A teamwork approach to the process of undertaking clinical practice, using chairside assistance to improve efficiency and quality of care. Also known as four-handed dentistry. The operator and dental nurse are both seated with the patient in a supine position; the treatment area is designed so that all necessary instruments and materials are easily accessible to the seated team. The operator's seated position is such that the back is vertical, the top of the thighs slope at 15° to the floor, and the patient's mouth is at the operator's focal distance. The operator's location is usually between 10 and 11 o'clock relative to the patient's head; the dental nurse's position is at between 2 and 3 o'clock, within easy reach of all the required instruments and equipment. A method of instrument transfer between the operator and dental nurse is used to improve safety and efficiency.
Close support dentistry