Figure 5-48.Surgical air drill.
Figure 5-49.Bur guards used with the surgical air drill.
Figure 5-50.Surgical burs.
manufacturer's operating instructions for use and
maintenance of the surgical air drill.
ASSISTING IN DENTAL SURGERY
Before the surgery, you should discuss the
essentials for each dental surgery procedure with the
dentist. Advance preparation is essential to establish
and maintain asepsis during the surgical procedure.
With such preparation, you can be sure to have the
necessary instruments, equipment, and materials ready
for each patient.
The types of assistants that are commonly used
during most outpatient dental surgery in clinics and
aboard ships are the circulating and the scrub assistant.
The circulating assistant plays an important role
during the dental surgery procedures and is responsible
for many tasks which include, but are not limited to:
Taking pulse and blood pressure.
Receiving and seating the patient.
Preparing the surgical room.
Maintaining the chain of asepsis.
Positioning the dental chair.
When the dentist is ready to begin surgery, the
circulating assistant will bring the surgery tray and
place it on the Mayo stand (adjustable tray stand). To
avoid contaminating the contents of the pack, touch
only the outside edges of the wrappers.
After the extraction tray is opened, the circulating
assistant will stand by to assist the dentist and the scrub
assistant. When the procedure has been completed and
the patient has been dismissed, disinfect and clean the
room for the next patient.
The scrub assistant will assist the dentist during the
surgery procedure. Transferring of instruments, and
keeping the surgical site clean and clear of debris and
blood for the dentist to operate efficiently are the major
duties of the scrub assistant.
Once the surgical procedure is completed, the
dentist may use sutures to close the surgical wound. If
the sutures have been placed, the dentist may want a
pressure pack (dressing) over the extraction site to stop
the flow of bleeding. Proper post-surgical instructions
will also be given to the patient before dismissing.