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Clinician Position in Relation to the Treatment Area

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Clinician Position in Relation to the Treatment Area © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION MODULE 2 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALEClinician OR DISTRIBUTION Position inNOT Relation FOR SALE OR DISTRIBUTION to the Treatment Area © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALEModule OR DISTRIBUTION Overview NOT FOR SALE OR DISTRIBUTION The manner in which the seated clinician is positioned in relation to a treatment area is known as the clock position. This module introduces the traditional clock positions for periodontal instrumentation. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTIONModule Outline NOT FOR SALE OR DISTRIBUTION Section 1 Clock Positions for Instrumentation 41 Section 2 Positioning for the RIGHT-Handed Clinician 43 © Jones & BartlettSkill Building. Learning, Clock LLCPositions for the RIGHT-Handed© JonesClinician, & p. Bartlett 43 Learning, LLC NOT FOR SALEFlow OR Chart: DISTRIBUTION Sequence for Practicing Patient/ClinicianNOT Position FOR SALE OR DISTRIBUTION Use of Textbook during Skill Practice Quick Start Guide to the Anterior Sextants, p. 47 Skill Building. Clock Positions for the Anterior Surfaces Toward, p. 48 © Jones & Bartlett Learning,Skill LLC Building. Clock Positions for© the Jones Anterior & SurfacesBartlett Away, Learning, p. 49 LLC Quick Start Guide to the Posterior Sextants, p. 50 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Skill Building. Clock Positions for the Posterior Sextants, Aspects Facing Toward the Clinician, p. 51 Skill Building. Clock Positions for the Posterior Sextants, Aspects Facing Away From the Clinician, p. 52 © Jones & Bartlett Learning, LLC Reference Sheet:© Position Jones for & the Bartlett RIGHT-Handed Learning, Clinician LLC NOT FOR SALE OR DISTRIBUTIONSection 3 PositioningNOT for theFOR LEFT-Handed SALE OR DISTRIBUTION Clinician 54 Skill Building. Clock Positions for the LEFT-Handed Clinician, p. 54 Flow Chart: Sequence for Practicing Patient/Clinician Position Use of Textbook During Skill Practice © Jones & BartlettQuick StartLearning, Guide to LLC the Anterior Sextants, p. 58© Jones & Bartlett Learning, LLC NOT FOR SALESkill OR Building. DISTRIBUTION Clock Positions for the Anterior SurfacesNOT Toward, FOR p.SALE 59 OR DISTRIBUTION Skill Building. Clock Positions for the Anterior Surfaces Away, p. 60 Quick Start Guide to the Posterior Sextants, p. 61 Skill Building. Clock Positions for the Posterior Sextants, Aspects Facing Toward the Clinician, p. 62 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Skill Building. Clock Positions for the Posterior Sextants, Aspects NOT FOR SALE OR DISTRIBUTIONFacing Away from the Clinician,NOT p. 63FOR SALE OR DISTRIBUTION Reference Sheet: Position for the LEFT-Handed Clinician Section 4 Modified Positioning: Working from a Standing Position 65 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 39 © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. 9781284456769_CH02_039_068.indd 39 07/01/20 1:15 PM © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Section 5 Skill Application 66 Practical Focus. Assessing Patient and Clinician Position Student Self Evaluation Module 2: Positioning and Clock Positions © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALEOnline OR resources DISTRIBUTION for this module: NOT FOR SALE OR DISTRIBUTION • Clock Positions for Anterior Teeth (right- and left-handed versions) • Clock Positions for Posterior Teeth (right- and left-handed versions) Available online. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Key Terms Clock positions Anterior surfaces away from Posterior aspects facing away © Jones & Bartlett Learning,Anterior surfacesLLC toward the clinician© Jones & Bartlett Learning,from the clinician LLC NOT FOR SALE OR DISTRIBUTIONthe clinician PosteriorNOT aspects FOR facing SALE OR DISTRIBUTION toward the clinician Learning Objectives • Demonstrate© Jones and& Bartlett maintain neutralLearning, seated LLC posture for each of the mandibular© Jones and maxillary& Bartlett Learning, LLC treatment areas. NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION • Demonstrate correct patient position relative to the clinician. • Demonstrate, from memory, the clock position(s) for each of the mandibular and maxillary treatment areas. • Demonstrate standing clinician position for the mandibular treatment areas. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC • Recognize incorrect position and describe or demonstrate how to correct the problem. NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION RIGHT- AND LEFT-HANDED SECTIONS IN THIS MODULE • Beginning with Section 2, the sections in this module are custom- © Jones & Bartlett Learning, LLC ized for right-handed© Jones and left-handed & Bartlett clinicians. Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION • Having two different versions of the content in the Module some- times can be annoying or confusing. For example, a left-handed clinician finds it time consuming to bypass all the right-handed pages to locate the left-handed version. Sometimes readers turn © Jones & Bartlettto the wrong Learning, version LLCand become confused. © Jones & Bartlett Learning, LLC NOT FOR SALE• For ease OR of DISTRIBUTION use—and avoidance of confusion—if youNOT are FOR right- SALE OR DISTRIBUTION handed, it is recommended that you either (1) tear the left-handed pages from the book or (2) staple these pages together. If you are left-handed, use the same approach with the right-handed pages. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. 9781284456769_CH02_039_068.indd 40 10/04/20 4:45 PM Module 2 Clinician Position in Relation to the Treatment Area 41 © Jones & Bartlett Learning, LLC © Jones & BartlettSection Learning, 1 LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Clock Positions for Instrumentation 1. Range of Clinician Positions. During periodontal instrumentation the seated clinician moves around the patient to maintain neutral body posture. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC A. Goal of Positioning. Correct positioning of the seated clinician in relation to the treatmentNOT area FOR (1) SALEfacilitates OR neutral DISTRIBUTION posture of the clinician’s head, NOTarms, wrists,FOR SALE OR DISTRIBUTION and hands and (2) provides optimal vision of the tooth surfaces. B. Clock Positions 1. Instrumentation of the various treatment areas may be accomplished from a © Jones &range Bartlett of clinician Learning, positions LLC in relation to the patient’s© Jones head (Fig. & Bartlett 2-1). Learning, LLC NOT FOR2. SALEUsing an OR analog DISTRIBUTION clock face as a guide—with the patient’sNOT head FOR being SALE at 12 OR o’clock DISTRIBUTION and the feet being at 6 o’clock—is a common method of identifying the clinician’s position in relation to the patient (Fig. 2-2). 3. The positions that the clinician assumes in relation to the patient’s head are known as “clock positions”. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC 2. Range of Patient Head Positions. In addition to assuming an optimal clock position, NOT FOR SALE ORit is DISTRIBUTION important to ask the patient to assumeNOT a head FOR position SALE thatOR facilitatesDISTRIBUTION neutral arm, wrist, and hand position for the clinician (Fig. 2-3). © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Figure 2-1. Movement Around the Patient. © Jones• The seated & Bartlett clinician Learning, can assume LLC © Jones & Bartlett Learning, LLC a range of positions around NOT theFOR patient SALE during OR periodontal DISTRIBUTION NOT FOR SALE OR DISTRIBUTION instrumentation. • This illustration shows two examples of possible seated © Jones & Bartlettpositions Learning, in relation LLC to the patient. © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 12 11 1 © Jones & Bartlett Learning, LLC 10 © Jones & Bartlett2 Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Figure 2-2. Clinician Clock Positions. Clinician clock positions are identified • 9 3 using the face of an analog clock as the © Jonesguide & (Box Bartlett 2-1). Learning, LLC © Jones & Bartlett Learning, LLC NOT• TheFOR patient’s SALE head OR isDISTRIBUTION at the 12 o’clock NOT FOR SALE OR DISTRIBUTION position and the feet are at the 6 o’clock 8 4 position. • Right-handed clinicians sit from 8 to © Jones & Bartlett1 o’clock;Learning, left-handed LLC from 11 to 4 o’clock.© Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. 9781284456769_CH02_039_068.indd 41 07/01/20 1:15 PM 42 Fundamentals of Periodontal Instrumentation & Advanced Root Instrumentation
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