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Chapter 4
Practice and Facility Setups
Wednesday, May 25, 2016 Golbarg Kolahi 1
• Professional : People who are involved with and participate in an
occupation and speak its language
• Laypeople : People who are not expert and not familiar with an
occupation
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DDS(DMD)
• A professional who diagnoses, performs and monitors the dental care
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Dental Specialists
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Prosthodontist
• (prahs-thoh-DAHN-tist)
• Replaces missing teeth with artificial appliances such as full mouth denture or
partial bridgework.
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Periodontist
• (pear-ee-oh-DAHN-tist)
• Treats diseases of gingiva and gum tissues
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Orthodontist
• (or-thoh-DON-tist)
• Corrects malocclusion and improper jaw alignment
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Pediatric dentist
• (pee-dee-AT-rick)
• Also called Pedodontist (PEE-doh-don-tist)
• Dentist for children
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Endodontist
• (en-doh-DAHN-tist)
• Treats pulp diseases and periradicular structures
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Oral & Maxillofacial Surgeon
• (mack-sill-oh FAY-shul)
• Performs surgical treatments
• of the teeth, jaws and related areas.
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Public Health Dentist
• Promotes dental health and works
on the causes and prevention of
common dental diseases.
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Oral Pathologist
• (puh-THOL-uh-jee)
• Studies the nature, diagnosis
• and control of diseases.
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Oral & Maxillofacial Radologist
• Produces and interprets radiant energy images of the oral and maxillofacial
regions.
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Forensic dentist
• (for-EN-sick)
• Deals with the legal
proceedings of the
dental treatments.
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RDH
• Registered Dental Hygienist
• Concerned with the prevention of
dental diseases, specializing in cleaning,
polishing and radiography of teeth,
periodontal treatments and
patient education.
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RDA
• Registered Dental Assistant
• Aids the dentist id diagnosis,
• treatment and dental care.
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Dental Laboratory Technician
• Performs dental lab procedures under written orders from a licensed dentist.
Can be OJT or education in a laboratory or school setting
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Denturist
• (DEN-ture-ist)
• Specializes in the construction of dentures .
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Places of Employment
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Solo
• Dental practice operated by a single dentist or by another associate as the
owner of the establishment
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Partnership
• Dental practice owned and operated equally by two or more dentists
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Group
• Dental practice employing a multitude of dentists
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Clinics and Hospitals
• Centers offering dentistry services and dentists bring difficult patients for
dental care using hospital services.
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Specialty Practice
• Various specialists working in private offices giving services concerned with
their training.
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Miscellaneous Practice Sites
• Multi functional centers including insurance companies, charity clinics,
education and publication
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Common Dental Hand Instruments
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Hand Grasp Instruments
• - Having single or double working end(single or double- ended)
• Vary in size, function, or location of operative sites
• Being named for the inventor or the designer
• Having three components:
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Wednesday, May 25, 2016 Golbarg Kolahi 28
Working
end
Shank
Handle
Basic Dental Setup
( armamentarium)
• Instrument collection composed of a mouth mirror, explorer, periodontal
probe, cotton forceps or pick-up and a piece of 2 x 2 gause.
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Mouth mirror
• Used for reflection, retraction, and visual observation .
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Explorer
• A sharp flexible pointed instrument- single or double ended- for detecting
caries and calculus, making location marks, picking up cotton points.
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Cotton forceps
• Tweezer-like pinchers for transporting materials to or from the mouth.
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Periodontal probe
• A long pointed instrument with measured marks on the tip used to assess
depth of tissue pockets.
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Expro
• Double –ended instrument with a diagnosing probe tip at one end and an
explorer tip at the other.
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Pen-probe
• A double ended instrument with a probe-marking tip on one end and a pen on the
opposite site.
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Periodontal Grouping
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Scaler
• Thin –bladed instrument with a pointed tip and two cutting edges used to
scrape off hard deposits from teeth.
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Sickle scaler
• A sickle-shaped instrument with a sharp blade for removing calculus from
tooth surface.
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Curette
• (kyou-RETT)
• Round-tipped thin blade with a longer neck and two cutting edges used to remove
sub gingival deposits.
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Implant Scaler/ Curette
• Non-metallic, resin-tipped instrument, for removing deposites around
titanium implant abutment.
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Periodontal knife
• Instrument with a flat-bladed incision tip of different shapes and angles for
removing
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Scalpel
• (SKAL-pell)
• Handle for attachment of blades for cutting tissues.
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Restorative Grouping
• A collection of hand instruments for removing decay, making preparations
and restore tooth surfaces.
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Excavator (ECKS-kah-vay-tore)
Long necked, cup like( spoon) or sharp edged blades instrument for removing soft
decayed tissue.
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Gingival margin trimmer
• Long, slender, curved, flat blade instrument.
• For breaking away enamel margins during tooth preparation.
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Hoe
• Small bladed instrument with a tip like a farm hoe.
• For breaking or pulling away enamel tissue.
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Hatchet
• Sharp edged instrument with a hatchet like tip.
• For removing hard tissue.
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Chisel
(Wedelstaedt or Biangle)
• Hand instrument with a cutting edge
• For cutting away enamel tissue.
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Cleoid • (KLEE-oyd)
• Double-ended with a pointed tip on one end (cleoid) and a disk shaped blade on the
other end (discoid).
• For carving anatomy features in new restorations or removing decay.
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Carver
• Thin bladed instrument for removing decay or carving new restorations.
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Condenser
• A thick, rounded or oval, flat head instrument (serrated)
• For packing or condensing restorative material.
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Burnisher
• Instrument with smooth rounded head for smoothing out restorative material.
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Amalgam carrier
• Instrument with a holding cylinder for transferring amalgam material
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Matrix holder (Matrix strip) • (MAY-tricks)
• Holder device for maintaining artificial wall around the tooth
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Wedge
• A wooden or triangular double inclined plane separates the teeth, hold the
strip in place and prevent material from leaking.
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Evacuation
• High-volume evacuator (HVE)
• Saliva ejector tip
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HVE
• Curved, bevel tip with a large hole inserted into a handle with off/on and
intensity controls for gross removal of fluid
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Saliva ejector tip
• Small suction tip inserted into the evacuation tubing of the dental unit
• For steady constant fluid removal from the oral cavity
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Rotary instruments
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Straight hand piece (SHP)
• No head. Instruments are inserted into the opening
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Contra-angle handpiece(CAHP)
• Instrument with anobtuse angled head inserted into power unit’s straight handpiece
• For gaining access to posterior teeth and difficult areas.
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Right-angle handpiece
• Handpiece with its head set at a 90 degree angle.
• Inserted into power’s unit handpiece.
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Curing light
• Focuses a light beam to cure or set specialized material.
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Intraoral camera
• Small camera situated in the head of the hand piece for transmitting views of
the oral cavity.
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Bur types
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Friction-grip burs
• Held in the handpiece by the friction grip chuck
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Latch-type bur
• Has a grooved insertion end that hooks into the head of a hand piece.
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Straight hand piece
• With a extended shaft fitting directly into the straight hand piece.
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Rotary instruments
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Mandrel
• (MAN-drell)
• A slim metal holding device fits into hand piece used to smooth and cut.
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Stone/wheel/Disc
• Abrasive items that can be mounted permanently on a shaft or placed on mandrels.
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Diamond rotary instrument
• Commonly called burs or points For cutting, smoothing and reducing tissues
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