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Four-Handed Dentistry at Its Best: How Over-the-Head Delivery Maximizes Efficiency

March 4th, 2024

1 min. read

By Dr. David Ahearn

Like ballet, four-handed dentistry is beautiful to watch when performed well. Watch the video below to see how having a skilled assistant makes it possible for the team to minimize movements and maintain correct posture:

 

 

In the video above, the dentist and assistant are utilizing over-the-head delivery (OTH) which maximizes function within your natural range of motion through a consolidation of both instruments and supplies. The Ergonomic Products Universal workstation they are using provides left/right convertibility and easily accommodates both 2 and 4–handed dentistry. Of the four recognized methods of delivery (rear, side, over-the-patient, over-the-head) only OTH combines the principles of ergonomic positioning, increased procedural efficiency, and maximized patient comfort.

Benefits Of Over-The-Head Dental Delivery

  • Smaller sized rooms that are substantially less expensive to equip
  • Comprehensive supply consolidation
  • Space available for specialty equipment via mobile carts
  • Handpieces are at your fingertips from the 12 o’clock position
  • Assistant is free to circulate
  • Great for dentistry from the 7 o’clock to 12 o’clock positions
  • Doctor and dental assistant range of motion is less than 90°
  • Fast and easy to disinfect
  • Patients are not threatened by the sight of handpieces

One Adjustment To Make With Over-The-Head Dental Delivery

  • Handpieces at doctor’s non-dominant hand. To minimize any twisting movement, a right-handed doctor will grab a utility with the left hand and then move it to the right hand during a procedure. It’s not difficult, but it’s worth being aware of as you plan your clinical workflow. You can see how natural this motion is in the video below as Francis Casanova of Design Ergonomics gives a tour of a Universal treatment room to Dr. Scott Mogelof and his team:

 

 


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Dr. David Ahearn

With over three decades of expertise in cosmetic and restorative dentistry, Dr. David Ahearn is a nationally recognized leader, educator, and innovator. His passion for cutting-edge technology and exceptional patient care is the driving force behind everything we do. As the founder of Design Ergonomics and Ergonomic Products, Dr. Ahearn has dedicated his career to designing, equipping, and training North America's most efficient and productive dental offices. His proven strategies help hundreds of practices reduce stress, boost productivity, and build sustainable, scalable growth each year. A speaker and educator, Dr. Ahearn continues to shape the future of dentistry, empowering thousands of dentists to transform their practices, improve the quality of life for their teams and families, and deliver outstanding care to their communities.