dental facility considerations

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Indian Health Service Oral Health Program Guide

Dental Facility Considerations

The construction of a new dental clinic requires careful planning to ensure that the

resulting facility is functional and a pleasant place in which to work. ithout proper

planning! a myriad of ma"or and minor pro#lems can occur during the construction phase.

$ental clinics #uilt #y the Indian Health Service %IHS& undergo an e'tensive planning

process using standardi(ed designs to provide uniformity. $ental clinics #uilt #y Tri#aland )r#an Indian programs! on the other hand! display a wide variety of designs! #ecause

these programs have more fle'i#ility when choosing clinic designs. *ot #eing #ound #y

standard designs provides some o#vious advantages! #ut in some cases architects hired #yTri#es or )r#an programs have little or no e'perience in designing dental clinics.

hether new clinics are #eing constructed #y the IHS! Tri#es! or )r#an %I+T+)& Indian

programs! the planning phase should include input from sources that are well,versed inthe #uilding of dental facilities.

The purpose of this su#section is to provide some general recommendations regarding

dental clinic design and dental equipment selection which should #e helpful to programsthat are planning new dental clinics.

General Recommendations

hether the clinic is #eing #uilt #y the IHS! a Tri#e! or an )r#an Indian

program! it is a good idea to consult the Safety *et $ental -linic anual

at www.dentalclinicmanual.com.

/ollowing are some of the types of information provided #y the facilities planning

manual0

$ental clinic designs for facilities of various si(es.

1quipment lists! #y room! for real property %furnished when a #uilding is

#uilt and usually consisting of large items which are #olted to the wall or

floor& and for ma"or unattached equipment such as dental chairs!

autoclaves! film processors! and handpieces. $isposa#le items and handinstruments are not included in these master lists.

2ir e'change recommendations.

2m#ient light recommendations.

Safety codes0 3isit other I+T+) dental clinics. $on4t rule out any possi#ilities!

including military installations and veterans hospitals! if they are

availa#le near#y.

-ontact people in other I+T+) Indian dental clinics who have

e'perience in #uilding new facilities! especially those who haverecently planned construction of a new clinic.

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Talk with 2rea Office staff! including the 2rea $ental -onsultant and

the 2rea /acilities Planning Officer.

eet with representatives from dental supply houses. They can

provide useful information a#out clinic design! even though theirprimary "o# is to sell equipment.

)se the toll,free num#er of equipment manufacturers to get advice

regarding facility requirements for the equipment that you intend to

place in the new clinic.

O#tain and use government price lists for equipment. Having the

catalogs on hand will facilitate the ordering of equipment #y allowing

for comparison of prices and features.

Get actively involved in the pro"ect. ost construction pro"ects have a

#etter result if the dentists and other dental staff at the facility have

direct input at the design stage. If an architect or company

representative has made an o#vious error! such as forgetting to include

a sink in the la#oratory! dental staff mem#ers should #e a#le to detectthe error.

)se manufacturer4s templates and si(e guidelines. If a certain amount

of floor space is required! avoid the temptation to get #y with less.

/ollow the manufacturer4s instructions:

ake every operatory identical! with the e'ception of quiet rooms

and+or operatories used for sedative procedures %these will require

increased space for personnel and monitoring&. This will help to

eliminate the pro#lem of providers using ;favorite rooms< the ma"orityof the time! which can have a negative effect on dental clinic

efficiency. If possi#le! have windows in the operatories to facilitate the selection

of tooth shades and to provide a pleasant atmosphere for patients andstaff. *orth,facing windows are #est! and east,facing are second,#est.

Plan for proper air e'change in each operatory. It should #e driven

with its own special system. -onsult the Safety *et $ental -linic

anual at www.dentalclinicmanual.com.

Provide adequate overhead light in the operatories to prevent eyestrain.

Provide vacuum and air systems with their own e'haust+intake lines.

The trap for the vacuum system should #e easily accessi#le for

cleaning. The discharge point for the e'haust should not #e near afresh air inlet or open windows! and it should not discharge into asupply room or other occupied place.

Provide each operatory with two sinks.

Provide each operatory with its own ',ray machine.

Provide plenty of electrical power for each operatory for future

e'pansion.

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Provide each operatory with telephone and data "acks.

Provide a staff changing area! with lockers! within the dental clinic

area. This will facilitate the separation of clothing used to treat patients

from clothing that is worn outside of the clinic! which is important forinfection control.

Square Footage Recommendations

The Safety Net Dental Clinic Manual at www.dentalclinicmanual.comcontains detailed

charts of si(e recommendations for various types of space in the dental clinic. /ollowing

are recommendations for some of the most common clinic configurations0

Note:It is anticipated that the areas in the planning manual will #e e'pressed in squaremeters! in order to meet government requirements. In this guide the areas will #e

e'pressed in square feet.

-onversion /actor = 68.9> ft7per m7

/i'ed Operatories = 668 square feet %sq. ft.& per operatory %usually 68? @

66?&

Panoramic ',ray = A8 sq. ft.

Panoramic+-ephalometric com#ination = 58 sq. ft.

-lean,up 2lcove %7 to A operatory clinic& = B8 sq. ft.

-lean,up 2lcove %C to D operatory clinic& = 688 sq. ft.

-lean,up 2lcove %B to 67 operatory clinic& = 658 sq. ft.

Ea#oratory %7 to A operatory clinic& = >8 sq. ft.

Ea#oratory %C to D operatory clinic& = D8 sq. ft.

Ea#oratory %B to 67 operatory clinic& = 678 sq. ft.

$arkroom %7 to D operatory clinic& = >8 sq. ft. %6 automatic developer&

$arkroom %B to 6> operatory clinic& = B8 sq. ft. %7 automatic developers&

$igital Processing 2rea = 78 sq. ft. per scanner+computer com#ination

)nit Supply 2rea %7 to A operatory clinic& = C8 sq. ft.

)nit Supply 2rea %C to D operatory clinic& = D8 sq. ft.

)nit Supply 2rea %B to 67 operatory clinic& = 678 sq. ft.

Feception 2rea %7 to C operatory clinic& = 688 sq. ft.

Feception 2rea %5 to D operatory clinic& = 678 sq. ft.

Feception 2rea %B to 6> operatory clinic& = 7C8 sq. ft. %two reception

areas&

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$ental $irector4s Office = 678 sq. ft.

$ental anager4s Office or $2 Supervisor4s Office = 688 sq. ft.

*on,supervisory $entist4s Office= D8 sq. ft.

%add C8 sq. ft. for each additional dentist&

Toilet %D to 67 operatory clinic& = 58 sq. ft. -linics with a staff of si' or

fewer mem#ers can save funds #y using a unise' staff restroom.

aiting 2rea %6 to C operatory clinic& = 678 sq. ft.

aiting 2rea %5 to 9 operatory clinic& = 6D8 sq. ft.

aiting 2rea %D to 6A operatory clinic& = 7C8 sq. ft.

anitor4s -loset = C8 sq. ft.

-ephalometric ,ray %for clinics with full,time orthodontic services& =

688 sq. ft. %if stand alone! may #e added to most panoramic radiograph

machines&

Note:Space is also needed for staff lockers! staff toilets! and employee lounge! #ut is not

listed here.

Delivery Systems

The dental delivery system traditionally used #y the IHS is the rear,delivery system.

hile it has proven to #e an economical! functional system! the rear,delivery method

does have some shortcomings. 2s a result! many Tri#al and )r#an programs and someIHS programs recently have chosen alternative delivery systems. /ollowing is a

comparison of the commonly,used delivery systems! showing the advantages and

disadvantages of each0

Over-the-Patient Delivery

2dvantages0

The most ergonomically,sound system for the dentist

1asily converts to left,handed or right,handed

System moves up or down with the chair to maintain a constant

relationship

Provides the most practical use of space

2llows dentist and assistant to handle instruments and switches

2llows the dentist to let go of the handpiece without looking up

$isadvantages0

The most visi#le system to patients in terms of seeing the instruments

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Is confining for patients

Patients may #ump into unit if they rise up suddenly

Generally notrecommended for treating children or patients with

conditions that result in aggressive #ehavior or unpredicta#le movements

Patient?s feet can get tangled in the handpiece cords

1'pense

Rear Delivery

2dvantages0

The least e'pensive system and easily com#ina#le with an assistant cart

for little additional e'pense

1asily converts to left,handed or right,handed

The least,visi#le system for patients

1asy patient access to dental chair

2llows handpieces to #e transferred and #urs to #e changed #y the

assistant

1asy to connect to in,wall utilities

$isadvantages0

1rgonomically less sound for the dentist! who must twist to reach

handpieces or instruments

Places the dentist at increased risk for sharps in"uries from dental #urs! due

to the location of the handpiece holder near the dentist4s forearmsandel#ows

-ords can #ecome tangled and difficult to position for dentist use

Fequires two entries to operatoryone for the dentist! and one for the

assistant

akes working alone or standing up difficult for the dentist

Side Delivery

2dvantages0

Provides easy patient access to chair

Eess confining to patients

1asy to connect to in,wall utilities



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$isadvantages0

ost do not convert to left,handed and right,handed

Handpieces inaccessi#le to assistant! so dentist must change #urs

1rgonomically less sound for the dentist! who must twist to reach forhandpieces or instruments

Jecause of the lack of converti#ility for right,handed and left,handed dentists and the

difficulties the system presents for performing four,handed dentistry! the side deliverysystem is generally not recommended for dental programs serving 2merican Indians and

2laska *atives.

Equipment Considerations

hen selecting dental equipment! research the manufacturer of the #rand of equipment

you are considering to determine %6& the sta#ility of the company and %7& if they provide

good customer support for their equipment. 2lso ask dentists and dental equipment repairservices a#out the relia#ility and dura#ility of the #rand of equipment you are

considering.

The -linical Fesearch 2ssociates *ewsletter K-linical Fesearch 2ssociates A989 *orth

-anyon Foad! Suite > Provo! )T DC>8C %D86&,77>,7676L is another source of information

for large equipment items such as dental units and chairs! as well as for small equipmentitems such as ultrasonic scalers! visi#le light curing units! and handpieces. The

pu#lication also contains other equipment and supply information that is very useful

when #uilding a new clinic.

General and specific recommendations for the selection of patient chairs! dental units!operators4 chairs! assistants4 chairs! and other equipment items can #e found in variousdental periodicals. 2n e'ample of a useful article is the une 6BBC issue of The Dental

AdvisorThe Quarterly for the Dental Profession%3olume 66! *um#er 7&. The $ental

1valuation M -onsultative Service %formerly )S2/ $ental Investigative Service& canalso #e a source of unsolicited information. This is an independent reviewer of dental

equipment and supplies located online athttps0++decs.nhgl.med.navy.mil.

If using literature reviews #e sure to locate articles that provide a list of features that a

#uyer should seek when purchasing dental equipment items and also offers

recommendations! including #rand names. The article should #reak down the attri#utesinto primary characteristics! which meet efficiency and infection control needs! and

optional features! which depend on the personal needs and preferences of the operator.

The following is a synopsis of the primary features of large operatory equipment0

Patient Chairs

Sta#le #ase and lift mechanism %hydraulic type is quieter than screw drive

type&

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Seamless and remova#le upholstery for easy cleaning+repair %all,vinyl is

recommended! #ecause it can withstand disinfection procedures&

2d"usta#le headrest for patient comfort and operator visi#ility

1rgonomic contoured design

Good lum#ar support for patient comfort

ova#le armrests for easy patient access and wheelchair transfers

2uto preset positioning and auto return with safety stop

Fight+left converti#ility

/oot controls or a touch pad to ad"ust the chair position

Dental Units

2t least one fi#er optic high,speed outlet %two is ideal! to prevent down

time in the event of malfunction&

One fi#er optic low,speed outlet

Smooth snap,on+off handpiece connectors for efficient operation and

sterili(ation of handpieces

Handpiece flush system for infection control

*on,ri##ed tu#ing for easy cleaning+disinfection

2nti,retraction valves for infection control

Nuick connect+disconnect! sterili(a#le high, and low,volume evacuators

and three,way syringes for efficient operation and sterili(ation

Self,contained water purification system for infection control

Fight+left converti#ility

Dental andpieces

2ir,powered or electronically powered rotary instruments

High,speed handpieces and low,speed handpieces for general dentistry

Surgical handpieces are needed for invasive surgical procedures %these can

#e air driven and attached in place of the high,speed. Impact 2ir C5 is ane'ample.&

Specialty specific handpieces may #e requested0

Surgical specific handpieces are equipped with a wide range of

attachments



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1ndodontic rotary handpieces are required for rotary

instrumentation %torque controlled electrically driven units are

standard&

Sterili(ation method determines the num#er of handpieces needed #y a

facility %faster sterili(ation requires fewer handpieces&

2s a general rule you will need four high,speed handpieces+operatory and

four slow,speed attachments+operatory

$ental handpieces are e'pensive so make sure enough funds are included

in your start,up #udget

Operator and !ssistant Stools

etal frame with five,legged #ase for sta#ility

$ou#le wheel castors %need tile castors! not carpet castors! for hard floors&

Gas cylinder for height ad"ustment

1asily reached height ad"ustment lever or paddle

Seat pan tilt ad"ustment

ulti,density padding for comfort

Seamless upholstery for easy cleaning

The stools for the dentist and dental assistant are different! with the dental

assistant stool having foot and armrest

Dental Radiography "#-rays$

Intraoral Fadiographs %periapical! #itewing! occlusal&

Fequire standard radiograph machine for e'posure

Jasic dental radiographs show several teeth at a time. These can #e

standard films developed conventionally way using chemicals or

produced with computer if using digital radiography.

Panoramic Fadiographs

This dental radiograph shows #oth dental arches on a single ,ray film

that is 5 @66.

The panore' machine requires its own area and may #e conventional

or digitally produced.

It is recommended to #e take a panoramic radiograph every 5 years per

patient greater than D! if a facility does not have the a#ility to purchase

this equipment! then a referral system must #e in place in order to

o#tain this type of radiograph when needed.

-ephalometric Fadiograph

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This radiograph shows the entire head and is taken using a panoramic

machine with special attachments and may #e conventional or digitally

produced. Oral surgeons and orthodontists mostly use this type of ,ray. This type of radiograph is nice to have #ut not required unless

your clinic has an orthodontic program.

-onventional

1'posure of photographic film to ,rays and then chemically develop

the film in a developer in a darkroom or via a day,light loader4

-osts of conventional developing are cheaper in the short run! #ut

increasing due to cost of chemical handling.

/ilms are archiva#le! #ut require physical space to store radiographs

$igital Fadiography0

Images are captured electronically via a charge couple device %--$&

or via a phosphor plate system after e'posure to ,rays.

These images are then uploaded! viewed! and stored on a computer.

-omputer %-P)&! monitor%s&! and key#oard are needed in each

operatoryQ #ack,up storage %server& is need for archiving images&.

-osts0 Initially higher! #ut the unlimited use of a -$$ decreases costs

decrease with each image processed. The phosphor plates do have a

limited life! #ut are reusa#le and cost friendly.

-ost and space required for darkrooms! film! processing chemicals!

and disposal of ha(ardous waste are eliminated.

Time! money! and paperwork can #e saved #y utili(ing digital images

Patient e'posure is minimi(ed using digital radiography.

Dental Operating %ights

-an #e wall mounted! ceiling mounted via a track! or chair mounted

Computers

*eeded in the operatory if the clinic will #e using digital radiography or

electronically maintained charts.

-omputers may #e mounted on the dental chair and+or placed on a ca#inet

in the operatory.

Specific information regarding specifications can #e o#tained from the

IHS internet site! in the 1lectronic $ental Fecord %1$F& area.

Communication System

Small %e.g.! only one provider and appropriate support staff&! then intra,

office communications can #e as easy as word,of,mouth.

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-olor,coded flagging systems or light systems frequently are used in

multi,provider medical and dental offices to alert the providers when a

patient is in a treatment area or when they have a phone call or message.

2n internal paging or intercom system also may #e considered.

Intercom systems can #e installed as stand,alone system or as part of theclinic?s phone system! decide which type will #e used #efore a phone

system is purchased and installed. Eocal dentists or local group practices

may #e a#le to help you decide which system will #est suit your needs.

Phone service planning! have additional lines dedicated for fa' machines

and Internet access.

-omputer networks

$esira#le! #ut poses risks of unauthori(ed access to or loss of data

Sample Dental Clinic Equipment %ist

/ollowing is a sample of an equipment list. It is not necessarily an all,inclusive list! #ut itmay #e helpful to other programs contemplating new construction or remodeling.

Operatory

2malgamator

2ir compressor! central

2ir+water syringe%s&

2ssistant?s stool

2ssistant unit

-a#inets with sinks

-amera! intraoral

-lock+intercom+timer

-oat hooks

-omputer

$octor?s unit

$ental chair

1ye wash station

/i#er optic unit

Gloves+masks

Handpieces!

High speed

Eow speed

-ontra angle

Prophyla'is angle

Straight attachment

Hand washing stations %7&

Intraoral imaging system

Eead 2pron and hanger

Eight curing unit

*itrous o'ide sedation

unit

Operating light

Operating stool

Oral evacuator0 high

volume and low volume

Oral evacuator utilities

%Suction pump! central&

O'ygen delivery system



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Prophyla'is unit!

ultrasonic

Fadiograph view #o' %not

needed if using digitalradiographs&

Sphygmomanometer

Stethoscope

aste receptacle! trash

aste receptacle!

#ioha(ard

,ray unit

Soiled Clean-Up !rea

)ltrasonic cleaner %small&

)ltrasonic cleaner for multiple cassettes %or washing station&

$eep dou#le sink+paper towel and soap dispensers

aste#asket

$ishwasher

Handpiece lu#ricating station

2utoclave tape dispenser

-ompressed air outlet

1yewash station

%a&oratory

2crylic polish

2crylic tray material 2lcohol torch

2rticulators0

-rown and #ridge

$enture

$enture reline material

$enture repair acrylic

Jench lathe

Jench lathe accessories0

2r#or #ands and

mandrels

Jrush wheels

-hucks

/elt wheels+cones

Polishing wheels

Spindles

Stone wheels

Jench light

Joley gauge

Jrushes

Junsen #urner

$ust collector

/ire e'tinguisher

Handpiece! air driven

Hand towels and

dispenser

Ea#oratory #ench! with

sink



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Ea#oratory engine and

handpiece

Ea# handpiece

accessories0

2crylic #urs 2#rasive

disks+mandrels

-ar#ide #urs

Gold,finishing kit

odel,trimming #urs

Porcelain,polishing

kit

Fu##er wheels and

points agnifying loops

icroetcher

odel trimmer

Petrolatum

Plaster0

Ea#

odel

$ie

Plaster #in

Plaster,mi'ing #owls!

ru##er

Plaster knives

Plaster spatula

Plaster trap

Pliers

Pressure,curing unit

Pumice

Fouge

Safety glasses

Saw frame and #lades

Scissors

Surveyor

3acuum,forming machine

3entilation system

3i#rator

ater #ath

a'es0

Jaseplate

Jo'ing

Inlay

Fope sticky

)tility

a' carvers

a' spatulas

aste receptacle

ork pan

Clean Room

Earge 2utoclave %for multiple cassettes65&

Small! /ast,Turnover 2utoclaves

Handpiece 2utoclave %e.g.! Ravoklave&

ater $istiller

$ry Heat Sterili(er



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Shelving to Hold 2ll -lean Items %cassettes! etc.&

Fefrigerator

Ea#el Gun %for e'piration dates&

Jiological Incu#ator

Radiograph E'posure(Processing

Fadiograph aids

Finn Instruments

Snap,a,rays

1ndo,ray

Jite,ta#s

/ilm0

Jitewing

Intraoral! Si(e 8

Intraoral! Si(e 6

Intraoral! Si(e 7

Intraoral! Si(e C

Panoramic+-ephalom

etric

/ilm envelopes

/ilm holders+mounts

Eead apron with neck

collar

2utomatic film processor

$eep sink for cleaning

rollers

$eveloper and /i'er

Fecovery )nit /ilm dispenser

Plastic apron

Safe light

3iew #o'

aste receptacle

ater Temperature

Fegulator

Panoramic !rea

Panoramic unit %pan+ceph&

Eead apron+hanger

echanical room

O))ice* Chie)(Dentist

Jookcase%s&

-hairs+e'ecutive

-hair+guest

-omputer system

$esk

/ile ca#inets

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Prescription #lanks

Telephone

Reception( +usiness O))ice

2nnouncement cards

2nswering machine

2ppointment #ook

2ppointment cards

Jookkeeping

-lip#oards

-ollection aids

-omputer0 Hardware

Printer+Scanner

Software+supplies

Terminals

-opy machine

$esk organi(er+calendar

$rug envelopes

/ile ca#inets+folders

Eetterheads+envelopes

Office manual

Office signs %e'it! rooms!

etc&

Patient education

literature

Patient records

edical+dental

history forms

Patient e'am chars

Patient file folders

Periodontal charts

Fegistration forms

Stickers for folders

Treatment plan+record

forms

Payroll forms

Postage stamps

Professional cards

Fecall system %cards!

inde'&

Feferral slips

Secretary?s chair

Stamp pad

Standard insurance forms

Stapler

Tape dispenser

Telephone+Intercom

System

Typewriter

Storage

Shelving units

Supply desk+chair+filing ca#inets

Papoose #oard

asher+dryer

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,aiting !rea

Jooks

-hairs+end ta#les+lamps

-oat rack

$ecorative items

1nd ta#les

Eamps+lighting

aga(ine rack+maga(ines

Toys for children

all mirror

Education

Sinks for tooth #rushing

T3+3-F+$3$

odels+posters+pamphlets+educational aids

Other tems

Instrument cassette system

Hand instruments %See section $1*T2E I*STF)1*TS 2*$

S)PPEI1S /OF ST2FT )P& -uring radiometer %curing light tester&

1lectronic thermometer

-lothing hamper

Tu#s+trays+racks

1mployee lockers

Dental nstruments and Supplies For Start Up

This is a suggested list for a one dentist! 7A operatory dental clinic. The list is dividedinto categories of equipment and supplies. Those items listed should #e a#le to take care

of most operative! preventive dentistry! endodontic! prosthodontic! and oral surgicalneeds in a dental clinic. It should #e noted that some instruments are listed in multiple

sections. Once you and the dentist decide which services your clinic will offer you can

compile the equipment+supply list. Items can #e su#stituted to satisfy personal andprofessional needs of the dentist%s& that will #e working at your clinic. The purpose of

this list is to provide you a starting point! not to #e ;the list


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Operative nstruments ". /its Per Dentist$

Quantity Item/Description

6 Mouth Mirrors #5 (or #3,or 4 if dentist prefers)

6 Mirror Handles (must fit mirror heads)

6 23 Explorer/P!6 "issors, ris 4$/2% trai&ht, E"onom'

$2 otton Pliers(s), olle&e #3$

6 poon Ex"a*ator #3+3-

6 .mal&am arrier ou0le Ended

6 .mal&am Plu&&er l/2 1la"

6 leoidis"oid 3/6

6 leoidis"oid +-/-2

6 Hollen0a"h

6 nterproximal ar*er (P)

6 .rti"ulatin& Paper or"eps

6 !u00er am rame6 !u00er am lamp or"eps

6 '"al nstrument

6 offlemire(s) 2 per it, uni*ersal

andpieces

If you do surgical e'tractions! you will need to get a surgical handpiece.

Quantity Item/Description6 Hi&hpeed Handpie"e

3 opeed Handpie"e

6 1all1earin& ontra .n&le .ssem0l' (at"h)

6 Proph' ontra .n&le Head .ssem0l'

6 ontra .n&le heath

2 trai&ht .tta"hment

2 pra' and lean Handpie"e u0ri"ant

Other nstruments

Quantity Item/Description6 ental Mirrors #5 for Exam 7its

6 Mirror Handles for Exam 7its

6 Explorer/P! Periodontal Pro0es for Exam 7its2 ement patulas #24

- .spiratin& 'rin&e 8 'pe

2 omposite nstruments, et of 3

3 !u00er am Pun"h

3 !u00er am lamps, tarter 7it

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Operative Supplies


4 ido"aine 29 $: $;;,;;; epi/"an

$ 39 Mepi*i"aine/"an

$ 59 Mar"aine $:2;;,;;; epi/"an2 2 &au&e on& ;;$5 $2/P&>

4 off$emire Matrix 1ands #2 >;;$5 $2/P&>

$ '"al *or' hade/tu0e

24 luoride *arnish 0oxes

$ @itre0ond 3M/0ox

6 1ur 1lo"

3 Et"h =el 'rin&e, ith 2; ips

3 !u00er am =reen, Medium, 5x5/0ox

$ !u00er am =reen, Hea*', 6 x 6/0ox$ 8iAard .natomi"al .ssorted 8ed&es 4;;/1ox

$ MB u0ri"ant/tu0e

!ssorted +urs* Doctors Pre)erence

Disposa&les


6 6 Tray -overs ,auve l888+Jo'

7 7 ' 7 gau(e D ply 788+Pkg

7 C ' C gau(e D ply 788+Pkg

6 $ry,Guard Patient Ji#s %rose& 588+-ase

C *apkin Holder

6 -otton Tip 2pplicators > non,sterile l888+Jo'

6 -otton Pellets U7 7888+Jo'

6 -otton Pellets UC A888+Jo'

6 -otton Folls 7888+Jo'

6 -otton Foll $ispenser



18/21



6 Plastic -ups! 6OOO+-ase

6 -up Holder

6 Safe,Tips 1V 658+Pouch

A High Speed 1vacuation Tips 5O+Jag

A Saliva 1"ectors hite Opaque 688+Jag6 $appen $ishes l888+Jo'

6 Oral 1vacuation -leaner

6 $isposa#le Spatulas l88+Jo'

7 Jenda Jrush 6CC+Jo'

6 $isposa#le irrors 97+Jo'

6 $isposa#le Traps $ental )nit 6CC+Jo'! picksi(e needed

6 $isposa#le Traps -entral Suction D+Jo'! picksi(e needed Paper Towels

n)ection Control Supplies

Quantity Item/Description6 atex Exam =lo*es, pi" siAes

3 terile ur&eons =lo*es, pi" siAe

2 Ctilit' =lo*es, pi" siAes

6 a"e Mass, 5; per 0ox, pi" t'pe

6 afet' =lasses (dentist, ., patient)

3 isposa0le o*er =ons, pi" siAe

3 .ntisepti" Hand oap,

$ leanin& olution

3 isinfe"tant2 elf eal teriliAation Pou"hes 3$/2% x -%,

2 elf eal teriliAation Pou"hes 3$/2% x 5$/4%,

2 elf eal teriliAation Pou"hes 5$/4% x $;%

2 elf eal teriliAation Pou"hes $/2 x $3%,

3 hair o*ers 4+% x 56%

3 .ir/8ater 'rin&e o*ers

3 i&ht Handle o*ers

$ .!.P $2;; heets/!oll

3 Mouth ash, ma' ant to order pump

3 hlorhexedene oral rinse $6 oA

$ ure lee*e, teri hield 5??/1ox$ u0e lee*e 2%

3 Dra' slee*e $4% 8 x $3% x 24$/2%

$ 1iolo&i"al Monitorin& 'stem

$ 1iolo&i"al ndi"ators (25/0ox)

-hapter 5,G,6D$elivery of $ental Services 7889


19/21


Standard Oral Surgery /it "012 /its per Dentist$


$ $ #- Molt Periosteal Ele*ator

$ $


20/21



$ r' o"et Paste, $ oA>

$ odoforn =auAe $f4% x 5 'd>

$ =elfoam

!ssorted Surgical +urs* Doctors Pre)erence

Standard Endodontic /it "0 /its Per Dentist$


$ $ Mouth Mirror, #3

$ Mouth Mirror Handle

$ 23 Explorer/Perio Pro0e

$ "issors

2 otton Pliers elfo"in& =roo*ed

$ !in& !ulers, !i&htHanded

$ Endo Ex"a*ator #3$

$ = $6 Endodonti" Explorer

$ E "ondenser $/3

$ E "ondenser 5/

$ E "ondenser -/$$

$ =li" #$

$ 8oodson #3

$ Hollen0a"h

$ nterproximal ar*er

$ ement patula

$ .rti"ulatin& Paper or"eps

$ !u00er am rame

$ !u00er am or"eps

$ offlemire

Endodontic Supplies

Quantity Item/Description2 Endo "e ("an, refri&erant)

$ ealer (dentist preferen"e)

$ =utta Per"ha (Medfine, Med, Medlar&e)

2 =utta &au&e (Maiffer)

2 =ates =lidden rills (#2,3,4,5,6), 4/0ox$ ou"h n Heat, 'stem 1, or Endo Mi"roor"h (1utane !efill)

$ ?0tura =P 0ullets

$ Paper Points, fine

$ Paper Points, medium

$ Paper Points, "oarse

$ ! prep, Premier

2 a*it, 4 tu0es



21/21


$ MonoFet 'rin&es 3"", 5"" 5;/0ox (dentist preferen"e)

2 23 =a> ide *entin& needle, 25/0ox

$ odium h'po"hlorite (0lea"h), &allon

$ E. liGuid (32 oA 0ottle)

iles, lex?files,lex!iles, assorted, entist preferen"e

Endo 1urs, assorted (re"ommend: #2,4 round, endo or afeend)

Standard Prophy /it "012 /its per Dentist$

Quantity Item/Description$ Mouth Mirror

$ 23 Explorer/P! Pro0e

$ 2;4 i"le

$ i"le 23

$ $/2 urette

$ $$/$2 urette

$ $3/$4 urette

$ harpenin& tone

$ a*itron ip, 257 ;

Preventive Dentistry Supplies

Quantity Item Description$ !e*eal is"losin& olution

2; luoride *arnish, 5; 0ox

2 Proph' ups, "re 'pe, 36/P&>

$ CniPro Proph' Paste, oarse 2;;/1ox

3 loss 8axed, 2;;'d/0ox

Radiology Supplies "Conventional Radiography$

Quantity Item/Description6 DP 7it

$ napa!a', et of 3

2 D!a' .pron, Mau*e

2 .pron Han&er

3 @ie 0ox,

23 ea t'pe ED5+ lexioft @in'l Pa" #;,$,2 films 0' 0ox

$ ilm Panorex 5;/1ox

$ ?""lusal ilm, E?4$P 25/1ox$ M D!a' mounts, "lear, E mounts, 1ox

$ D!a' En*elopes, 2$/2% x 4$/4%, Plain 5;;/1ox

*ote0 digital radiography requires0 -P)! monitors! Image capture device %--$ or

phosphor plate&! scanner! sterili(ation materials! storage device! etc.

-hapter 5,G,76

dental facility considerations

Documents