How to set up a new Dental Clinic

This article focuses on young dentists , who with long standing MDS dream were not able to crack MDS entrance and are unable to pay heavy capitation fees.... DON'T GIVE UP

With increased  competition in mds entrance exams for few govt. seats have let down lot of MDS aspirants. The fee structure for  MDS seats in private colleges have gown up to 6-7 lakhs a year, which is beyond the reach of common middle class family. So once again comes the big question,

WHAT NEXT?

WHAT AFTER BDS ?

For all my dear aspirants,

DON'T GIVE UP.

You are already a professional BDS doctor. Don't underestimate your BDS skills and Qualifications. Obviously the best scenario is in being able to pursue a PG degree. But, this is not always possible as mentioned above.

If you still don't believe me, here are few facts:

1. On an average , a BDS practitioner is making one lakh a month.
2. There is huge demand for dentists in outskirts of all cities in INDIA.
3. Why do you want to setup clinic only in central hubs , there is huge potential in sub urbs.
4. Paying capacity of patients is less in remote areas but number of patients is more.
5. Some of the best dentists are the ones with only a bachelor’s degree. They have reached the pinnacle of their profession through the dint of hard work & constant self-examination.

So , its high time now take the big decision.START your own private practice.

What you require ?

1. A BDS degree. (which you already have)
2. Get 6 month experience of clinical work  in a reputed dental clinic under a qualified dental practitioner.This will boost your confidence and you will how to handle patients at private clinics.
3. A diploma or a short course in aesthetic dentistry or endodontics is always a help.
4. Preferably look for a shop in good commercial area or near by a hospital. You need not buy it, you can always start on a rented shop.
5. If you can get associated with an ENT or MS (eye) , you can start a PolyClinic in patnership.
6. Minimum space advised is 250 sqft. More than this is a luxury.

Equipment and Material : (costs range between 3 to 5 lakhs )

1. A Dental Chair : Go for a brand which provides service in your area.  (1 to 4 lakhs)
2. Compressor : min. 20 litres capacity ( 10 to 20 thousand)
3. Dental chair should be equipped with motorised suction, 3 way syringe and micromotor.
4. x-ray machine which supports use of RVG later on. (25 to 70 thousand)
5. Ultrasonic Scaler  : preferably good brand (5 to 30 thousand)
6. Cordless Light Cure unit ( 5 to 25 thousand)
7. A straight hand piece
8. A contra angle hand piece
9. Airrotor ( 3 in number)
10. Autoclave (min. 5 lit. , top loading, newer front loading are better)
11. Glass bead sterliser

12. UV chamber
13. A full set of upper and lower teeth extraction forceps...go for the best brand (150 to 600 a piece)
14. A needle cutter
15. PMT sets ( best brand ) min. 15 in number.
16. Kidney trays 15
17. Enamel trays 3
18. Intrument drums 2
19. Ultrasonic bath
20. A portable X- ray developing chamber.
21. Dental burs
22. Alginate
23. Rubber Based impression material
24. Conservative filling instruments
25. Prosthodontic Instument Kit
25. Endo box
26. Endo gauge
27. Bur box
28. K- files all sizes, broaches , spreader etc.
29. Endo MOTOR ( optional)
30. RVG (optional)
31. Apex locator (optional)
32. All endo related material e.g. sealer, gp points, paper points,
33. Ca hydoxide
34. Temporary filling material
35. Composite starter kit
36. Lathe (optional)
37. Suction tips
38. Cotton holder
39. Developer and fixer
40. Gates glidden and paeso reamers
41. Plaster, stone and die stone
42. Impression trays both perforated and non perforated
43. Articulators
44. Posts and core material
45. Prophylactic paste
46. Instant Hand sanitizer
47. Filling materials like amalgam, GIC, compomer , miracle mix and posterior composites.
48. Pain OFF
49. Alveogyl
50. Irrigants


This is a brief list.

What more do you need ?

Dental office and waiting area furniture which may consists of

- Doctor's Table
- Doctor's Chair
- 2 patients chairs

One reception table
- receptionists chair
- waiting chairs from 6 to 20 depending on size of OPD

OTHER MUST HAVE FEATURES IN YOU CLINIC

A LCD/LED TV in waiting area.
A Water filter with hot/cold water facilities
A magazine stand with newspaper in regional language and few magazines


All is done I guess.... Along with all these things your courteous attitude and humble approach with a smile on your face is required to treat patients even before they sit on your dental chair.

ALL THE BEST !!





LEAVE YOUR COMMENTS BELOW !!




If you are really benefited , Please share it with your friends on Facebook by clicking Fshare button. Follow us on facebook : http://www.facebook.com/rxdentistry

ANATOMY OF SALIVARY GLANDS

The parotid gland

This is the largest of the salivary glands,

lying wedged between the mandible and sternocleidomastoid and overflowing both these bounding structures.

The parotid and its surrounds in a schematic horizontal section—the facial nerve is the most superficial of the structures traversing the gland.

Relations

Above—lie the external auditory meatus and temporomandibular joint.

Below—it overflows the posterior belly of digastric.

Anteriorly—it overflows the mandible with the overlying masseter.

Medially —lies the styloid process and its muscles separating the parotid from the internal jugular vein, internal carotid artery, last four cranial nerves and the lateral wall of the pharynx.

The gland itself is enclosed in a split in the investing fascia, lying both on and below which are the parotid lymph nodes.

Antero-inferiorly, this parotid fascia is thickened and is the only structure separating the parotid from the submandibular gland (the stylomandibular ligament).

Traversing the gland (from without in) are

1. the facial nerve;

2. the retromandibular (posterior facial) vein, formed by the junction of the superficial temporal and maxillary veins.

3. the external carotid artery, dividing at the neck of the mandible into its superficial temporal and maxillary terminal branches

The parotid duct (of Stensen)

The parotid duct (of Stensen) is 2in (5cm) long.

It arises from the anterior part of the gland,

runs over the masseters a finger’s breadth below the zygomatic arch to pierce the buccinator and

open opposite the second upper molar tooth.

The duct can easily be felt by a finger rolled over the masseter if this muscle is tensedby clenching the teeth.

THE RELATIONS OF THE FACIAL NERVE TO THE PAROTID

• The facial nerve is unique in traversing the substance of a gland, a fact of considerable importance .

• This coexistence is explained embryologically; the parotid gland develops in the crotch formed by the two major branches of the facial nerve.

• As the gland enlarges it overlaps these nerve trunks, the superficial and deep parts fuse and the nerve comes to lie buried within the gland.

• The facial nerve emerges from the stylomastoid foramen, winds laterally to the styloid process and can then be exposed in the inverted V between the bony part of the external auditory meatus and the mastoid process.

• This has a useful surface marking, the intertragic notch of the ear, which is situated directly over the facial nerve.

• Just beyond this point the nerve dives into the posterior aspect of the parotid gland and bifurcates  almost immediately into its two main divisions (occasionally it divides before entering the gland).

• The upper division divides into temporal and zygomatic branches;

• the lower division gives the buccal, mandibular and cervical branches.

• These two divisions may remain completely separate within the parotid, may form a plexus of intermingling connections,

• The branches of the nerve then emerge on the anterior aspect of the parotid to lie on the masseter, thence to pass to the muscles of the face.

• No branches emerge from the superficial aspect of the gland,

If you are really benefited , Please share it with your friends on Facebook by clicking Fshare button. Follow us on facebook : http://www.facebook.com/rxdentistry