Tuesday, September 29, 2009
Thursday, July 16, 2009
Few months ago, I met an instructor of a dental hygiene program. Her school is known and popular amongst students. The school is often referred to as a futuristic playground for dental hygiene students, and the instructor understandably is very proud of the reputation.
It was a social gathering; the discussion took a turn on to the need of binocular loupes for dental hygiene students. It is always interesting to hear the point of view of those involved in formal academic settings, as magnification loupes is considered controversial by many in the academic setting.
While she acknowledged that dental loupes might be beneficial at the older age, she really argued aggressively that her students did not need these expensive devices since they did not need visual enhancement.
Loupes do enhance the clinical image, but this is not the only reason why dental hygiene students wear the loupes was my argument.
I asked her to explain; why is that studies show recurring evidence of dental hygienists complaining about neck and shoulder pain and why one out of five dental hygienists give up their career early.
The answer is clear.
Dental hygienists also put long hours performing their procedures. Each sitting with a patient is ½ hour to 1 hour long. This certainly puts strain on shoulders, neck, back and eye nerves. At the young age we do not feel this strain as our body is strong and can easily withstand it. Constant strain on these parts gradually takes its toll and symptoms become visible at the later part of one’s career. As bodies get weaker and capability of sitting for long hours gets reduced, dental hygienists are forced to give up their career.
Visual enhancement does help during assessments in probe reading, tissue characteristics, etc; but the most important reason to wear a loupe is to reduce the risk of developing musculoskeletal problems.
Does having loupes solve musculoskeletal problems for every dental hygienist, she immediately argued.
No they will not, was my reply, and then I further explained, dental loupes are simply a tool and as with every tool, dental loupes can only help you if
- You are using it on regular basis
- You selected a quality loupe correctly matching to your needs.
A loupe does not directly reduce the risk of musculoskeletal problems, it is your correct posture which reduces the strain on your back, neck and shoulder nerves and thereby reduces the risk of developing musculoskeletal problems at later stage. Loupes can help you maintain your correct posture.
What about exercises, they can also reduce the risk of such physical pain, she asked.
No one can deny the significance of exercises, but one has to understand that exercises are reducing the effects of strain on your body, whereas correct posture reduces the strain itself. They both are complementary and should be part of every dental professional practice. We, as part of STAC Education Series developed special yoga exercises for dental hygienists but the exercises do not reduce the importance of having correct posture.
How can loupes help maintain the correct posture, was her next question.
The key is working distance and depth of view. Every loupe has a fixed working distance and a small range within which image remains focused and this range is called depth of view.
Let’s take an example. Hygienist A has the habit of leaning over the patients while performing a procedure. The distance between her eyes and the mouth of the patient is generally 325-350mm. With the correct posture of her body, the ideal distance is 420mm. She buys a binocular loupe with 420 working distance and let’s further assume the depth of view for that loupe is 50mm. As it happens with every dental professional, when you are cautious you try to maintain your correct posture but as you get absorbed into your procedure, you unconsciously form the posture what you are habitual off. Hygienist A, who has the habit of leaning closer to patient, when starts wearing a loupe with a working distance of 420. As she bends her image will become blurry when her distance reduces to lower than 370mm. She will immediately lean backward to her correct posture. This will gradually change her habit.
Therefore a correctly chosen loupe not only maintains your posture it can change your incorrect posture habit.
There is another aspect one has to understand. Any damage on the body parts is irreversible. Therefore, it is equally important to create and maintain the habit of correct posture and the habit of doing the right kind of exercises regularly at the young age itself. Therefore it is our responsibility to explain and provide dental students the appropriate set of tools.
After much encouragement she agreed to wear the loupe for a month to feel the effect.
I visited her school the next day and helped her too find her correct working distance. I gave her STAC 3.0x Flip Up Loupe with 420mm working distance. After a month she met me with a changed opinion. As she promised, she used her STAC Loupe every day during last month. She feels comfortable and less strained; she admitted that she does not feel any heaviness in her back, shoulder or neck area and her frequency of headaches also was reduced. She feels she cannot live without her STAC Loupe.
I asked to convey her first hand experience to her class also. It is critical that every profession begin to take responsibility for their physical well-being. The leadership has to come from you as an instructor.
The rest is simply a story of her arranging the presentation in the class, students followed her as an example and today every student in her class got their own loupe. She encourages them every day to make it a habit of wearing the loupe in every practice session.
What is Happiness? Is becoming RICH happiness? Or, having family, friends and relatives happiness? Is acquiring wealth happiness? Or, having all these ingredients REALLY happiness? Then, Why, after possessing all of them, Even after reaching on the top; We still feel, there is something missing, Happiness is still away from us. ‘Like water in the desert' Always an Illusion Since grownup, I am running, running AND running. - In a marathon race And happiness is still beyond my reach… What is Happiness? A shadow! An un-possess-able Shadow!!
Let's think… Why are our desires endless? Because, We always desire for have-nots But Never realize what we have got. AND this thirst always goes on, till the end of our life. It over burns us It over stresses us AND takes our happiness away. It is our greed to acquire everything which takes away, what we already have. Why? Why I always compare myself with others and get wild Why can't I tolerate their successes? Why do I always want to pull them down to get equal? And in this process loose MY happiness. My comparison goes on and on, with enemies, friends, relatives, brothers, family, infact with everybody. Basically I am self centered and narrow minded. But still I am singing the same song, ‘happiness is a shadow; an un-possess-able shadow.'
Is happiness brittle? So brittle! Like a house of glass That Somebody throws a small stone at it and my house is gone. Why does happiness come only for a few moments? Like a fainted ray of light in a deep dark endless tunnel. Why? Because, I myself closed the doors of my tunnel. No matter, how many efforts I am making, without opening these doors, I can never see the light of happiness. And there is continuous bright sunshine outside my tunnel. "Whenever I concentrate on acquiring happiness, it always slips away from me And Whenever I make efforts in giving happiness to others, doors of my deep and dark tunnel open and bright and shinning light of happiness fills in. " Happiness is the only wealth which multiplies by dividing it." Happiness is a shadow!
Let's think again…. Why do I find myself in these conditions? Because I try and balance my happiness with money. Is happiness a commodity to trade on? No, it is not. Happiness! We search for it outside in materialistic word; whereas, it always lives in our within. "Neither wealth, nor status and nor any force can help in acquiring happiness; It is a feeling of my mind which comes with a sense of satisfaction" Can I reach this level of satisfaction? Yes When I get enlightened that attachment to materialistic word is the root cause of my dis-satisfaction. And attachment, condition less attachment to God is the root to happiness.
Realizing ‘we are simply users and not owners of what we possess' is the key to happiness. Happiness is not momental, it is permanent and possess-able when it is shadow of god
Happiness is shadow of God.
Why should I buy a loupe for my dental or medical practice?
This question is asked by quite a large number of students.
They rationalize by saying:
- My eye vision is perfect.
- I am healthy.
- I do not need any kind of loupe.
Many dental surgeons and hygienists in the dental industry and micro surgeons in medical industry suffer a shortened professional career due to occupational hazards such as eye strain and or back pain.
A recent study said, by the age of 45, as many as 87% of dentists and 93% of surgeons suffer from eye strains, though in variable degree.
Similarly, 60% of dentists and 67% of surgeons suffer from back pain in some form.
- What is the average time you need to spend to complete a procedure on a patient whether you are a dental surgeon, hygienist or a micro surgeon?
- What is your posture when you practice in the college lab, or perform a procedure in the clinic?
- Observe the posture of other students; how are they performing their procedures?
For the majority of them, you will find that they are a little bended towards the subject. As their eyes get strained due to a continuous focus on one particular area, the bending angle increases .
This bending is putting pressure on your back.
Will you feel anything at this stage? No, you will not, since your body is healthy and can withstand the strain for now.
What will happen when your body is weak and frail, making it vulnerable to back injury.
Weakening eyesight and back pain is inavitable.
The experts recomend that
- You should always have correct posture while proforming procedure.
- there should be sufficient light on the subject's body part where surgery needs to be performed.
- Relax for atleast 10-15 minutes between 2 procedures.
- Make a habit of doing some relaxation yoga exercises for eyes and back atleast once during the day. The duration of these exercises should be around 30 minutes. these exercises can be done while sitting on your office chair.
We created a set of special yoga exercises for Dental and Surgical professionals. Please contact us to obtain your free copy.
A loupe magnifies the image and brings it closure to you. This enables you to maintain correct posture.
A good loupe produces a sharp and clear image, protecting your eyes from strain.
A good loupe coupled with portable light (such as LED light) provide you sufficient light on body part of your subject which helps your eyes further.
Caution! Using a loupe does not mean you should ignore the recomendations stated above.
STAC Loupes are made using microscopic lenses and come with special coating which helps you to get crisp, clear and un distorted image even in low light conditions. The ergonomic design of STAC loupe helps you to maintian your correct posture.
Buying a good quality binocular loupe with correct working distance is important, but more important is using them in your daily practice.
It is your health and only you can protect it.
Use binocular loupe in your daily practice.