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Dental Auxillaries.ppt

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Dental Auxillaries.ppt

  1. 1. DENTAL MANPOWER & DENTAL AUXILIARY PERSONNEL
  2. 2. INTRODUCTION • Dental auxiliary is the person who assist the dentist in treating patients. • In Britain, they have been known as “dental ancillaries” • Auxiliary means, being helpful, subsidiary; where as ancillary means subservient, subordinate.
  3. 3. DENTIST “A dentist is a person licensed to practice dentistry under the law of appropriate state, province, territory or nation.” • QUALIFICATIONS: 1.Competion of an approved period of professional education in an approved institution. 2.Demonstration of competence 3.Evidence of satisfactory personal qualities.
  4. 4. DENTAL AUXILIARY/ANCILLARY • DEFINITON: “A dental auxiliary is a person who is given responsibility by a dentist so that he or she can help the dentist render dental care, but who is not himself or herself qualified with a dental degree.”
  5. 5. • CLASSIFICATION: (WHO 1967, New Delhi) 1.Non- operating auxiliaries: a) clinical b) laboratory 2.Operating auxiliaries • REVISED CLASSIFICATION: 1. Non- operating ancillaries: - Dental surgery assistant - Dental secretary / receptionist - Dental laboratory technician - Dental health educator 2. Operating ancillaries: - School dental nurse - Dental therapist - Dental hygienist - Expanded function dental ancillaries
  6. 6. • DENTAL SURGERY ASSISTANT: - Is an non-operating auxiliary who assist the dentist or dental hygienist in treating patients, but who is not legally permitted treat patient independently. - Dr. Edmund Kells, New Orleans 1885 – ‘Lady in attendance’ - various names: a) Dental assistant b) Chair side dental assistant c) Dental nurse
  7. 7. • DUTIES: 1. Reception of the patient 2. Preparation of the patient for any treatment. 3. Preparation & provision of all necessary facilities ( mouth washes, napkins ) 4. Sterilization , care & preparation of instruments. 5. Preparation & mixing of restorative materials. 6. Care of the patient after treatment until they leave. 7. Preparation of the surgery for next patient. 8. Assistant with x-ray works. 9. Presentation of documents for filing. 10. Instruction of the patient about correct use of tooth brush. 11. Aftercare of patients received G.A
  8. 8. • DENTAL SECRETARY/ RECEPTIONIST: “This is a person who assist the dentist with his secretarial work & patient reception duties.”
  9. 9. • DENTAL LABORATORY TECHNICIAN: - Is who fulfils the prescriptions provided by dentists regarding the extra oral construction & repair of oral appliances & bridge work. - Also called as dental mechanics, who makes or repairs denture & dental appliances. - They receive their training at dental school or technical college for a period of 2 years.
  10. 10. • FUNCTIONS: 1. Casting of models from impressions 2. Fabrication of dentures, splints, orthodontic appliances, inlays, on lays & special trays. • In U.S they were called as Denturist, to fabricate dentures directly without a dentist’s prescription, may be licensed or registered. Their craft is called “denturism.” • Denturism is fitting & dispensing of dentures illegally to the public.
  11. 11. • DENTAL HEALTH EDUCATOR: “This is a person who instructs in the prevention of dental disease & who may also be permitted to apply preventive agents intra orally.”
  12. 12. • SCHOOL DENTAL NURSE: “ This is a person who is permitted to diagnose dental disease & to plan &carry out certain specified preventive & treatment measure, including some operative procedures in the treatment of dental caries & periodontal disease in defined groups of people, usually school children.”
  13. 13. • This scheme was established in Wellington, New Zealand in1921. • T.A. Hunter – Founder, NZ Dental Association • The training extends to over a period of 2 years to cover both reversible &irreversible procedures. • After training nurses are assigned to a school where she is employed by the govt to provide regular dental care of between 450 & 700 children. • The dental nurse inspector who is delegated certain responsibilities visits these school dental clinics twice.
  14. 14. • DUTIES: Oral examination 1. Prophylaxis 2. Topical fluoride application 3. Advice on dietary fluoride supplements 4. Administration of L.A. 5. Cavity preparation & placement of amalgam filling in primary & permanent teeth. 6. Pulp capping 7. Extraction of primary teeth 8. Individual patient instruction in tooth brushing & oral hygiene. 9. Classroom & parent –teacher dental health education. 10. Referral of patient to private practitioners for complex services.
  15. 15. DENTAL THERAPIST • “This is a person who is permitted to carry out to the prescription of a supervising dentist, certain specified preventive & treatment measures including the preparation of cavities & restoration of teeth.”
  16. 16. • The auxiliaries based on the New Zealand type of graduated in1962 from Erstwhile training school in the New Cross area of London known as “New Cross Auxiliaries” • They are trained for about 2 years includes 1. clinical caries diagnosis 2. cavity preparation in primary & permanent teeth 3. vital pulpotomies under rubber dam in deciduous teeth under L.A 4. little training about interpretation of x-ray
  17. 17. DENTAL HYGIENIST • “Is an operating auxiliary licensed & registered to practice dental hygiene under laws of appropriate state, province, territory or nation.” • They work under supervision of dentists. • Dr. Fones trained Mrs. Irene Newman on prophylaxis. QUALIFICATIONS: 1. Completion of an approved period of education in an approved institution. 2. Demonstration of competence 3. Demonstration of satisfactory personal qualities.
  18. 18. • FUNCTIONS: 1. Cleaning of mouths & teeth with particular attention to calculus & stains. 2. Topical application of fluoride, sealants & other prophylactic solutions. 3. Screening or preliminary examination of patients as individuals or in groups 4. Instructions in oral hygiene. 5. Resource- work in the field of dental health.
  19. 19. EXPANDED FUNCTION DENTAL AUXILIARY • OTHER NAMES: Expanded function 1. dental assistant 2. dental hygienist 3. dental techno therapist.
  20. 20. • Duties (Reversible Procedures) 1. Placing & removing rubber dams 2. Placing & removing temporary restorations 3. Placing & removing matrix bands 4. Condensing & carving amalgam restoration 5. Placing of acrylic restoration in prepared teeth 6. Applying the final finish & polish to the previously listed restorations
  21. 21. • FOUR LEVELS OF TRAINING AND QUALIFICATION : 1. Certified dental assistant 2. Preventive dental assistant 3. Dental hygienist 4. Dental hygienist with expanded duties.
  22. 22. FRONTIER AUXILIARIES • Simple dental prophylaxis • Basic dental health education • Dental first aid • Referral to the nearest dentist
  23. 23. NEW AUXILIARY TYPE • WHO has suggested 2 new types of dental auxiliaries, 1. The dental licentiate 2. The dental aid
  24. 24. Dental Licentiate • Training – 2 years • Duties • Prophylaxis • Cavity preparation and restoration of primary and permanent teeth • Extraction under LA • Drainage of abscess • Early recognition of serious dental conditions
  25. 25. Dental aide • Extraction of teeth under LA • Control of hemorrhage • Referral care
  26. 26. DEGREES OF SUPERVISION ADA 1975 1. General 2. Indirect 3. Direct 4. Personal
  27. 27. DENTAL MANPOWER PLANNING 1.Analysis of existing situation. a) Dental health needs & demands for services b) Dental health manpower supply c) Utilization of dental health manpower. 2.Policy formulation a) Dental health manpower planning b) Incentives & controls c) Levels of decision making
  28. 28. • Dental health needs & demands for services: 1. Met demand 2. Identified but unmet need 3. Unidentified need • DEMANDS FOR DENTAL SERVICES: 1. Sources of data 2. Sampling problem 3. Frequency rather than type 4. Difficulty of recall 5. Blaming the deviant 6. Type of services
  29. 29. • FACTORS AFFECTING UTILIZATION: 1. Sociodemographic factors 2. Age 3. Sex 4. Education 5. Socioeconomic status 6. Income 7. Occupation 8. Residence 9. Socio cultural factors 10. Socio- psychological factors 11. Organizational factors 12. Economic factors
  30. 30. Supply of dental health manpower: 1. Supply of dentist 2. Growth trends in the supply of dental manpower 3. Productivity of dentist The utilization of dental health manpower
  31. 31. Policy formulation: a) Dental health manpower planning 1.Supply & demand model 2.Functional analysis model 3.Target setting approach model b) Incentives & controls c) Levels of decision making
  32. 32. CONCLUSION • The practice of dentistry involves a personal relationship between the dentist, dental auxiliaries & patients who elect to seek professional service from them within the walls of the office.

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