4-Handed Dentistry

4-Handed Dentistry: Efficiency, Ergonomics, and Excellence

Tipton Training

About This Course

A hands-on course designed for dentists and dental nurses to master 4-handed dentistry, improve efficiency, ergonomics, and teamwork for safer, faster, and better patient care.

Learning Outcomes

✓Understand the principles and benefits of 4-handed dentistry
✓Implement faster, safer, and more efficient workflows
✓Apply ergonomic best practices to protect long-term health
✓Work seamlessly as a dental team across general procedures

Course Curriculum

Module 1

Introduction & Lecture: The Benefits of 4-Handed Dentistry

Lecture + Q&A

History and evolution of 4-handed dentistryTime efficiency and productivity gainsEnhanced patient care and reduced chair timeReduced physical strain and burnout (especially for clinicians)Improved infection control and reduced procedural errorsReal-world comparisons: solo vs 4-handed workflowsTeam-based treatment planning

Module 2

Aspiration Techniques

Live Demo + Hands-on

High-volume vs low-volume suction – appropriate usagePositioning of the HVE tip based on quadrant and toothMirror vs non-mirror retractionIsolation during restorative and surgical proceduresPreventing soft tissue traumaErgonomics for assistant when aspiratingCommon mistakes and troubleshooting techniques

Module 3

Instrument Exchange Techniques

Practical + Group Activity

Principles of smooth and silent instrument passingWorking zones for dentist and assistant (clock positions)Handling sharps and rotary instrumentsLeft-handed and right-handed dentist adaptationsEnhancing speed without compromising safetyPractising rhythm and communication between team members

Module 4

Posture, Loupes, and Seating Ergonomics

Lecture + Practical Demo

Correct posture for dentists and assistantsOperator stool vs assistant stool – ideal setupProper use and adjustment of loupesAvoiding musculoskeletal strain: back, neck, and shoulder healthLong-term occupational health considerationsAdjusting lighting and chair positions for optimal accessIntegration of ergonomic principles into daily routines

Module 5

Intraoral Scanning and Impressions: Working as a Team

Hands-on (scanners and impression trays)

Assistant’s role in scanning workflowManaging suction and retraction during scanningPre-scanning preparation and patient communicationConventional impression technique supportDisinfection and handling of materialsTime-saving scanning tips in a 4-handed environment

Module 6

Rubber Dam Placement: Assisted Technique

Hands-on + Case Demos

Indications for rubber dam useStep-by-step process with assistant involvementFrame and clamp placement supportFlossing techniques, inversion, and seal creationSpeeding up placement using 4-handed methodsCommunicating with patients under damManaging multiple teeth and quadrant isolation

Course Details

Price: £650
CPD Hours: 6
Format: In-person
Duration: 1 day
Level: Beginner

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Institution

Tipton Training

London, United Kingdom

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