PAPER
THE
ROLE OF DENTAL ASSISTANT
This
report made to meet a final exam the first half lecture dental assistant the
first half IV
Created
By,
Name : Anggi Ratna Prahestri
NIM : P1337425215011
Lectures : drg. Lanny Sunardjo,
MDSc
DIV DENTAL NURSE DEPARTMENT
HEALTH
POLYTECHNIC OF SEMARANG
2017
Based on the health minister republic of indonesia no:
378 / menkes / skiii / 2007 about standards of a profession the dental
hygienist, that what is meant by the dental hygienist is one of the
constituents health service providers teeth
at an institution health services as hospitals, puskesmas and other health
facilities significantly has dedicated himself in indonesia since 1953 at first
school graduates officers in teeth.
Written there that their performance the core of a nurse teeth as an assistant to a dentist , among other: help
Written there that their performance the core of a nurse teeth as an assistant to a dentist , among other: help
a.
The
ability of operators in routine care in the dental clinic ( as the chair side
assistant ) .
b.
Procedure
ability help the restoration of the teeth and a surgical procedure the mouth
and periodontal .
c.
The
ability of preparing and apply the use of materials on treatment teeth patients
.
d.
Ability
help doctors dentistry or to dentists a specialist in the treatment of patients
. The ability of manipulation
e.
Molding
material and forming a mold for the study .
f.
The
ability of preparing and do topical treatment / solution set by a dentist or
dentist a specialist .
g.
Its
capacity to isolation the cavity of the mouth
That
would be a discussion in my paper this time is the ability of a Dental Nurse in
assisting the dentist in the isolation of the oral cavity.
A.
Understanding
isolation the cavity of the mouth
Isolation the cavity of the mouth is a
technique that is done to remove fluid and splinters oral cavity, to control over saliva around teeth
will be treated ( mosby comprehensive review of dental assisting, betty ladley,
etc.
).Isolation the cavity of the mouth too are defined as the act of is conducted
to gather regional work clean and dry, easily seen, facilitate operators in
work and convenience for patients ( of teaching materials dental assistant of
nursing teeth, 2016 ).Isolation regional employment is instrument which
overcome a disorder in care restorative and endodontic in the work like
disorder saliva and of the tongue ( strength asmalia; 2013 ).
B.
The
Purpose Of Isolation The Cavity of the Mouth
The Purpose of isolation the cavity of
the mouth is to maintain regional care to keep clean, dry asepsis, free room
contamination saliva. In addition minimize movement a patient to always
gargling , so that it will long time care
C.
All
Kind of isolation of the mouth cavity
a.
Salivary Ejector
Saliva
ejector is a isolation the cavity of teh mouth useful to stuck saliva in the
procces treatment of dental. Saliva ejector is one of Assistan’t unit that is
on the left patients, so that a assistant take full responsibillity when
operating this device, especially conducted at:
1)
Preparation
of the cavity
2)
Sterilization
of the cavity
3)
Patching
material filling
4)
Scalling
Saliva
ejector has two kinds of tip, that which
is made of plastic is dispossible tip and
of stainless steel who always sterilizatin/desinfection.
The
manner of using :
a)
Put dispossible
tip on saliva
ejector.
b)
Press
a button “ON” on dental unit.
c)
Rotate
buttons saliva ejector so that sounded a rumbling noise air
d)
Saliva
the ejector enter into the cavity of the mouth especially in the area
vestibulum oris bottom and under the tongue
b.
Suction
Suction work is similar to
saliva ejector, only sucked is besides saliva can also sucked blood.So this
suction more precise used at the time of action exodontia or surgical mouth and
is part of assistant’s unit. How to operate suction and saliva ejector mostly
the same.
c.
Tongue Holder
Tongue holder is a
isolation the cavity of the mouth with system work retaining the tongue to ease
the process of working operators in care .His application used along with
cotton roll .
Tongue holder consisting of:
1.
Retaining
the tongue
2.
Retaining
the chin
3.
Stalk
and klep
4.
Klep
a brace
5.
Per
on a stalk
6.
Klep
officers retaining the chin
Way the installation of tongue holder:
1)
Specify
side of the jaw which to be fitted tongue holder
2)
Pairs
of retaining the tongue in stalk and klep
3)
Pairs
of cotton roll on the tongue
4)
Tongue
holder ready fitted
5)
Set
klep retaining the chin
d.
Cotton Roll
Cotton
roll been an shaped rolls cotton laid on the not / labial and lingual depends
elements teeth who are treated.Discharging isolation cavity other mouth can be
replaced by cotton roll.Cotton roll can made of cotton or paper tissue.
Requirements
making Cotton Roll :
1.
For
patients adult long: 3-4 elements of the permanent teeth diameter: 1 cm
2.
For
patients children long: 3-4 elements deciduous teeth diameter: 0,5 cm
Way
the installation of cotton roll :
a)
Open
mucous the mouth with using tinted the mouth
b)
Flops
cotton roll by using dental tweezers
c)
Put
on part buccal / labial and lingual to workspace the lower jaw, and on the
buccal / lingual to workspace the upper jaw.
d)
Put
on of position that does not make patients feel uncomfortable..
e.
Rubber Dam
Rubber and ( isolation
rubber ) first discovered in 1864 by sanford barnum.This device made of rubber
thin, usually in the form of rectangular.This device is effective isolate the
work ( one tooth or more in the cavity of the mouth.
Very good to isolate and
procedure endodontic , ektraksi radiks , and care the root canal , as well as
treatment repair .
The use and rubber dam:
2)
To
keep patients not to ingested intrumen small , filler material , drugs , tissue
, pulpa who necrosis
3)
Protect
the tongue , the cheek and the lips or all soft tissue that were not hurt by
means of used
4)
Reduce
contact instrument with mucous , in order to reduce of the injury on a network
and reduce bleeding
5)
Provide
comfort in patients so that the patient feel great because protected by means
of this
6)
To
prevent fetor of the patients wafted by a doctor or operator so that it can be
disturb the way of the process care
Rubber dam consisting of:
1)
Rubber
sheets of sheets by size 5x5 inches atu 6x6 inches.Is hollowed out and
associated on the teeth or some of the teeth.
2)
Rubber
and stamp of rubber and ink that serves as markers the teeth.
3)
Rubber
and punc this section serves to make holes at rubber sheet along 0.5 - 2.5 mm.
shaped like tang, with one side wheel-shaped and on the other hand shaped like
rubber pointed, which part of pointed will entered the shaft.When punc pressed
so rubber sheet who had been given a will perforated
4)
Clamps
serves to holding rubber sheet on the teeth and set aside gingival of the teeth
.Size this device various .
5)
Forceps
this section serves to install and release clamps .Dental floss
6)
This
device shaped like thread used to find a way if regional interproximal teeth
too closely packed together .It also serves to hold rubber sheet from happening
a leak in surrounding the teeth who are treated
7)
Rubber
and holder shaped the framework or frame of a metallic substance / plastic
shaped like the letter “u” .
How to install and rubber draught :
1.
Explain
to the patient what will be done
2.
If
there are teeth calculus on patients , then to be done especially if scalling
calculus located on the teeth that will be treated
3.
Choose
clamps which will be used , then attempted in the jaw of patients
4.
Dental
floss use in the an interdental to ease rubber sheet to enter .
5.
The
installation of rubber and - take dental floss with panajng to taste to bind
clamps .Use if clamps off will fall no / ingested . - and then clamps mounted
on teeth there are two kinds of how to install rubber and;
a)
Set
up rubber sheet first then set up clamps , or
b)
Set
up clamps first then admit rubber sheet
6.
Check
breathing patients , whether the patient felt disturbed for a nose obstructed
rubber sheet or not .
7.
Dry
teeth
8.
Matches
saliva ejector
9.
Dab
solution antiseptic on the teeth and rubber and around teeth patients
D.
The
role of dental assistant in helping isolate the cavity of the mouth if before
that it was sufficient just a dentist just providing service, now in developed
countries such as the united states, service given by a team comprised of
dentist, dental hygenist, dental assistant, and dental technician.Dentist is a
dentist providing service dentistry.Dental a hygienist on duty fill record
medical, and do the act of preventive dentistry like cleansing tartar
independently.Dental assistant serving as an assistant who help a dentist take
tools, prepared material, control saliva, cleanse the mouth, as well as
maintain light the light for a procedure care being done.And dental technician
working in a laboratory, make protesa and the tools to be fitted at the mouth
of patients.
In indonesia the condition a little
different , known only 2 the health profession teeth out a dentist namely the
dental hygienist and tekniker teeth .The dental hygienist in charge as dental
assistant and dental a hygienist , while tekniker teeth on duty same as dental
technician .At the time service
dentistry done only there are two of people who are in about a patient that is
a dentist and dental assistant. second this guy is different , but
mutual support .So that bore the term four handed dentistry.
In the
concept of four handed dentistry known the concept of the division of zone
work, called clock concept.There are four zone namely, static zone, transfer
zone, operator’s zone and assistant’ s zone.The dental hygienist work on an
area of assistant’s zone, in these zones dental unit furnished with three way
syringe, saliva ejector, and light the cure unit.
One of
the tasks of the dental hygienist as dental assistant is to isolation the
cavity of the mouth , namely action in order to gain regional work clean and
dry , easily seen , facilitate operators in work and comfortable for patients
.In the practice of isolation the cavity of the mouth , a nurse teeth serve as
dental assistant have to make sure the purpose of isolation cavity the mouth of
it achieved properly .The dental hygienist responsibility to maintain that view
operator in the area work not obstructed by debris and saliva , keep other
liquid with which be in the cavity of the mouth not contaminating the material filling in was conducted repair , and prevent
tertelannya materials or fluid during care done ( of teaching materials dental
assistant of nursing teeth , 2016 ) .
E.
Conclusions
from the above description in chapter earlier ,
It can be obtained the conclusion
that:
1.
Based
on the health minister republic of indonesia no: 378 / menkes / skiii / 2007
about standards of a profession the dental hygienist , that what is meant by
the dental hygienist is one of the constituents health service providers teeth
at an institution health services as hospitals , puskesmas and other health
facilities significantly has dedicated himself in indonesia since 1953 at first
school graduates officers in teeth ( sprg ) .
2.
Written
there that the core of a nurse teeth as an assistant to a dentist one of them
is helping isolate the oral cavity patients .
3.
Isolation
cavity the mouth is a technique done to remove fluid and splinters dirongga
mouth , to control over saliva around gear will be treated ( mosby
comprehensive review of assisting dental , betty ladley , dkk )
4.
The
purpose of isolation the cavity of the mouth is to maintain regional care to
keep clean , dry asepsis , free from contamination saliva .In addition minimize
movement a patient to always berkvv age , so that it will long time care
5.
Instrument
used to isolate the cavity of the mouth among others saliva ejector , suction ,
tongue holder , cotton roll and rubber and .
6.
Dental
assistant serving as an assistant who help a dentist take tools , prepared
material , control saliva , cleanse the mouth , as well as maintain light the
light for a procedure care being done
F. Advice that can be writer talk about
is:
It was hoped after for the delivery of
material this we can all increase insight knowledge of the role of dental
assistant in helping isolate the cavity of the mouth , especially for the
dental hygienist in indonesia .
REFERENCE
i.
Bahan
Ajar Dental Assistant Jurusan Keperawatan Gigi Poltekkes Kemenkes Semarang;
Evakuasi rongga Mulut; 2016
ii.
Bahan
Ajar Intrumentasi dan Dental Equipment Jurusan Keperawatan Gigi Poltekkes
Kemenkes Semarang; Modul 8 Dental Chair Mounted Unit; 2016
iii.
Bahan
Ajar Dental Assistant Jurusan Keperawatan Gigi Poltekkes Jakarta; Bab VI
ISOLASI RONGGA MULUT; 2012
iv.
Keputusan
Menteri Kesehatan Republik Indonesia No: 378/MENKES/SKIII/2007 Tentang Standar
Profesi Perawat Gigi
v.
Jurnal
(4) oleh Ratna I Sunoto, Bagian Biologi Oral FKG Universitas Trisakti. 2011. Tindakan Pencegahan Penularan Penyakit Infeksi
pada Praktek Dokter Gigi (The
Practice Of Infection Control in Dentistry)
vi.
Bun
San Chong, dkk. 2011. Rubber Dam in
Clinical Practice. ENDO (London, England); 2(2): 131-141
