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MAINTAINING A DENTAL
DEPT. OF PUBLIC HEALTH
“Knowledge is of no value unless you
put it into practice.”
• Employment options
• Deﬁne practice management
• Factors to establish practice
• Designing of dental oﬃce
• Types of practice
• Patient management
• Record management
General Dental Practice
Specialized Dental Practice
Organizations and Management
Practice management can
be deﬁned as the
direction of a professional
practice in a style that
facilitates quality client
care, efﬁcient use of time
and personnel, reduced
stress to staff, and
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.
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
• 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.
SELECTION OF BUILDING
Many nationalized banks, private sector banks and
state ﬁnancial corporations give help to establish
professional career for a new graduate.
DESIGNING OF DENTAL OFFICE
• consider functional, esthetic and utility value of the
• 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.
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.
Most patients will not like chairs :
with one arm rest
ﬂat head rest
Recent chairs are computerized with non touchable
light, suction, intra oral camera, x ray viewer etc.
Comfort at all positions
Support for the back
Easy adjustable height
Should be stable
Should be movable when required
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
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
•Daily communication and regular staff meetings
encourage participation of all personnel.
•Full time receptionist, dental assistant
•Desirable traits of dental team - warm, empathetic
•Business association with a good dental lab. which
delivers work in time.
•Fair salaries and good beneﬁts are necessary for job
referral by doctors
•Dentists should have good communication skills with
patients to ensure quality oral heath services and
•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.
• Record should be systematically
• Written records - case history, dental and
periodontal charts, informed consent etc.
• Non-written records - dental
photographs, radiographs, cephalometric
• 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
ACCOUNTING AND OTHER
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
LEGAL : each dentist must respect and be well aware of
the laws. Frequent review of acts and laws to keep up to
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
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.
• Standing for long periods will cause
varicose, strain in musculoskeletal system.
• Consideration should start with positioning
of dental chair in relation to door and
• Another parameter is entrance of light
• Base cabinet should have tops at
comfortable height for dentists to work.
• Posture problem
• Injuries from instruments
• X rays
• Infection - hepatitis B
• Anaesthetic gases
• Allergies - skin reactions
• Inhalation of aerosols
HAZARDS TO DENTAL TEAM