The document discusses key considerations for establishing and maintaining a successful dental practice, including selecting an appropriate location, designing the dental office, choosing equipment, managing patients and records, and types of dental practices. It emphasizes the importance of financial planning, legal and ethical compliance, and maintaining personal health and well-being.

1. ESTABLISHING AND
MAINTAINING A DENTAL OFFICE
DR.MD.SHADAB ANWAR
(PERIODONTICS)

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“Any fool can know. The point is to understand.”
― Albert Einstein

3. LEARNING OBJECTIVES
E m p l o y m e n t o p t i o n s
D e f i n e p r a c t i c e m a n a g e m e n t
F a c t o r s t o e s t a b l i s h p r a c t i c e
D e s i g n i n g o f d e n t a l o ffi c e
T y p e s o f p r a c t i c e
P a t i e n t m a n a g e m e n t
R e c o r d m a n a g e m e n t

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DENTIST- EMPLOYMENT
Academics (teaching/Research)
Hospitals General Dental Practice
Specialized Dental Practice
Writing (journalism)
Organizations and Management
Public Relation
Armed Services

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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.

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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.

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SELECTION OF PLACE
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.

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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).

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SELECTION OF BUILDING
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.

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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.

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FINANCIAL ASSISTANCE
Many nationalized banks, private sector banks and state
financial corporations give help to establish professional
career for a new graduate.

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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. Bufering the noise from
reception area.

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Placement of each electrical equipment should be considered while
designing electrical connections.
Exact positions of dental chair, washbasin, inlet and outlet of water,
drainage.

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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

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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.

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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.

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DENTAL STOOLS
Comfort at all positions
Support for the back
Easy adjustable height
Should be stable
Should be movable when required

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DESIGNING OF DENTAL OFFICE
SELECTION OF EQUIPMENT AND INSTRUMENTS
should have basic instruments to run the clinic
importance should be given to reputation of the company and after
sale services
keep autoclavable instruments

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TYPES OF PRACTICE
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.

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PERSONNEL MANAGEMENT
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.

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PATIENT SOURCES
Family
friends
referral of emergencies
referral by doctors and dentists
recommendations by patients already seen

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PATIENT MANAGEMENT
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.

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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.

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RECORD MANAGEMENT
Record should be systematically maintained.
Written records - case history, dental and periodontal charts, informed
consent etc.
Non-written records - dental photographs, radiographs, cephalometric
records.

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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

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 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.
ACCOUNTING AND OTHER FINANCIAL ASPECTS

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FACTORS INFLUENCING DENTAL PRACTICE
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

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 Dentist should go for routine physical examinations.
 Adequate health, vacation from work, recreation and
involvement in social activities ensures good mental
health.
PERSONAL : factors such as general physical health and mental health
should be considered.

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