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Dr Smith has assigned one of the dental assistants the responsibility of setting up procedure trays to be sterilized and prepared for various procedures throughout the day. The dental assistant is responsible for putting together trays that are consistent and uniform, but which also meet the specific needs of all of the dentists in the office. Which instruments should the dental assistant place on the tray setup for an amalgam restoration, and in what sequence?

User Aeubanks
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Final answer:

A dental assistant must arrange a dental tray for an amalgam restoration with instruments in a sequence for efficient use during the procedure. The tray typically includes a mouth mirror, explorer, cotton forceps, amalgam carrier, condensers, carvers, burnishers, and articulating paper with holder.

Step-by-step explanation:

The student's question concerns the setup of a dental tray for an amalgam restoration procedure. In this context, Dr. Smith has assigned one of the dental assistants the task of ensuring that these trays are properly prepared for sterilization and meet the varying needs of all the dentists in the office. Amalgam restorations use a mixture of silver and other metals to fill cavities. While amalgams are known for their durability, low cost, and ease of use, they contain approximately 50% mercury by weight, raising concerns about mercury toxicity. For an amalgam restoration procedure, the dental assistant should arrange the instruments on the tray in a sequence that corresponds to their use during the procedure. While the exact sequence may vary slightly depending on the dentist's preference, a typical setup may include the following items in order of use:

  1. Mouth mirror for visualization
  2. Explorer to probe teeth
  3. Cotton forceps for material placement
  4. Amalgam carrier to carry and dispense the amalgam into the cavity
  5. Condensers to pack the amalgam into the cavity
  6. Carvers to shape the amalgam before it hardens
  7. Burnishers to smooth the amalgam surface after carving
  8. Articulating paper and holder to check the bite

All instruments should be consistently and uniformly placed on the tray, but can be adjusted to fit the specific preferences and procedures of different dentists in the clinic.

User Wcampbell
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