-牙医助理和口腔卫生师的工作范围课件.ppt

1、1.Preparing the treatment area2.Maintaining patient records3.Passing instruments 4.Mixing materials5.polishing teeth6.applying fluoride7.exposing x-rays8.applying dental sealants9.removing dental sutures10.taking dental impressions11.Placing dental dams and clamps1.Take and record medical and dental

2、 history2.Take and record blood pressure (other vital signs as necessary)3.Conduct extraoral and intraoral examination, and record data4.Take and record classification of occlusion and other indices (plaque, gingival, bleeding)5.Conduct periodontal examination and record data6.Assess dental radiogra

3、phic need7.Expose, process, and evaluate dental charting8.Scale and remove supragingival and subgingival deposits form teeth9.Polish teeth and appliances10.Apply topical anesthetics11.Apply topical anti-cariogenic agents12.Apply desensitizing agents13.Develop oral hygiene programs for oral care1.Rem

4、oving sutures2.Place and remove periodontal dressings and other surgical dressing3.Place and remove rubber dam4.Place and remove matrices5.Place and remove temporary restorations6.Polish amalgam restorations7.Apply Pit and Fissure Sealants 8.Root planning9.Administer intraoral local anesthesia10.Tak

5、e impressions for study casts1.Private dental offices2.Dental clinics (federal, state and local health departments or associated institutions)3.Hospitals and nursing homes4.School districts or departments of education5.Educational programs for dental, dental hygiene and dental assisting students6.Pr

6、ivate business/industry7.Correctional facilities8.Private and public centers for pediatric, geriatric and other individuals/groups with special needs9.Health maintenance organizations分類分類可以行使的醫療行為可以行使的醫療行為備註備註Assistant與醫療過程無關的協助行為與醫療過程無關的協助行為 不需要執照不需要執照可可以以從從事事洗洗牙牙、照照X光光片片等等工作，由於工作，由於dental nurse的出的

7、出現，比例上人數變得較少現，比例上人數變得較少可可以以從從事事乳乳牙牙填填補補、塗塗F、fissure sealant、甚至乳牙拔、甚至乳牙拔有有專專門門學學校校培培育育（三年制）（三年制）牙的工作牙的工作Hygienist需受過專業訓練需受過專業訓練Dental nurse馬來西亞、新加坡、紐西蘭、香港也有類似制度馬來西亞、新加坡、紐西蘭、香港也有類似制度nDA：Dental Assistant（牙醫助理）nRDA：Registered Dental Assistants（註冊牙醫助理）nRDAEF：Registered Dental Assistants in Extended Functions（擴張功能的註冊牙醫助理）nRDH：Registered Dental Hygienist （註冊牙科衛生士）nRDHEF：Registered Dental Hygienists in Extended Functions（擴張功能的註冊牙科衛生士） 註：Y代表牙科衛生士可執行工作項目 摘自：謝尚廷。牙科衛生士的角色與功能探討（碩士論文）。高醫大口腔衛生所；2002。P.86 O O：合法：合法 X X：違法：違法 ：齒科醫師指示後：齒科醫師指示後 摘自：黃世英。簡介日本、美國牙科衛生士的發展過程。自：鄭信忠主編。牙醫助理手冊。中華民國牙橋學會；2002。P.63