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Dental practice management

Before you start a dental clinic, one should come down to read the basics. Here is a presentation of the same.

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Dental practice management

  2. 2. –Anton Chekhov “Knowledge is of no value unless you put it into practice.”
  3. 3. LEARNING OBJECTIVES • Employment options • Define practice management • Factors to establish practice • Designing of dental office • Types of practice • Patient management • Record management • Ergonomics
  4. 4. DENTIST- EMPLOYMENT Academics (teaching/Research) Hospitals General Dental Practice Specialized Dental Practice Writing (journalism) Organizations and Management Public Relation Armed Services
  5. 5. DEFINITION Practice management can be defined as the organization, administration, and direction of a professional practice in a style that facilitates quality client care, efficient use of time and personnel, reduced stress to staff, and financial profitability. DEVELOP BUSINESS MANAGEMENT SKILLS
  6. 6. Factors to be considered before establishing dental practice: • Selection of place
 • Selection of location
 • Selection of building • Financial assistance
 • Selection of equipments and instruments • Designing of dental office.
  7. 7. Number of dentists practicing in that place. Town/country - surrounded by many villages, location with good public transport facilities - more advantage. In cities : shopping complex areas. The heart of the city - attracts people Location close to govt. commercial offices, corporate and business houses - advantage that employees can avail facilities in the duration of their short breaks. Residential area - easy for office goers, mothers and children. Keep safety in mind (where ladies can come without fear) SELECTION OF PLACE
  8. 8. • Building should be well ventilated, have proper water and drainage system as well as power connection 
 • Building should preferably be on ground floor and have parking facility for both dentist and patients 
 • Select place where more area is available than present requirement so that it can be expanded if required 
 • It is also possible to practice at home by making some alterations 
 • It is better to own dental office rather than taking it on rent. 
  9. 9. Many nationalized banks, private sector banks and state financial corporations give help to establish professional career for a new graduate. 
  10. 10. DESIGNING OF DENTAL OFFICE • consider functional, esthetic and utility value of the space available. • incorporate spacious waiting area, work area with dental chair and unit, x ray room, lab, restroom etc. • Furniture - durable, esthetic and comfortable • Sound proofing - a consideration in pediatric dental office. Buffering the noise from reception area. • Placement of each electrical equipment should be considered while designing electrical connections. • Exact positions of dental chair, washbasin, inlet and outlet of water, drainage.
  11. 11. DESIGNING OF DENTAL OFFICE • Floors and walls should be designed considering esthetics and avoidance of dust accumulation. • Designing work area with sufficient space for dental chair in supine position • Separate x ray room with lead barriers • Separate chamber for autoclave and sterilization • Compressor and generator to be kept as far away from dental office as possible • Have insurance coverage for fire, burglary.
  12. 12. DENTAL CHAIRS Most patients will not like chairs : with one arm rest flat head rest noisy mechanisms Recent chairs are computerized with non touchable light, suction, intra oral camera, x ray viewer etc.
  13. 13. DENTAL STOOLS Comfort at all positions Support for the back Easy adjustable height Should be stable Should be movable when required
  14. 14. DESIGNING OF DENTAL OFFICE SELECTION OF EQUIPMENT AND INSTRUMENTS • should have basic instruments to run the clinic • selection based on finance a • importance should be given to reputation of the company and after sale services • keep autoclavable instruments
  15. 15. SOLO PRACTICE : the dentist manages all types of cases according to his capacity. GROUP PRACTICE : dentists trained in different specialities form a group and practice in same office. SOLO PRACTICE WITH VISITING SPECIALITIES : single dentist manages cases in his office, but calls specialists whenever reqd. TYPES OF PRACTICE
  16. 16. •Daily communication and regular staff meetings encourage participation of all personnel. •Full time receptionist, dental assistant •Desirable traits of dental team - warm, empathetic personality •Business association with a good dental lab. which delivers work in time. •Fair salaries and good benefits are necessary for job satisfaction. PERSONNEL MANAGEMENT
  17. 17. PATIENT SOURCES Family friends referral of emergencies referral by doctors and dentists recommendations by patients already seen
  18. 18. •Dentists should have good communication skills with patients to ensure quality oral heath services and patient motivation. •Maintain appointment diary - for time management. •Clinic should open much before scheduled appointments to allow for autoclave and sterilization. •Explain about diagnosis, investigation, treatment plans, cost of treatment and payment mode. •Instructions regarding care after extraction, maintenance of dentures, oral health education might be given in written. PATIENT MANAGEMENT
  19. 19. • Record should be systematically maintained. • Written records - case history, dental and periodontal charts, informed consent etc. • Non-written records - dental photographs, radiographs, cephalometric records. • Receptionist should maintain a book of accounts- bills, purchase records of instruments and equipment. • Many dental software programs are available for patient record and data management. RECORD MANAGEMENT
  20. 20. ACCOUNTING AND OTHER FINANCIAL ASPECTS Maintain patient record along with fees charged. Approach C.A. in initial stages. Tax planning and investments. Start filing tax returns from first year of practice.
  21. 21. LEGAL : each dentist must respect and be well aware of the laws. Frequent review of acts and laws to keep up to date. ETHICAL : dentists are ethically and morally responsible for providing oral care to all patients. PERSONAL : factors such as general physical health and mental health should be considered. Dentist should go for routine physical examinations.
 Adequate health, vacation from work, recreation and involvement in social activities ensures good mental health. FACTORS INFLUENCING DENTAL PRACTICE
  22. 22. ERGONOMICS The study that concerns the relation between workers and their energy and environment. In dentistry, it concerns with unnecessary movements and wasted energy, saving time and lessening fatigue. Dentistry is a physically demanding profession, with long hours spent in one position.
  23. 23. • Standing for long periods will cause varicose, strain in musculoskeletal system. • Consideration should start with positioning of dental chair in relation to door and patient path. • Another parameter is entrance of light position. • Base cabinet should have tops at comfortable height for dentists to work.
  24. 24. • Mercury • Posture problem • Electrical • Injuries from instruments • X rays • Infection - hepatitis B • Anaesthetic gases • Allergies - skin reactions • Inhalation of aerosols HAZARDS TO DENTAL TEAM