Patient Positioning, Operator

Positioning, Direct and Indirect Vision

Simple Stretching and Posturedontics
initial and final position;
at eye level when
conversing with patient;
For patients w/
cardiovascular, respiratory,
or vertigo problems
between the upright and
full supine positions.

brain is on the same level
as the heart.
for support of the
circulation;
used most for treatment
procedures.
in the supine position and
tipped back and down 35
degrees to 45 degrees
heart is higher than the
head.
emergency position used
when the patient is
approaching syncope.

Prepositioning for reception
chair at low level; back
upright;
chair arm raised on side
of approach.
Seat the patient
with back
upright
Raise chair seat
, foot portion
first
Lower back to
supine position
(maxillary
instrumentation
) or to a 20-
degree angle w/
the floor
(mandibular
treatment)
Request patient
to slide up to
rest the head at
upper edge of
the backrest
and turn head
to left or right
as needed for
visibility and
access.
Adjust chair
until patients
mouth is at the
clinicians
elbow height
with shoulder
relaxed.
Adjustment of Seat
move instrument tray
away and turn off
light.
Slowly raise back of
chair and tilt chair
forward.
Request patient to
remain seated in
upright position briefly
to avoid postural
hypotension.
Conclusion of Appointment
review patient history for indications of
need for adaptation;
include congestive heart disease,
vertigo, and a breathing difficulty such
as emphysema, severe asthma, or
sinusitis.
Feeling of discomfort among women in
their 3
rd
term of pregnancy
Contraindication for supine
position
Working posture
Light access
Visibility