Editing dental structures outside the treatment room - Capita selecta

Editing dental structures outside the treatment room - Capita selecta
When manufacturing emergency crowns, adjusting removable orthodontic equipment or removing pressure points for prostheses, a technical handpiece must be sharpened. The unwanted formation of contaminated dust makes it necessary to work with extraction. The use of a sandblaster for the removal of cement residues from crown and bridge work is also bound to an environment where the (very) fine grinding powder can be extracted.

Editing dental structures outside the treatment room

 

When manufacturing emergency crowns, adjusting removable orthodontic equipment or removing pressure points for prostheses, a technical handpiece must be sharpened.

 

The unwanted formation of contaminated dust makes it necessary to work with extraction. The use of a sandblaster for the removal of cement residues from crown and bridge work is also bound to an environment where the (very) fine grinding powder can be extracted.

 

A Undesirable contaminated dust in the treatment room. B Blaster for removing cement residues

 

A simple dust chamber with shielding and mechanical extraction usually meets a treatment room.

 

A Simple sharpener / dust chamber with mechanical extraction. B Grinding unit at the central point outside the treatment room

 

In order that not every treatment room has to have its own dust chamber, a central place has been set up in oral care practices where such grinding work can be performed.

 

For transportation (without gloves!) To a grinding unit located outside the treatment room, the following sample protocols can serve as a basis.

 

Method A

The workpiece is disinfected under the tap after rinsing before being taken outside the treatment room. To this end a container with alcohol must be present on the worktop. The lid of the tray must be loose so that it can be moved with a transport tweezer. The workpiece is then placed in the alcohol without contamination of the tray.

 

  • Examine the situation in the mouth and determine which grinding work is necessary.
  • Remove the workpiece from the mouth, rinse it under the tap.

 

Use water and soap for heavily soiled workpieces.

 

The (nail) brush then goes into the thermodisinfector. Ensure that the plastic is heat resistant!

 

Clean with water, soap and nail brush. This must be done in the thermodisinfector afterwards

 

  • Open the alcohol container with the transport tweezer and place the work piece in it.
  • Pull out the gloves, disinfect the hands and firmly close the alcohol container.
  • Transport the bowl with bare hands to the place with grinding facility.
  • Open the container and take out the work piece with a transport tweezer, place it on a patient napkin with plastic backing, possibly on an extra tissue to dry.

 

A-D Method A for transport of a workpiece over the corridor

 

  • Leave the lid loosely on the tray, so that the lid can be moved with the transport tweezers again.
  • Put two gloves on and take care of the workpiece.
  • With the aid of a transport tweezer, put the work piece back into the container with alcohol, do not close the lid.
  • Take the used drill, router or polishing tip from the handpiece and place it in a container with dirty drills so that they can be reconditioned.
  • Let the hand piece slide out of the sleeve onto a clean piece of the work area.
  • Take the sleeve in the gloves and pull them out together.
  • Disinfect the hands, firmly press the lid of the tray and walk back to the treatment room with the closed container in the bare hands.
  • Open the container, remove the work piece from the alcohol with the transport tweezers, and close the container firmly.
  • Put on examination gloves, rinse the workpiece under the tap to remove the disinfectant and any grinding residues and place it back in the mouth.

 

Method B

If the workpiece is only rinsed under the tap and not disinfected, the transport over the corridor can be realized with the help of a sturdy plastic bag with the following (example) steps:

 

A to J Method B for transporting a workpiece over the corridor

 

  • Put a (sturdy) plastic bag ready on the work area.
  • Examine the situation in the mouth and determine which grinding work is necessary.
  • Remove the workpiece from the mouth, rinse it under the tap and place it on the work area.
  • Pull out the examination gloves.
  • Take the plastic bag, put one hand in the bag and pick up the work piece.
  • With the free hand, pull the bag inside out over the work piece (this is the so-called 'chopped method', because a butcher uses this method to weigh minced meat).
  • Transport the work piece in the bag with bare hands over the corridor to the room with sharpening facilities.
  • Put a glove on the work hand and with that put the plastic bag back.
  • Place the workpiece on the work surface and pull the hand out of the pouch to place a drill or cutter into the handpiece with both hands.
  • Put the hand back into the (inside out) bag and pick up the work piece.
  • Take the handpiece (in sleeve) and fix the workpiece with the bare hand through the plastic bag while it is being squeezed.
  • Put the workpiece back on the work area and use two hands again. This time one with glove and the other with the plastic bag as protection. Take the used drill, router or polishing tip from the handpiece and place it in a container with dirty drills so that they can be reconditioned.
  • Let the hand piece slide out of the sleeve onto a clean piece of the work area.
  • Take the sleeve in the gloved hand, pull the other hand out of the plastic bag and pull the glove, including sleeve, out of the cuff with one movement over the hand and place it in the waste bin.
  • Put the hand back in the bag and pick up the work piece.
  • Take the bag with your bare hand by the top edge and pull it over the work piece again.
  • Transport the work piece in the bag with bare hands to the treatment room.
  • Let the work piece slide out of the bag onto the work area and throw away the bag.
  • Put on examination gloves, possibly rinse the workpiece under the tap to remove sharps and place the workpiece in the mouth.