TAILIEUCHUNG - Basic Guide to Orthodontic Dental Nursing_2

The role of the orthodontic surgery assistant/nurse in the delivery of orthodontic care is crucial. Every orthodontist relies on his assistant to help with the delivery of orthodontic care. The chairside is the coal-face of orthodontic delivery and the more effective and efficient this aspect of care, the better the orthodontic experience and outcome for the patient. This book is an ‘all you need to know’ about assisting in orthodontic care delivery and is an invaluable learning tool and reference for all the orthodontic team. The Guide is essential reading for trainees – getting the fundamentals right early on sets a solid foundation for the day-to-day team approach | Chapter 14 Fixed appliances - direct bonding There are two methods of fitting fixed appliances direct bonding indirect bonding Direct bonding is the more routinely used technique and this chapter aims to highlight the nurse s role in this process. Different clinicians work in different ways. Some clinicians like to work four-handed with a nurse This means that the nurse hands them the correct instrument at the appropriate time Nurses also cut and hand them ligatures chain coil etc. This places the tray on the nurse s side Some clinicians prefer to work from the tray themselves They work without the nurse s direct help They may ask for chain elastic sleeving etc. sometimes cut it themselves The nurse hands a new arch wire The clinician often hands the nurse Mathieus mosquitos Twirl-ons etc. whichever they use for loading O-rings This places the tray on the clinician s side NB It is important that at all appointments the patient s model box is available with the study models within reach. Models should be taken out of the box before the treatment begins and the nurse puts on gloves. COMMUNICATION Nurses also communicate with and monitor the patient ask them how they are ask them what s going on in their life etc. ask them what colours of O-rings they want while the orthodontist refreshes their own memory reading or writing up the notes etc. Basic Guide to Orthodontic Dental Nursing Fiona Grist 2010 Blackwell Publishing Ltd. ISBN 978-1-444-33318-3 140 Basic Guide to Orthodontic Dental Nursing If the patient is sitting in silence they are less likely to be brave enough to mention any concerns or problems they may have about their treatment or appliance any teasing that they may be experiencing that they have forgotten the rules and have a breakage ALLERGY AWARENESS Orthodontic fixed appliance brackets are of stainless steel which can contain nickel chromium and cobalt. Arch wires are also of stainless steel and nickeltitanium. It is important that any allergy to nickel

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