Functional responsibilities of a general dentist

Dentist (general dentist)

Job responsibilities.

Provides qualified medical care. Receives information about the disease: applies objective methods of examining the patient; identifies general and specific signs of the disease, especially in cases requiring emergency care; assesses the severity of the patient’s condition; determines the volume and sequence of resuscitation measures (including artificial respiration, cardiac massage, stopping bleeding, dressing and tamponade of the wound, transport immobilization, gastric lavage in case of poisoning, urgent tracheotomy in case of asphyxia) and provides them in case of traumatic and anaphylactic shock, acute vascular collapse, acute blood loss, acute cardiac and respiratory failure, hypertension and other life-threatening conditions. Conducts examination of the dento-maxillofacial apparatus: soft tissues of the face, temporomandibular joint, salivary glands, regional lymphatic system, probing of teeth, pathological periodontal pockets, fistulas; carries out percussion and thermometry of teeth, electrical odontometry, determines the severity of disease of the oral mucosa, as well as factors contributing to the development of periodontal pathology, symptoms of inflammation and destruction of periodontal tissue. Determines the need for special research methods (including laboratory, radiological, radioisotope, functional, interprets their results. Conducts differential diagnosis of major dental diseases in adults and children; substantiates the clinical diagnosis, plan and tactics of patient management in accordance with the standards of medical care for children and adults. Performs local (infiltration and conduction) anesthesia and determines indications for general anesthesia in the treatment of dental diseases. Carries out the prevention of major dental diseases in children and adults; organizes hygienic training and education of children and parents, teachers, paramedical personnel; plans dispensary work. Conducts assessments cariesogenic situation and the hygienic state of the oral cavity using indices. Teaches the rules of oral hygiene. Carry out measures for professional oral hygiene using mechanical and hardware methods, preventive treatment of teeth with anti-caries agents, sealing of fissures, whitening of teeth, removal of soft and pigmented plaque on teeth, application of air - abrasive systems, abrasive pastes, brushes, rubber bands and strips. Carry out the necessary diagnostic, therapeutic and rehabilitation measures for developmental and teething disorders, caries and other diseases of the hard tissues of teeth; with increased abrasion, grinding (abrasive wear), erosion, pathological resorption, hypercementosis, deposits on teeth, discoloration of hard dental tissues, hypersensitivity of dentin and enamel, with diseases of the pulp and periapical tissues, with gingivitis and periodontal diseases, with changes in the gums and edentulous alveolar margin, stomatitis, diseases of the lips and mucous membrane of the mouth, tongue, with complete and partial loss of teeth. Establishes a diagnosis; provides symptomatic therapy; refers to a specialist doctor for treatment if somatic diseases occur in the mouth. Performs filling and restoration of teeth using all types of filling materials; application of rubber dam and its modifications; production of veneers using the direct method from composite materials; treatment of pulpitis, aimed at preserving or removing the pulp, endodontic treatment of pulpitis and periodontitis through mechanical and medicinal treatment of root canals using manual, machine and ultrasonic instruments; obturation of root canals using pastes and gutta-percha. Carrying out diagnostic, therapeutic and rehabilitation measures for inflammatory periodontal diseases, removing supragingival and subgingival tartar (followed by polishing the surface of the teeth) manually and using machines; antimicrobial and anti-inflammatory treatment with the use of topical drugs through application, instillation, application of periodontal dressings, elimination of pain sensitivity on the surface of the roots of teeth using the fluoridation method and the use of films with drugs. Provides diagnosis and treatment for acute and chronic diseases of the oral mucosa due to mechanical, physical and chemical trauma, viral and bacterial infections, allergic reactions. Conducts orthopedic treatment of caries with inlays made by light or temperature polymerization, pulpitis and periodontitis with pin structures made by light or temperature polymerization, inlays, artificial crowns made by casting from base metals, light or temperature polymerization and a combined method. Provides treatment for partial tooth loss with bridges made by light or temperature polymerization, the supporting element of which is an inlay, a pin structure, an artificial crown, partial removable lamellar dentures made by light or temperature polymerization, the fixing elements of which are bent and cast metal clasps made of base material metal Provides treatment for complete loss of teeth with complete removable dentures, repair and correction of removable laminar dentures, treatment for periodontal diseases with temporary removable, splinting dentures, plastic mouth guards made by polymerization. Conducts diagnostic, therapeutic, rehabilitation and preventive measures for inflammatory diseases of the maxillofacial region and oral cavity of odontogenic and non-odontogenic origin, provides emergency care for acute toothache; acute purulent inflammatory diseases; carries out surgical treatment of acute periostitis of the jaws, removal of roots and teeth (except impacted and dystopic), treatment of alveolitis, pericoronitis, stopping alveolar bleeding, suturing the wound, drainage and medicinal treatment of purulent wounds, dressing after surgical interventions. Provides treatment for dental trauma, for jaw fractures - production and application of wire splints, reduction of dislocation of the temporomandibular joint, application of temporary transport immobilization. In accordance with the approved routing scheme, when identifying (suspicious) signs of cancer, he refers patients to the primary oncology office (department), promptly refers patients with cancer to a specialized oncology medical organization, and monitors patients at risk.

Dental Treatment Options

Fillings. The doctor restores the voids formed after cleansing using filling materials. In his practice, he uses amalgam, porcelain, gold or rubber-based composite material. Each substance has its own advantages and disadvantages. Before installing a filling, the doctor discusses this information with the patient in order to determine what to choose.
Treatment of dental canals. In this case, the damaged pulp is removed, and the tooth itself is filled with an antibacterial filling, after which it is isolated from external factors by covering it with a crown.
Bonding. The essence of this cosmetic procedure is to apply a composite to the front or back of the tooth in order to restore it. This way you can improve its appearance, give it a healthy color, lighten stains, hide chips and uneven surfaces.
Orthodontics. Long-term treatment of crooked teeth using retainers and braces to give your smile an aesthetic appearance.

Dentistry unified qualification directory

Modern equipment, instruments and materials used in dentistry. 1.5.5. Actions of personnel upon detection of a patient with signs of particularly dangerous infections, AIDS. 1.5.6.

Rules and regulations of occupational health, safety, industrial sanitation and fire protection. 1.6. During the period of temporary absence of the Employee, his duties are assigned to.

II. JOB RESPONSIBILITIES 2.1. Employee: 2.1.1. Carry out diagnostics, provide therapeutic and emergency care for diseases and lesions of the teeth, oral cavity and maxillofacial area. 2.1.2.

Job description

Provides orthopedic treatment of defects and deformations of the maxillofacial area. Conducts orthopedic treatment of pathology of the temporomandibular joint.

Evaluates the quality of dentures manufactured by a dental technician. Carries out rehabilitation measures after the application of dentures and conducts clinical observation.

Provides education to patients regarding proper oral hygiene. Prepares accounting and reporting documentation approved for use in the Russian Federation. Determines the amount of necessary first and emergency aid and provides it. Identifies indications for urgent or planned hospitalization. Identifies possible complications of drug therapy.

Where can medical care in the field of dentistry be provided?

In accordance with the Procedure, medical care in the specialty “dentistry” can be provided in medical organizations and their structural divisions. The procedure provides for the following structural units:

Structural unit	Characteristic	Functions
Dental clinic (requirements for organizing activities are set out in Appendices 1, 6, 11 to the Procedure)	is an independent medical organization or a structural unit of a multidisciplinary medical organization, organized to provide primary health care and specialized medical care	organization and conduct of preventive medical examinations and oral sanitation of the adult population in institutions of secondary, higher and postgraduate vocational education, recruiting stations, enterprises and organizations; provision of emergency dental care to the adult population for acute diseases and injuries of the maxillofacial area; provision of primary health care and (or) specialized dental care to the adult population for dental diseases; organization of dispensary observation of the adult population for dental diseases with assessment of the level of dental health; referral in accordance with the established procedure of the adult population with dental diseases for inpatient treatment in specialized maxillofacial and (or) dental departments; conducting orthopedic treatment of the adult population with congenital and acquired defects of the teeth, dentition, alveolar processes, jaws and face; and etc.
Dental departments (offices, laboratories) in medical organizations providing outpatient medical care (requirements for organizing activities are set out in Appendices 2, 7, 12 to the Procedure)	organized as a structural unit of a medical organization providing primary health care in an outpatient setting	organization of the diagnostic and treatment process for dental diseases; organizing and conducting preventive examinations and oral sanitation of the assigned contingent, including in educational institutions of secondary, higher and postgraduate vocational education, recruiting stations, enterprises and organizations; clinical observation of patients with pathology of the dental system and analysis of its effectiveness with assessment of the level of dental health; and etc.
Dental office in educational institutions, recruiting stations, enterprises and organizations (requirements for organizing activities are set out in Appendices 3, 8, 13 to the Procedure)	organized as a structural unit of a dental clinic or dental department of a medical organization or as a structural unit of an educational institution, organization, enterprise	identification of diseases of the teeth, periodontal and oral mucosa, treatment of their uncomplicated forms and referral of patients with complicated forms of these diseases to a dental therapist, dental surgeon, orthopedic dentist, orthodontist to a dental clinic or dental department medical organization; identification of patients with dentofacial anomalies and the prerequisites for their development, defects in the crowns of teeth and dentition with referral to a dentist of the appropriate dental profile in a dental clinic or dental department of a medical organization; carrying out measures to prevent dental diseases, providing hygienic education and training in rational oral hygiene; and etc.
Mobile dental office (requirements for organizing activities are set out in Appendices 4, 9 to the Procedure)	organized as a structural unit of a dental clinic or dental department of a medical organization	identification and treatment of diseases of the teeth, periodontal and oral mucosa, referral of patients with complicated forms of diseases to doctors of the appropriate dental profile in a dental clinic or dental department of a multidisciplinary medical organization for the provision of outpatient medical care or for the provision of inpatient medical care in dental and (or) maxillofacial -facial department of the hospital of a medical organization; identification and treatment of patients with dentofacial anomalies and the prerequisites for their development by orthodontists, and in their absence, identification and referral to an orthodontist in a dental clinic or dental department of a multidisciplinary medical organization; identification and treatment (prosthetics) of patients with defects in the crowns of teeth and dentition, and if complex prosthetics are necessary, referral of patients to a dental clinic or dental department of a multidisciplinary medical organization; carrying out measures to prevent dental diseases, providing hygienic education and training in rational oral hygiene; maintaining accounting and reporting documentation and submitting reports on activities, collecting data for registers, the maintenance of which is provided for by the legislation of the Russian Federation; and etc.

Thus, the structural units in which dental services are provided must comply with the requirements of the Procedure in terms of general provisions, equipment standards and recommended staffing levels.

In addition, it is necessary to remember that the premises comply with the requirements of SanPiN. Thus, SanPiN 2.1.3.2630-10 “Sanitary and epidemiological requirements for organizations engaged in medical activities”, approved by the Resolution of the Chief State Sanitary Doctor of the Russian Federation dated May 18, 2010 No. 58 (hereinafter referred to as SanPiN 2.1.3.2630-10) establishes requirements for premises, in which medical services are provided. Among other things, SanPiN 2.1.3.2630-10 contains requirements regarding room ventilation, minimum areas, etc.

For example, in dental offices, the area for the main dental unit should be at least 14 m2, for an additional unit - 10 m2 (for a dental chair without a drill - 7 m2), the height of the offices - at least 2.6 m. Walls of dental offices, corners and The junctions of walls, ceiling and floor should be smooth, without cracks. The ceilings of dental offices, operating rooms, preoperative rooms, sterilization rooms and dental laboratories are painted with water-based or other paints. It is possible to use suspended ceilings if this does not affect the standard height of the room.

If there are several dental chairs in the office, they are separated by opaque partitions no less than 1.5 m high. The absence of a sterilization facility in a dental medical organization is allowed if there are no more than 3 chairs. In this case, installation of sterilization equipment is possible directly in the offices.

Dental forum

I approve [position, signature, full name of the manager or other official authorized to approve the job description] [date, month, year] M.P. Job description of a dental therapist [name of organization, enterprise, etc.

Our diagnostic base

In order to choose the right treatment method, you must first make a correct diagnosis. And this requires modern equipment that allows for full-fledged research.

Our dental therapists have a dental computer visiograph at their disposal, thanks to which they receive high-quality images of the diseased tooth. The presence of a computed tomograph allows one to study the individual characteristics of the structure of teeth, their canals and roots. Orthopantomograph images provide information about the condition of the periodontium and dental tissue of the entire dentofacial system.

Job description of a dental therapist

To occupy the position of a dental surgeon, you must additionally complete a residency in the specialty “Surgical Dentistry” or have professional retraining in the specialty “Surgical Dentistry” and an appropriate certificate. At the same time, we note that according to Order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 N 541n, persons who do not have the appropriate additional professional education or work experience established by the qualification requirements, but have sufficient practical experience and perform high-quality and fully the job duties assigned to them, according to recommendations of the certification commission of a medical organization, as an exception, can be appointed to the appropriate positions as well as persons with special training and the necessary work experience.

Future profession

It is clear that a dentist deals with diseases of the oral cavity. This includes pathologies of teeth and periodontal tissues. After graduating from the specialty 08/31/72 general dentistry (residency), the doctor can not only fill or extract teeth, but also eliminate more complex problems. The competence of this specialist includes the treatment of caries, pulpitis, periodontitis, installation of fillings and restoration of teeth (installation of bridges and crowns).

In some cases, a specialist will have to obtain additional education in order to master a narrower profession (surgery, orthodontics, periodontology).

What positions can a general dentist hold?

A dentist must be prepared for independent professional activity and perform basic functions: organizational, diagnostic, advisory, therapeutic and preventive. He must combine deep theoretical training with practical skills, treat the assigned work responsibly, be demanding of himself and his subordinates, constantly improve his professional competence and level of general culture, engaging in continuous self-education. A dentist is obliged to apply in practice the principles of scientific organization of work, actively use electronic computing and medical diagnostic equipment in relation to the profile of their activities, be able to navigate modern scientific and technical information, effectively use it to solve practical problems, show initiative, integrity and conscientiousness in work.2.

Job Description of a Dentist Specialist

Carry out the necessary diagnostic, therapeutic and rehabilitation measures for developmental and teething disorders, caries and other diseases of the hard tissues of teeth; with increased abrasion, grinding (abrasive wear), erosion, pathological resorption, hypercementosis, deposits on teeth, discoloration of hard dental tissues, hypersensitivity of dentin and enamel, with diseases of the pulp and periapical tissues, with gingivitis and periodontal diseases, with changes in the gums and edentulous alveolar margin, stomatitis, diseases of the lips and mucous membrane of the mouth, tongue, with complete and partial loss of teeth. Establishes a diagnosis; provides symptomatic therapy; refers to a specialist doctor for treatment if somatic diseases occur in the mouth.

The procedure for providing medical care.

The procedure approved by the Order of the Ministry of Health and Social Development of December 7, 2011 No. 1496n determines that medical care for the adult population in the “dentistry” profile is provided for dental diseases of the teeth, periodontium, oral mucosa, tongue, salivary glands, jaws, face and head, including :

carious, non-carious and other dental lesions;
acute, chronic and specific inflammatory diseases, acute and chronic trauma, acquired defects and deformations, oncological diseases of the periodontium, oral mucosa, tongue, salivary glands, jaws, face and head;
anomalies and defects in the development of teeth, jaws, face and head, their prerequisites and consequences.

This procedure is mandatory for organizations providing medical care to the adult population for dental diseases, regardless of their organizational and legal form.

Medical care in the specialty “dentistry” is provided in the form of:

emergency medical services;
primary health care;
specialized, including high-tech, medical care.

The order specifically stipulates that medical care for adults with dental diseases and life-threatening conditions is provided in an emergency manner.

Next, we will consider the requirements for the procedure for providing medical care in the specialty “dentistry”, according to individual criteria.

Job description of a dentist

Performs local (infiltration and conduction) anesthesia and determines indications for general anesthesia in the treatment of dental diseases. Provides prevention of major dental diseases in children and adults; organizes hygienic training and education of children and parents, teachers, nursing staff; plans dispensary work. Conducts an assessment of the cariogenic situation and the hygienic state of the oral cavity using indices.

Teaches the rules of oral hygiene. Carries out measures for professional oral hygiene using mechanical and hardware methods, preventive treatment of teeth with anti-caries agents, fissure sealing, teeth whitening, removal of soft and pigmented plaque on teeth, the use of air abrasive systems, abrasive pastes, brushes, rubber bands and strips.

Which document outlines the job responsibilities of a general dentist?

Performs a list of works and services for the prevention and treatment of dental diseases in children in accordance with the standard of medical care for malformations of hard dental tissues, dental caries, pulp, periodontal, periodontal diseases, as well as diseases of the oral mucosa and lips, including conditions of general anesthesia and sedation with preserved consciousness. Conducts the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and measures for inflammatory diseases of the dentofacial apparatus and oral cavity of odontogenic and non-odontogenic origin: surgical treatment of dental periodontitis, acute periostitis of the jaws; removal of roots and teeth; treatment of alveolitis, pericoronitis, stopping alveolar bleeding; suturing the wound; primary surgical treatment of wounds of the oral mucosa.

Benefits of postgraduate study

After passing the exams, the specialist can enter graduate school. The advantages of this are:

the graduate student continues to improve his skills and study new ways of diagnosing, treating and preventing dental diseases;
a specialist writes scientific papers and articles;
a graduate student receives a higher salary than a doctor without graduate school;
the doctor publishes in scientific journals, attends conferences, and conducts his own research.

Thus, graduate school is suitable for those who are interested in research work.

Job description for a general dentist

HIV infections; - resuscitation techniques; — basics of asepsis and antiseptics; — methods of sterilization of instruments; — first aid methods for bleeding, collapse, anaphylactic shock; — basics of epidemiology; — basics of valeology and sanology; — medical ethics and deontology; — psychology of professional communication; — basics of clinical examination; — basics of disaster medicine; — the procedure for maintaining primary accounting and reporting documentation, including in electronic form; — basics of labor legislation; — labor protection and fire safety rules. 2. Job responsibilities of a dental therapist: 2.1.

Performs initial patient visits. Determines the tactics of patient management in accordance with established rules and standards. 2.2.

Who can provide medical care in the field of dentistry?

In accordance with clause 7 of the Procedure, primary health care for the adult population for dental diseases in an outpatient setting is provided:

dentists (general dentists), dental therapists, dental surgeons, orthopedic dentists, orthodontists, maxillofacial surgeons (hereinafter referred to as dental doctors);
dentists, dental hygienists, dental technicians;
*paramedics and doctors of other specialties.

* If the medical workers specified in this paragraph identify signs of dental disease, after taking measures aimed at eliminating life-threatening conditions and eliminating pain, the patient is sent to a medical organization for medical care by dental doctors.

Qualification requirements are imposed on medical personnel.

Thus, a specialist of the corresponding dental profile is appointed to the position of a dentist in a specialized department (office) of a dental clinic, corresponding to the Qualification characteristics of positions for workers in the healthcare sector, approved by Order of the Ministry of Health and Social Development of Russia dated July 23, 2010 No. 541n (hereinafter referred to as EKS) for a medical specialist.

The qualification characteristics for the position “Specialist Doctor” apply to positions of medical specialists for which the ESC does not provide for separate qualification characteristics. Dentist is one of these positions.

Job responsibilities	Performs a list of works and services for diagnosing the disease, assessing the patient’s condition and clinical situation in accordance with the standard of medical care. Performs a list of works and services for the treatment of a disease, condition, clinical situation in accordance with the standard of medical care. Carries out examination of temporary disability. Maintains medical documentation in accordance with the established procedure. Plans and analyzes the results of his work. Complies with the principles of medical ethics. Supervises the work of nursing and junior medical staff. Conducts health education work among patients and their relatives to promote health and prevent diseases, promote a healthy lifestyle.
Must know	Regulatory acts of the Russian Federation in the field of healthcare, consumer rights protection and sanitary and epidemiological welfare of the population. Theoretical foundations of the chosen specialty; modern methods of treatment, diagnosis and drug provision for patients. Fundamentals of medical and social examination. Rules for action when detecting a patient with signs of particularly dangerous infections, HIV infection. The procedure for interaction with other medical specialists, services, organizations, including insurance companies, physician associations, etc. Fundamentals of the functioning of budgetary insurance medicine and voluntary health insurance. Medical ethics. Psychology of professional communication. Internal labor regulations, labor protection and fire safety.
Qualification Requirements	Higher professional education in the specialty “General Medicine”, “Pediatrics”, “Dentistry”, “Medical Biophysics”, “Medical Biochemistry”, “Medical Cybernetics”, postgraduate and (or) additional professional education and a certificate of a specialist in the specialty in accordance with the Qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare, approved in the prescribed manner, without requirements for work experience.

For other specialists providing medical care in the field of dentistry, we will consider only the qualification requirements:

Job title	Qualification requirements in accordance with the CEN
Nurse	Secondary vocational education in the specialty “General Medicine”, “Midwifery”, “Nursing” and a specialist certificate in the specialty “Nursing”, “General Practice”, “Nursing in Pediatrics” without any work experience requirements.
Dental hygienist	Secondary vocational education in the specialty “Preventive Dentistry” and a specialist certificate in the specialty “Preventive Dentistry” without any work experience requirements.
Dental Technician	Secondary vocational education in the specialty “Orthopedic Dentistry” and a specialist certificate in the specialty “Orthopedic Dentistry” without any work experience requirements.

It is also worth mentioning the Order of the Ministry of Labor of Russia dated May 10, 2016 No. 227n “On approval of the professional standard “Dentist” (hereinafter referred to as Profstandard).

The professional standard characterizes the labor function of a specialist and also fixes the qualification requirements for him. Thus, for a dentist, in accordance with the Professional Standard, the following requirements are imposed:

Education and Training Requirements	Higher education – specialty
Requirements for practical work experience	—
Special conditions for permission to work	Passing mandatory preliminary (upon employment) and periodic medical examinations (examinations), as well as extraordinary medical examinations (examinations) in the manner established by the legislation of the Russian Federation; Absence of a criminal record and (or) the fact of criminal prosecution or termination of criminal prosecution on rehabilitative grounds.
Other characteristics	Professional development of a specialist For professional growth and assignment of a qualification category, the fulfillment of criteria corresponding to the specialty is required Main ways to improve qualifications: advanced training programs; professional retraining programs; internships; trainings in simulation centers; use of modern distance educational technologies (educational portal and webinars); participation in congresses, conferences, master classes.

Professional standards are mandatory for use by employers in terms of the qualification requirements necessary for an employee to perform a certain job function, if they are established by the Labor Code of the Russian Federation (hereinafter referred to as the Labor Code of the Russian Federation), other federal laws or other regulatory legal acts of the Russian Federation (Part 1 of Art. 195.3 of the Labor Code of the Russian Federation).