental chair so that the patient is approximately parallel to the floor with the back of the chair raised slightly. • Adjust the headrest for patient comfort and operator visibility. • For the mandibular arch , position the patient's head with the chin down. When the mouth is open, the lower jaw should be parallel to the floor. • For access to the maxillary arch , position the patient's head with the chin up. Positioning your patient

3. For the mandibular arch, the patient’s head is positioned so that the lower jaw is parallel to the floor when the mouth is open. CHIN DOWN

4. For access to the maxillary arch, position the patient’s head with the CHIN UP

5. The right-handed operator is seated at the 9 o’clock position.

6. • The handpiece and prophylaxis angle are held in a (modified) pen grasp with the handle resting in the V-shaped area of the hand between the thumb and index finger. • Proper grasp is important because if the grasp is not secure and comfortable, the weight and balance of the handpiece can cause hand and wrist fatigue.

7. Where is the mouth mirror? Right handed operator- mirror is held with the left hand Left handed operator- mirror is held with the right hand

8. Direct vision- directly looking at the area without the use of a mouth mirror Indirect vision- use of the mouth mirror (UR lingual aspect, Mandibular incisors lingual aspect)

9. Maxillary Right Posterior Quadrant, Buccal Aspect • Sit in the 8 to 9 o’clock position. • Have the patient tilt his head up and turn slightly away from you. • Hold the dental mirror in your left hand. Use it to retract the cheek or for indirect vision of the more posterior teeth. Establish a fulcrum on the maxillary right incisors

10. • Remain seated in the 8 to 9 o’clock position. • Have the patient turn his head up and toward you. • Hold the dental mirror in your left hand. Direct vision in this position and the mirror provides a view of the distal surfaces. • Establish a fulcrum on the lower incisors and reach up to polish the lingual surfaces. Maxillary Right Posterior Quadrant, Lingual Aspect

11. MAXILLARY RIGHT POSTERIOR LINGUAL

12. • Remain in the 8 to 9 o’clock position. • Position the patient’s head tipped up slightly and facing straight ahead. Make necessary adjustments by turning the patient's head slightly either toward or away from you. Establish a fulcrum on the incisal edge of the teeth adjacent to the ones being polished. Use direct vision in this area. Maxillary Anterior Teeth, Facial Aspect

13. • Remain in the 8 to 9 o’clock position or move to the 11 to 12 o’clock position. • Position the patient’s head so that it is tipped slightly upward. • Use the mouth mirror for indirect vision and to reflect light on the area. • Establish a fulcrum on the incisal edge of the teeth adjacent to the ones being polished. Maxillary Anterior Teeth, Lingual Aspect

14. • Sit in the 9 o’clock position. • Tip the patient's head upward and turn it slightly toward you to improve visibility. • Use the mirror to retract the cheek and for indirect vision. • Rest your fulcrum finger on the buccal occlusal surface of the teeth toward the front of the quadrant. • Alternative: Rest your fulcrum finger on the lower premolars and reach up to the maxillary posterior teeth. Maxillary Left Posterior Quadrant, Buccal Aspect

15. • Remain in the 8 to 9 o’clock position. • Have the patient turn his or her head away from you. • Use direct vision in this position. Hold the mirror in your left hand and use for a combination of retraction and reflecting light. • Establish a fulcrum on the buccal surfaces of the maxillary left posterior teeth or on the occlusal surfaces of the mandibular left teeth. Maxillary Left Posterior Quadrant, Lingual Aspect

16. • Sit in the 8 to 9 o’clock position. • Have the patient turn his or her head slightly toward you. • Use the mirror to retract the cheek and for indirect vision of distal and buccal surfaces. • Establish a fulcrum on the incisal surfaces of the mandibular left anterior teeth and reach back to the posterior teeth. Mandibular Left Posterior Quadrant, Buccal Aspect

17. • Remain in the 9 o’clock position. • Have the patient turn his or her head slightly away from you. • For direct vision, use the mirror to retract the tongue and reflect more light to the working area. • Establish a fulcrum on the mandibular anterior teeth and reach back to the posterior teeth. Mandibular Left Posterior Teeth, Lingual Aspect

18. • Sit in either the 8 to 9 o’clock position or in the 11 to 12 o’clock position. • As necessary, instruct the patient to make adjustments in head position by turning either toward or away from you or by tilting his head up or down. • Use your left index finger to retract the lower lip. Both direct and indirect vision can be used in this area. • Establish a fulcrum on the incisal edges of the teeth adjacent to the ones being polished. Mandibular Anterior Teeth, Facial Aspect

19. • Sit in either the 8 to 9 o’clock position or at the 11 to 12 o’clock position. • As necessary, instruct the patient to make adjustments in head position by turning either toward or away from you or by tilting the head up or down. • Use the mirror for indirect vision, to retract the tongue, and to reflect light onto the teeth. Direct vision is often used in this area when the operator is seated in the 12 o’clock position, but indirect vision can also be helpful. • Establish a fulcrum on the mandibular cuspid incisal area. Mandibular Anterior Teeth, Lingual Aspect

20. Polishing the Lingual Surfaces of the Mandibular Anterior Teeth

21. • Sit in the 8 o’clock position. • Have the patient turn his or her head slightly away from you. • Use the mirror to retract tissue and reflect light. The mirror may also be used to view the distal surfaces in this area. • Establish a fulcrum on the lower incisors. Mandibular Right Quadrant, Buccal Aspect

22. • Remain in the 8 o’clock position. • Have the patient turn his or her head slightly toward you. • Retract the tongue with the use of the mirror. • Establish a fulcrum on the lower incisors. Mandibular Right Quadrant, Lingual Aspect