Solving Work Related Pain in Dentistry
The CorrectSit CM model is a hybrid saddle stool that is ideal for tall, larger dentists & hygienists. The large, convex backrest can be adjusted forward to provide excellent support to the lumbar spine. The triangular seat is deep and wide, making it an excellent choice for taller, full-bodied operators.
The ‘sit bones’ rest on a flat surface, while the seat cut-outs allow the thighs to angle steeply downward providing similar postural benefits as a saddle stool. The newest version of the ErgoSolex stool has a shorter ‘nose’ on the seat that allows closer positioning to the patient, and a much plusher memory foam seat. The dynamic backrest can move with the user. Important considerations on whether to use this stool include height, weight, gender and lumbar curvature. Some team members will benefit from utilizing armrests. Three backrest sizes are available, and selection depends upon weight and lumbar curvature.
The Royal Saddle Plus has an average size seat which fits a majority of users and the seat is highly padded, making it a nice option for male dentists.
The convex lumbar support provides excellent support for users with low back pain or disc injury.
Neutral lumbar spine: keep seat flat
Hypolordotic: tilt seat slightly forward, and backrest adjusted forward as far as tolerable.
In my opinion, the Crown Seating Silverton saddle is the ‘Goldilocks’ of saddle stools. It is not too wide, too narrow, too hard or too soft a majority of dental operators. It has a new soft foam technology seating is extremely comfortable and distributes weight evenly. Recent research supports the addition of a backrest to dental seating to reduce muscular effort. Important criteria in selecting this stool include gender, body size (small, medium or large pelvis) and lumbar curvature. Some team members will benefit from utilizing armrests, depending on pain pattern.
This dynamic saddle stool features a seat that subtly moves with the operator. Research shows that a seat that allows movement of the lumbar spine is linked to reducing low back pain. The height is easily adjustable with a handy control ring. No more groping for levers! The seat is heavily padded and extremely comfortable. The seat contour is medium wide and fits most operators well. This stool is not available with armrests or a backrest.
The Bjorn saddle stool is mounted on a large coil spring allowing “all-directional-floating-body-movements” with the unlocked. In recent research, seating that moves with your pelvis (allowing lumbar motion) has been shown to reduce low back pain. You can also exercise and strengthen your core muscles while you work.
This ergonomic saddle-style stool by RGP facilitates the same desirable leg position as a saddle stool, but without the groin compression and also offers a very contoured backrest that provides stable support. The stool solves many ergonomic problems, depending upon the dental operators’ height, weight, specialty, gender and lumbar spine curvature.
Backrest adjusts forward, but minimally. Some operators report it is difficult to stay in contact with it.
The RGP Straddle stool features a saddle seat combined with a backrest. Recent research supports the addition of a backrest to dental seating to reduce muscular effort. Important criteria in selecting this stool include gender, body size (small, medium or large pelvis) and lumbar curvature. Some team members will benefit from utilizing armrests, depending on pain pattern.
Backrest adjust forward, but minimally. Some operators report difficulty maintaining contact with it.
Designed by a physical therapist, the Back-Up Stool features a unique adjustable ‘oblique’ section on the front of the stool to allow closer positioning to the patient and also accommodate various user heights. The ‘sit’ bones rest on the horizontal part of the seat, while the thighs rest on the oblique section and slope downward. This is my other ‘go to’ stool for medium & tall dentists who cannot tolerate a saddle-style stool.
The SurgiTel front-lens-mounted meets my ergonomic criteria for keeping the head within a safe working posture of less than 20 degrees of neck flexion. It is also one of the lightest weight front-lens-mounted loupes on the market. A vertical slide adjustment enables an excellent declination angle (and head posture). The combination of lightweight and steep declination angle makes the new SurgiTel front-lens-mounted loupes an outstanding choice for dentists and hygienists. The frame selection, shield size, shield shape and flip-up adjustment are extremely important considerations. Watch Dr. Valachi’s Ergonomic Guidelines to Selecting Dental Loupes video for more information.
The Q-Optics vertically adjustable flip-up loupes easily meet my ergonomic criteria for keeping the head within a safe working posture of less 20 degrees of neck flexion, when mounted in the correct frame. This flip-up has an excellent declination angle, comfort & ease of adjustment. The flip-up is very lightweight and rivals many of the TTL weights on the market! A vertical slide adjustment enables an excellent declination angle. The frame selection, shield size and flip-up adjustment are extremely important criteria. For more information, watch Dr. Valachi’s Ergonomic Guidelines for Dental Loupes Selection video.
The Heine 3-axis flip-up loupe mounted on an S-frame provides a steep declination angle that keeps the operator in a safe head posture. The optics of the Heine loupes are exceptional.The frame selection is an one of the most important criteria. Selecting the wrong frame style can negate the ergonomic benefits of the loupe, and depends upon height of nose bridge, cheekbones and how deeply eyes are set. Make sure the 2 key ergonomic components–vertical adjustability and declination angle–are correctly adjusted! Watch Dr. Valachi’s Ergonomic Guidelines to Select Dental Loupes video for more information.
This assistant saddle stool has a very narrow seat. Saddle seat shape is the most important criteria to consider in assistant saddle stools, due to the biomechanics that occur at the pelvis and hip with slight torso rotation in abducted hip postures. Selecting the wrong shape can lead to back pain. Other important criteria include height and weight.
This chair offers a unique traverse feature which can increase clearance in the 12 o’clock position to enable optimal operator access in tight operatories. Designed by Engle, it also features one of my most important ergonomic criteria in patient chairs: a narrow upper backrest to improve proximity to the oral cavity in 9:00 position.
The UltraTrim chair features a narrow, thin upper backrest that allows optimal access from 9-12 o’clock positions. Chair base located so it does not interfere with operator stool position.
|This new all-purpose curette by American Eagle was designed to minimize hand fatigue by requiring less force than traditional curette designs. It is described as a ‘double Gracey’ design with 2 cutting edges that adapt to mesial & distal surfaces. A rounded toe design enable safer access to subgingival areas, and long shank angle with slimmer blade to access pockets.
Overall Ratings:Scale 0 (poor) – 5 (excellent)
The SurgiTel Eclipse LED headlight is extremely lightweight, making it a favorite among dental professionals. The Eclipse LED Headlight’s switching technology uses an advanced infrared proximity sensor: the light turns on and off by waving the hand in front of the sensor. This technology can eliminate potential cross-contamination by touching battery packs or switches. According to independent researchers, SurgiTel headlights offer the bet color accuracy and are safest to the eyes due to their balanced achromatic beams.
Ergonomic Products’ Universal Workstation is located in the 1:00 position, and designed to fully utilize the assistant, to maximize efficiency. Most frequently utilized items are at elbow height.
The CordEz was designed by a dental hygienist to help reduce musculoskeletal strain and pull of cords on ultrasonic and air polishers.
It has a universal slot that fits most ultrasonics & air polishers and an adjustable band to fit your wrist or arm.
The BQE CorrectSit Stool is a hybrid saddle stool that allows correct seated posture, while supporting the lumbar curve with a dynamic backrest. Learn how to properly position and adjust the assistant stool in the book, “Practice Dentistry Pain-free”.
Dental ergonomic headrests are powerful positioning aids that improve patient comfort and tolerance to reclined positions–thereby improving the dentist or hygienist’s best working posture. Typically, dental operators use non-dental neck cushions that are too large and push the head forward and down. The cushions are available in two sizes to accommodate both flat and double-articulating headrests.
Low Profile Headrest: Realizing the need for an ergonomic cushion that fits double-articulating headrests, Dr. Valachi designed this smaller Low Profile headrest cushion to improve ergonomic positioning and patient comfort. When properly positioned, the cushion ergonomically positions the patient to preserve the operator’s best working posture. Use on all double articulating headrests and for smaller patients with flat headrests.
Original Headrest: Designed to be used with flat headrests, the larger headrest cushion improves patient comfort so the operator can gain control of the occlusal plane to optimize their working posture.
Microflex Ultraform Ambidextrous Nitrile Exam Gloves
Features: Ultraform gloves are the next step in the evolution of ergonomic ambidextrous gloves by Microflex. Features are extremely soft yet thin glove that facilitates superior tactility. Two out of three evaluators preferred the Microflex Ultraform gloves over those gloves they were currently using.
Overall Ratings:Scale 0 (poor) – 5 (excellent)
Tactile sensitivity: 4.8
Overall satisfaction: 4.5
“Very light-great tactile sensitivity. Really, really liked this glove. Feels like nothing is on your hand.”
“Fits my fingers better and is easier to don than my current gloves.’
“These gloves seem to tear less easily than the ones I’ve been using.”
“I like these gloves, they don/doff easily, fit well and I love the textured fingers, which provide a better grip.”
“Loved this glove….will try to get our office to switch.They had an extremely nice grip & fit.”
Smaller than a dime (0.65″ in diameter) and lighter than a nickel (0.13oz or 3g), Feather Light LED is a very lightweight and small LED loupe-light. The design and use of aircraft-grade aluminum alloy allows Feather Light to be very optically efficient while providing lightweight comfort.
This assistant saddle stool is ideal for a medium-to-tall assistant working with a medium-to-short dentist, as it has no foot ring. Due to the seat shape, use this stool only when directly facing the patient, to prevent twisting. It is critical that the torso support bar on this chair is adjusted correctly, and the assistant is positioned correctly chairside. To gain full benefits, follow assistant guidelines in Chapters 11 of “Practice Dentistry Pain-Free”.
This stool is ideal for medium-to-short height assistants, and features a short, narrow seat pan. Shorter assistants may need to order a ‘tall’ cylinder. A tilting seatpan, adjustable backrest and torso support bar make this a very comfortable and stable base for the assistant to operate from. It is critical that the torso support bar on this chair is adjusted correctly, and the assistant is positioned correctly chairside. Follow adjustment and positioning guidelines in the assistant chapter of “Practice Dentistry Pain-Free”.
Crown Seating also makes a larger version of this stool (C60ABT) for larger stature assistants. This is a good idea if only larger assistants will be using the chair, however the stool is too large for most average size operators.