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Endo tips    Better Endo    Endo abstracts    Endo discussions

The opinions within this web page are not ours. Authors have been credited
for the individual posts where they are. Photos courtesy Carlos Murgel - ROOTS

From: Carlos Murgel
To: ROOTS
Sent: Friday, January 13, 2006 8:49 PM
Subject: [roots] Microscope positioning and ergonomics

Dear friends,

I have seen some discussion about scope positioning and ergonomics 
\here and I would like to give some contribution on this topic.

My picts are in sequence of what I have done in the past 12 years 
with microscopes and as you can see I changed a lot my concepts.

I started with the scope mounted in the wall at the 12 o'clock 
position, later to 3 o'clock also wall mount and later 5 to 
4 o'clock movable stand (the column of the scope is aligned with 
the head light column. To be honest with you all none of these 
scope positioning gave me a good ergonomics and work flow.  I was
able to work that way for many years but it was far from ideal 
because I wanted to work at 12 o'clock position and it was 
impossible with the scope where it was.

The last pictures are my current office made the TDO way developed 
by Gary Carr with the scope mounted at the wall high on the right 
side.  I am very very happy with what I have now and if I could 
advise anybody in the world about how to setup an office to work 
efficiently with scopes and computers I would go with
the TDO System (office design).

I don't want to start any ergonomic war here this is just what 
I use and teach and it works for me. We are all different and do 
things differently but equal on our search for excellence - Carlos Murgel

Microscope positioning and ergonomics

Microscope positioning and ergonomics

Microscope positioning and ergonomics

Microscope positioning and ergonomics

Microscope positioning and ergonomics

Microscope positioning and ergonomics

Microscope positioning and ergonomics Nice photos , thanks for sharing. I think the patient in your scenario enters the room from the base of the chair right. Your right handed cart makes entry into the op from behind quite difficult. I think that the two best mounting options are either like you have it or in the ceiling if possible. The scope mounted on the right wall with a cart on that side like that shown which is popular in endo necessitates that entry to the operatory be from the foot of the chair for the patient. My overall office is not setup this way (nor is most GPs) where the hallway leads directly into the rear of most ops with two entry ways for doc and patients on the right of the chair and for assistants on the left. This is one primary difference from the way that endodontists like Carlos and Gary set up their ops and the way general dentists using the scope may. In addition it is brutal to have rear delivery handpieces for the microscope. Side delivery via a car or via a mounted side delivery on the docs side, or even better for me has been the usage of the handpieces on my assistants side so she hands me everything. It may not be as easy to do with the assistants side on the scope to have the assistant also handing you the handpieces, others will have to comment on that as I havent done it. Carlos and Gary have spent alot of thought on how an ideal microscope operatory , especially suited for endo should be setup. Thanks for sharing......Glenn Thanks Glenn . Yes the patient uses the front door, I would be difficult to have the patient using the back door with the scope and the cart there. I think this is a very good setup to have two doors but many TDOers also have one door at the back and they do well also. - Carlos

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