Pre-Clinical Dental Skills at a Glance

78 Pages·2015·19.331 MB·English

by  James Field

Pre-Clinical
Dental Skills
at a Glance
ffirs i 11 March 2015 6:12 PM
I would like to dedicate this book to Claire for her love, support and encouragement; and to
our two boys, George and Charlie.
I wish to thank my colleagues at Newcastle School of Dental Sciences for their input and
support. I would also like to thank my students who, over a number of years, have provided
invaluable feedback that guided the development of the book.
This title is also available as an e-book.
For more details, please see
www.wiley.com/buy/9781118766675
or scan this QR code:
ffirs ii 11 March 2015 6:12 PM
Pre-Clinical
Dental Skills
at a Glance
James Field
BSc(Hons) BDS MFDS RCSEd MFGDP RCSEng
CertClinEd MA(Ed) SFHEA FAcadMEd PhD
Lecturer in Restorative Dentistry
School of Dental Sciences
Newcastle University
Newcastle upon Tyne, UK
ffirs iii 11 March 2015 6:12 PM
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Library of Congress Cataloging-in-Publication Data
Field, James, 1979- , author.
Pre-clinical dental skills at a glance/James Field.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-118-76667-5 (pbk.)
I. Title.
[DNLM: 1. Tooth Diseases–diagnosis. 2. Tooth Diseases–therapy. WU 140]
RK305
617.6ʹ3–dc23
2014047535
A catalogue record for this book is available from the British Library.
Wiley also publishes its books in a variety of electronic formats. Some content that appears
in print may not be available in electronic books.
Set in Minion Pro 9.5/11.5 by Aptara
Printed in [Country only]
1 2016
ffirs iv 11 March 2015 6:12 PM
Contents
Preface vii
How to use your revision guide viii
About the companion website ix
Part 1 The clinical environment 1
1 The clinical environment 2
2 Lifelong learning and reflection 4
3 Simulator jaws 6
4 Basic restorative equipment 8
5 Handpiece maintenance and operation 10
Part 2 Basic operative skills 13
6 Posture and working with a dental mirror 14
7 Effective use of posterior matrices 16
8 Controlling bur depth and angulation 18
9 Investigating and controlling the carious lesion 20
10 Posterior approximal preparations 22
11 Anterior approximal preparations 24
12 Accessing the pulp space 26
13 Direct posterior restorations 28
14 Replacing a cusp with a direct restoration 30
15 Placing cervical restorations 32
16 Restoring incisors 34
17 Periodontal instrumentation 36
18 Moisture control and dental dam 38
19 Records for treatment planning 40
Part 3 Core clinical skills 43
20 Controlling cross-infection 44
21 Communicating and recording information 46
22 Giving and receiving feedback 48
23 Medical histories and the presenting complaint 50
24 Oral health assessment 52
v
ftoc v 11 March 2015 6:24 PM
25 Charting the dentition 54
26 Delivering oral hygiene instructions 56
27 Offering smoking cessation advice 58
28 Requesting and reporting on intra-oral radiographs 60
Further reading 62
Index 64
vi
ftoc vi 11 March 2015 6:24 PM
Preface
Du ring most basic skills courses, you will necessarily make Most of the figures are derived from teaching materials that I
a significant and marked transition towards becoming an use within the skills lab, and they have undergone several
autonomous healthcare professional, working well within a iterations over the years. As such, I hope that they contain the
clinical team and upholding professional and moral values. This is detail necessary to support conceptual understanding without
a tough journey, and sometimes it has to happen in little over three overburdening you with technical details. Clinical photos are kept
months. With the support and direction of your clinical teachers, to a minimum to avoid you copying a clinical endpoint; rather,
this journey can nevertheless prove to be very rewarding. you should be able to visualise a clinical endpoint based on your
This book is not a guide for established practitioners; it understanding of the approach. It is only then that you will be
has been written primarily for pre-clinical students who are able to apply your skills more widely and deal with complications
studying dentistry or dental-related subjects. It may also be effectively. While this guide is intended to provide a very basic
useful as a revision aid for those preparing for basic skills-based understanding of each skill, there are suitable suggestions for
assessments. A number of the handpiece exercises are conceptual further reading for each chapter.
rather than being based on modern clinical approaches; this will Surgical and soft tissue skills such as tooth extractions and
allow you to take a standardised and more consistent approach administering local anaesthetic are not discussed in the book.
while you develop your basic skills. Furthermore, it will allow Nonetheless, the chapters cover a comprehensive range of basic
your clinical teachers to make more valid judgements about your clinical operative and practical skills that should act as a sound
decision making and operative control while in the skills lab. framework on which to build.
Each chapter is limited to two pages in order to introduce the
concepts concisely and to keep the guide simple and accessible. James Field
vii
fpref vii 11 March 2015 6:25 PM
How to use your
revision guide
Features contained within your revision guide
Each topic is presented in
2 Entering the clinical environment as a healthcare professional appear to your patients and the wider public in terms of your 3
cleaar ,d eoasusubypl-epto-op-erfaxtogepledlloa sbwnpya dr tseoiauargcdyrc awtienmixtchtst. Part 1 The clinical environment Fi••••g1 IMCAunuofreodendris imt1ce.aan1ltt ieomnT eghroegve Tcenlrcinnihaeicnsacele en vicronmlienntical e••••n COAPtrorvtegimtsauemndniiseutpraaWsnrtt ioaiaicooo fnardeonnkdtse aiiao nsnlb nngitnsoead knshal iakaasllmisplvllipsoeuarreancnet ••• SRGcaivoisinpingeg ao cnf odpn rracecectreincisveing feedback riraRThwetoGptmoieannrroieste dodlspenimpnluofe gsnoseoeobrnrhwa orsrn sfteuek otstau aa so aeideulloynigoc nn abolDp thosnddt riuiutmtv la ene aioitbreibmlatnrs abseotritae wt e n anl atia itnipscnnhaaleghhl aa g d aiaaiasCsttndcittsa tihtn ihege bo ifioeymegwnmt. yun ot,yIt Uane yutsiusstollc c; henslli u–a a isoayvieilnat ntr oe atieswirwednshru s ed pta giiob aqitp sdlrwt rKedh u uiaaekirivieesitnitrnel riniq il gldekgseowd eugcuens nnegdiaar nrlttnosaeeareto hi e twrcwtsoamtsiaolypahnnriynalrg r o. a d or bt yenttnaHdte u.r o shi sacsbiafittIod neimo iat‘obcyfiwny gtmdaliou.c te ees tnnieludte hveioxteynsfr sea orp sao a irwtosyrnc–,emu wr air dtobreteotlio htn noehgr chuen p udgeeoapennscriail mrrraetpnaveg o tsc.ioouoipae r fntwrThnfiemsoeim ggs sstpnidaes ebiler mblw’in.ene ieo rainsThitreiplens l t it sniatoahtaainooyes--ftll, PFtgbsraepttlloeiohotxnloelvuaocae enphdreldvdanA e mear ayeel esnacbv sbosqengdsete iy.ouumae onutd Th o v adrieutiy rpi end,ox enonro tmi a,rdeogswwrau aml ei euyrai bsnmhqnasnollntpes ir ueetutsacpo le phrpsaei(hnrl er,Pfh uaea r eaiedrtxannPenimgt uponlpyyn Edceptl poceet eheet)ysualncue d nsoueiitttaas tnro tuedasa rlcl a r die, neabtcal newhat s tnondssctshs eiienpoc dtaltav enrliev f er ttrempot bceeutceeogaerae yett ap umnn .rs wi iakronert.lddne a oienfool iqqto fln ifihffe upmro uuugesotmirnls rnyhwaoiliesae pge dovur d l etopenliymsd od lturoeaoeeto eo flhbuanvoe s, t pwtdea etfyefna rc nchoeoydollottaeret uoilf mtro ryiceu yen ewns tpaormbu sd,m etiui erliolofruevel. as.;n aanis cYbodA ayr,eion nenlcuo sip umuaasieuairnl mtdmxl a aaespgseprs.c bhr a etketefooAebo i crnacat roouttselv anehs muolcildddoaes--tf Chapter 1 The clinical environment
take a career-long interest in your fitness to practise as you move patient and the wider team within which you work. Safety glasses
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You will also be expected to engage with clinical governance.
Thordise rc toon pcreopmt owtea sh iignhtr sotdanucdeadrd bs yo ft chaer eN, tartainonspaal rHenecayl,t hac Scoeruvnitcaeb iiln- Dental loupes
ity and continual improvement in the delivery of care. The elements Finally, many students ask me whether they should obtain their
of clinical governance are often referred to as the ‘seven pillars’: own set of dental loupes at this stage. I would recommend try-
••••••• ECCRORIndeillpfsiisuonnkeecrnii amccmanraatciaealloh nstaenis auffao gndaenencdi mtmtd idv eateenrnvnataeieglnsoeispmnmgeenntt iriLtgabnmoenouoqg dyupwa u prhwtotiohreherivesetaak he mdtac m ow,nay .uin yoietThtt ,nuhi m shtt ie hhnocairearng weasivn tee aetiipv chr fiireteaenche rl ma i,seot ttcih iipamoraoanielpntblpry ypy ear a;osdoot niybruv vds‘tae weuto se eynobipmvcoirtei takusdyrdi irf enaeno tnvpn ograacotm naitedslr l aatia syusnbppu trltcpargeehoenrg,,e occeiao epnesslf’dot.rc stiuuldIh auftpret ehdeeyneyasi ostp n tar u srgbetlh e h qedtssoefuhtceouruirrcerrliodide epdiue steyyngni nooothtosnuuoo-t.
PCroem-Cplianniicoanl Dweenbtsaitl eS: kwilwls wa.tw ai lGeyla.cnocme, /Fgior/sfit eElddi/tpiorenc.l iJnamicaels- dFeienltda.l ©-s k2i0ll1s5 by John Wiley & Sons, Ltd. Published 2015 by John Wiley & Sons, Ltd. spiaotniAearnlg tdu ceaavbreleyl o,a ponmnde e tonhfte t ihsd eea nmdtoaopls ttti enimagm pa.on Pr taaaprntp tro eoflp etrmhiiaestn eit ssa taotbift oeuuadtre lhy t oopwwro ayfreodsus- tafihdeelvd-al neontfa svg, iefleswi.p H-isu ipagn hle einmr smp aonargdtna inilfiltu ccmaotniionsnaidt eiesdr a nltooiout npa.elsw; aeyasc hb eotffteerr,s aintsd o twhne
38
18 Moisture control and dental dam
photogrYaopuhrs t eaxntdb oiloluks tisra ftuiolln osf. Part 2 Basic operative skills Figure 18.1 Moisture control and dental dam CLasionptgtiruoaantlo rroslls
Dry tips
Floss passed once through
holes and tied
Yankauer
Low volume
aspirator
High volume
aspirator
Only the clamp tips should
engage tooth tissue
Dam and floss Hole punch Frame Wingless clamp
Pull the dam from the distal
tooth with a flat plastic
Pull the dam under the clamp
tbheea kcso natnadc tpsass floss through Clamp forceps Scissors and flat plastic Butterfly clamp Winged clamp
viii PCroem-Cplianniicoanl Dweenbtsaitl eS: kwilwls wa.tw ai lGeyla.cnocme, /Fgior/sfit eElddi/tpiorenc.l iJnamicaels- dFeienltda.l ©-s k2i0ll1s5 by John Wiley & Sons, Ltd. Published 2015 by John Wiley & Sons, Ltd.
c18 38 11 February 2015 5:09 PM
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