Inside Dental Hygiene (IDH):What are some of the common challenges dentaxal hygienists face when using magnification devices?
IDH: How can loupes provide ergonomic benefit?
Rubino: With direct-vision loupes, proper positioning of the scope is essential. It's necessary for both the scope height within the shield and the drill angle (angle of declination) to be customized for each user, allowing a steeper scope angle that minimizes neck flexion. Ergonomic or prismatic loupes have a learning curve, as they encourage users to work with an approach similar to an operating microscope. These "ergo loupes" provide substantial ergonomic advantages by eliminating neck flexion, though they also require more indirect vision. In my opinion, indirect vision is a skill that should be utilized most often regardless of what type of loupe you choose.
IDH:Why is getting comfortable with indirect vision so important?
Rubino: Utilizing indirect vision allows for a more stable base of support with less movement around the patient. This reduces the chance of getting into awkward positions like excessive bending at the hips to see inside the patient's mouth.
IDH:When it comes to selecting loupes, what are some of the key features to look for?
Rubino: Consider magnification, weight, field of view, depth of field, ease of disinfection, warranty, and customer support. I personally used Q-Optics Galilean loupes for 15 years before transitioning to their ErgoAngle® loupes. As an ergonomics specialist, I can attest that these ergo loupes are transformative, allowing providers to maintain a neutral neck posture. Q-Optics loupes are waterproof, compatible with disinfectants like Cavicide, and come with a lifetime warranty.
IDH:Do you have any other pro tips on loupes and magnification?
Rubino: Yes, I call it my 20-20-20 rule to reduce eye strain. Every 20 minutes, look at something 20 feet away, for 20 seconds.
Debi Rubino, RDH, BS, CEAS, CYT, is inventor of CordEze, an ergonomic device designed to reduce the risk of musculoskeletal injuries. She can be contacted on Instagram at @_cordeze_.
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