1. CONTENTS
• INTRODUCTION
• DENTIST
• DENTAL AUXILIARIES
• F ONTIER AUXILIARIES
• EW AUXILIARY TYPES
• DEGREES OF SUPERVISION OF
AUXILIARIES
• DENTAL MANPOWER IN INDIA
• CONCLUSION
• REFERENCES
2. Introduction
• The vision of the dental team is one of vari
people in dentistry with different
• Roles
• Functions
• Pe 10d of training all working together to treat
A tients.
H alth care systems depend not only upon
· rastructure and resources, but also on the
ailability of skilled human resources.
3. Dental auxiliary is generic term for all persons
who assist the dentists in training patients.
Repe ition without shift of attention makes for
spe c1 and accuracy.
R son for division of labor also lies in the
d. erent levels of knowledge attainable within one
Id by persons of differing aptitude and
portunity for training.
4. DENTAL AUXILIARY
• A dental auxiliary is a person who is given t
1
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.
The 6ties undertaken by dental auxiliaries range
fro simple tasks such as sorting instruments to
rel tively complex procedures which form part of
t treatment of patients.
CLASSIFICATION BY WHO
(1967)
•:•NON OPERATING AUXILIARIES
a) CLINICAL - a person who assists the
dentist in his clinical work but does not carry out
any independent procedures in the oral cavity.
b) ABORATORY - a person who assist ~he
pr essional (dentist) by carrying out certain
t chnical laboratory procedures.
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5. of seating both the dentist and the dental
assistant in such a way that both are within easy
reac of the patient's mouth.
Th patient is in fully supine position.
T e assistant will hand the dentist, the particular
i strument he needs.
he will also perform additional tasks such as
traction or aspiration.
• The dentist can thus keep his hands
and eyes in the field of operation and work "''•
less fatigue and greater efficiency.
(
6. DENTAL HEALTH ~
This iE>~l'Q~ instruct in the preven f
dental diseases and who may also be perm ed
to apply preventive agent intra orally
In a few countries, the duties of some dental
surge assistant have been extended to allow
the to carry out certain preventive procedures
In weden, two additional weeks of training are
gi en, which auxiliaries are allowed to conduct
fl oride mouthrinsing programs to group of
chool children
They are, however, not allowed to undertake any
intraoral procedures
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7. I t DENTAL LABORATORY
TECHNICIAN l)
• Non operating auxiliary who fulfils the prescription
providing the dentist regarding the extra oral
appliance and bridge work.
Also knows as dental mechanics.
As per: he Indian Dentist Act of 1948, dental
mec anic is a person who makes or repairs dentures
an dental appliances.
In ome countries they have not been considered
xiliary because, in these places , their work is e
ostly performed in commercial laboratories anr'~
the dental practice setting.
4{/u~
Dental laboratory technician receive their training
through apprenticeship which is associated with
formal training at a dental school or technical
colle .
Th formal training period covers two years.
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I
8. DENTAL
SECRETARY/RECEPTION
[:j
Person who assists the dentist with the
secretarial work and patient reception duties.
DENTAL LABORATORY
TECHNICIAN
• Non operating auxiliary who fulfils the prescriptionV
providing the dentist regarding the extra oral
appliance and bridge work.
Also knows as dental mechanics.
As per: he Indian Dentist Act of 1948, dental
mec anic is a person who makes or repairs dentures
an dental appliances.
In ome countries they have not been considered as
xiliary because, in these places , their work is
ostly performed in commercial laboratories and not
the dental practice setting.
9. • L,are OT cne pauenc aner creaunenc unu1 ne OfJ v
she leaves, including cleaning away of
instrument and preparation of instruments for
reuse.
Prep ation of the surgery for the next
pati nt.
• Pr sentation of documents to the dental
rgeon for his completion and filling of
• sistance with x-ray work and the
p cessing and mounting of x-rays.
• Instruction of the patient, where necessary, 1
correct use of the toothbrush.
Aftercare of person who have had general
anae thetics.
(
10. e duties of the dental assistant ar
Reception of the patient.
Preparation of the patient for any treatment he or
she may need.
Prep ration and provision of all necessary
fac· 1ties such as mouthwashes and napkins.
S erilization, care and preparation of
i struments.
• reparation and mixing of restorative materihaj
· eluding both filling and impression materic ~L
4,0Y)
• Care of the patient after treatment until he oW
she leaves, including cleaning away of
instrument and preparation of instruments for
reuse.
Prep ation of the surgery for the next
pati nt.
• Pr sentation of documents to the dental
rgeon for his completion and filling of
ese.
• sistance with x-ray work and the
p cessing and mounti
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11. w
REVISED CLASSIFICATIO -V ));
•:•NON OPERATING AUXILIARIES
Dental surgery assistant
Dental secretary/ receptionist
f laboratory technician
I health educator
!•OPERATING AUXILIARIES
School dental nurse (New Zealand type)
Denta therapist
De al hygienist
anded function dental auxiliaries
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12. Denturist
/ It is a term applied to those dental laboratory
technicians who are permitted to fabricate
dentures directly for patients without a dentist's
presc iption.
The may be licensed or registered.
T e desire for autonomy among dental laboratory
t chnicians led to the formation of 'denturists'.
heir craft is called 'denturism'.
According to that, if the patient is in need of a
denture, the process of fabricating a denture,
from the impression onwards, is done by the
tech ·cian in direct relationship with the patient.
Th ADA defines 'denturism' as the fitting and
di pensing of dentures illegally to the public.
everal countries have allowed laboratory
chnician to work directly with the public.
13. CLASSIFICATION BY WHO
(1967)
••• NON OPERATING AUXILIARIES
a) CLINICAL - a person who assists the
dentist in his clinical work but does not carry out
any in ependent procedures in the oral cavity.
b) ABORATORY - a person who assist the
pr essional (dentist) by carrying out certain
t chnical laboratory procedures.
ERATING AUXILIARIES
• This is a person who, not being a professional is
permitted to carry out certain treatment
procedures in the mouth under the direction and
supervision of a professional.
14. 0
The candidate must have passed at least
matriculation examination of a recognised
univer ity taking science subject or an equivd e
reco nised qualification. ~
-
Denturist
1
it is a term applied to those dental laboratory
technicians who are p · ·
dentures directly for p
presc ·ption.
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• • •• • • • • • ••
15. DENTAL MANPOWER IN ~ ~ ~
• lndia1
~~out 298 dental institutions, prod~J/g
25,000to 30,000 BOS graduates every year.
In 2004, the dentist to population ratio was
1:30,000.
But 1th a significant geographic imbalance
am ng dental colleges, there has been a great
v iation in the dentist to population ratio in rural
a d urban areas.
t)J ~
• India (in 2004) had one dentist for 10,00~ V W
persons in urban areas and about 2.5 lakh
persons in rural areas.
Almost three- fourths of the total number of
denti ts are clustered in the urban areas, which
ho es only one-fourth of the country's
p ulation.
J is is in great contrast to the physician
pulation ratio, which was 1:2,400 in 2000 and
1,855 in 2004
- MEDCURSOR
16. w
Dental mechanic is a person, who makes or
repairs dental appliances and dentures including
inlay, rown and bridge work. He shall restrict his
actif ies to purely mechanical laboratory work at
th instance of the registered dental surgeon. He
s all not do any chair side work
-The Dental Council of India
/ The Dental Council of India has prescribed that,
• The course of studies should extend over a
period of two academic years and lead to the
qualification of dental mechanic certificate.
Th candidate should be at least 15 years of age
at he time of admission or within 3 months of it
d should be medically fit.
17. I
CONCLUSION
• The practice of dentistry involves a per~~I
relationship between the dentists, dental auxiliaries
and the patients.
Both dentist and auxiliary personnel try to emphasize
health ,ducation, to correct misconceptions and to
attac apathy about dental health.
Be ause of their unique privileges granted to them,
th members of the dental profession have the
sponsibility of providing a high standard of service
their patients and they should assume their duties
ely and voluntarily.
REFERENCES
• Essentials of public health dentistry 5th
edition- Soben Peter
§ Affinidi
18. -
CJ
.J)
~ Duties e
Casting of models from impressions made b'i 9
dentist. •~~
Fabrication of dentures, splints, orthodontic
appli ces, inlays, crowns and special trays.
CJ
Dental mechanic is a person, who makes or
repairs dental applian
inlay, rown and bridg
acti'J. ies to purely me
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19. •
I •
• This category of auxiliary personnel has been
called by various names in different countries.
Commonly used ones include
Dent assistant
Ch ir side dental assistant
Four handed dentistry
The term four handed dentistry is given to the art
of seating both the dentist and the dental
assistant in such a way that both are within easy
reac of the patient's mouth.
Th patient is in fully supine position.
T e assistant will hand the dentist, the particular
strument he needs.
he will also perform additional tasks such as
traction or aspiration.
..
• The dentist can thus k .±, Download Now
and eyes in the field of
I .
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20. DENTAL SURGERY ASSIST. (:j
A non operating auxiliary who assists the d
or dental hygienist in treating patients, but who is
not legally permitted to treat patient
independently.
A d tal assistant may only work under the
su ervision of a licensed dentist carrying out e
d ties prescribed by the dentist or by a dent •
gienist employed by the dentist. -
21. I
w
• The ADA has vigorously opposed the dentu ,s
movement at the political level.
The Association's principal argument is that
dent rists are unqualified to treat patients and
tha poor quality care and even actual harm
co Id result to patients.
Ti e WHO Expert Committee on Auxiliary De( e
ersonnel(1959) has recommended that onl'
ualified dentists may work directly on patie. • -
DENTAL HEALTH
• This iO~IQ~ instruct in the preven f
dental diseases and who may also be perm ed
to apply preventive agent intra orally
In a few countries , the duties of some dental
surge assistant have been extended to allow
the to carry out certain preventive procedures
In weden, two additional weeks of training are
gi en, which auxiliaries are allowed to conduct
ff oride mouthrinsing programs to group of
chool children
~ Download Now
rt