Department of Conservative dentistry & Endodontics

SOPs

Dept. data last updated on :26/05/2022

SOPs of the Deptt. of Conservative Dentistry & Endodontics

Title: Index

Effective date

20-10-2019

Review due date

20-10-2020




Sr.

No.

Description of document

Page

No.

1.

Introduction

2

2.

SOP’s for  the management of Office work in the Department

3

3.

SOP’s for carrying out the teaching and learning activities of the undergraduate and postgraduate students

4-5

4.


SOP’s for Out Patient (OPD) management in the Department

6

5.

SOP’s for the functioning of the Undergraduate (UG) Clinic

7

6.

SOP’s for the functioning of the Post graduate (PG) Clinic



8


7.

SOP’s for the functioning of the casting Lab and the Ceramic Lab.

9-11


Introduction

The department of Conservative Dentistry & Endodontics was established in the year 2000.The department stands for teaching & training of undergraduate (B.D.S) and post-graduate (M.D.S) students in the subject of Conservative dentistry & Endodontics. The department of Conservative Dentistry and Endodontics caters a huge patient load and renders treatment to various dental diseases like dental caries, pulpal and peri-radicular diseases, developmental malformations of teeth, discoloured teeth, traumatized teeth and management of dental pain. The department imparts meticulous training to the students at both undergraduate and post-graduate level. The department of Conservative Dentistry and Endodontics has produced several research papers in different national and international journals like, Journal of Endodontics (JOE), Australian Endodontic Journal (AEJ), Singapore Dental Journal (SDJ), Iranian Endodontic Journal, Restorative Dentistry and Endodontics (RDE), Journal of Conservative Dentistry etc. The department of Conservative Dentistry and Endodontics consists of most of the latest equipment in its respective field like, the Dental Operating Microscope, Lasers, All Ceramic laboratory, etc. The department has a well trained, hardworking faculty comprising of three professors, four assistant professors and one senior resident.

The various Treatment Facilities available in the Department are-

1.Restoration of Carious teeth.

2.Root Canal Treatment

3.Bleaching of Discolored teeth

4.Management of traumatized teeth

5.Esthetic Restorations

6. Endodontic Surgery.



SOPs for functioning of the office:


  • Official Working Hours 8:00 AM – 4:00 PM

  • Maintaining records of all the documents received and dispatched from the department

  • To put up all the received documents before the chairman

  • To carry out the duty in accordance with the comments of the chairman.

  • To make arrangements for the exams conducted in the department

  • Filing documents in their respective files (Office file/Personal file/Circular file/ Notice Board file/ PG file/NAAC/IQAC/File for Minutes of BOS).

  • To maintain all the details of purchases and expenditure made by the department.

  • The following record registers are maintained by the office

Official Work Records

  1. Register for received documents

  2. Register for dispatch documents

  3. Register for departmental meetings

  4. Register for BOS

  5. Register of leave record of teaching & non-teaching

  6. Register for attendance of teaching, non-teaching, post graduates, undergraduates, interns & hygienists

  7. Register for duty of teaching & non-teaching during holidays

Clinical Work Records

  1. Register for general patient registration in UG CLINIC

  2. Register for student patient registration in UG CLINIC

  3. Register for patient record in PG CLINIC

  4. Register for daily work done record of Consultants, Postgraduates, Undergraduates, Interns, Hygienists

  5. Register for equipment allocation to consultants & postgraduates

Financial Records

  1. Register for purchase committee meetings

  2. Register for immovable assets

  3. Register for record of all the instruments in the department

  4. Register for record of repair of various items

  5. Register for day-to-day expenses

  6. Register for consumables items

  7. Register for Bank related work TA, DA.

  8. Indent book register


SOPs for Teaching and Learning.

Aim: To ensure that the teaching and learning of the undergraduate and post graduate students is carried out in a conducive environment with adherence to high professional standards. To ensure that the learning environment of the dental education program is conducive for the overall professional development of dental students and faculty.

Undergraduate teaching:

  1. Lectures: it’s the main mode is theoretical teaching for undergraduate students. The course work is divided among all the faculty members in the beginning of the session according to their respective thrust areas. The teaching schedule for the entire session is passed by the members of the BOS of the department.

  2. Pre-clinical training on models, phantom head dental units for learning different treatment techniques before the students are exposed to clinical work.

  3. Clinical demonstrations: undergraduate students must be exposed to different clinical procedures through appropriate demonstrations by faculty members.

  4. Problem based learning: it mainly includes clinical teaching. Every faculty member on his/her OPD day must take at least 45 minutes of clinical teaching mainly based on a particular clinical problem and then outlining the etiology, pathogenesis and management of that particular problem.

Post-graduate teaching:

  1. Seminars: one seminar presentation is to be done by one post-graduate student every week on his/her respective turn. The topics for the seminars are decided by the BOS every year at the beginning of the session for the entire session.

  2. Journal Clubs: one article from reputed journals is discussed once a week

  3. Group discussion: conducted once a week in which all the postgraduate students and faculty members participate

  4. Case Discussions: postgraduate students present their clinical case work in front of the faculty members for discussion and critical appraisal.

  5. Pre-clinical Training: postgraduate students are trained on models for mastering different endodontic and restorative procedures and techniques. The post graduate stuedents are required to spend ther first three months of their course in completeing the preclinical work before they enter the clinics. The preclinical work includes the following:

    1. Wax carving pof all the permanent teeth

    2. Root canal treatment on extracted natural teeeth

    3. Typodont exercise

    4. Wax pattern and casting exercises on typodont and extracted natural teeth

    5. Sectioning of the extracted natural teeth for studying endodontic anatomy.

Each section of the preclinical work is supervised by the respective teachers/faculty members as decided in the meeting of the board of studies(BOS) in the begininig of the session.

Postgraduate students shall be granted entry into the clinics only after the completion of the exercises in all the sections of the preclinical work and duly appreoved by the respective teachers/faculty members.

  1. Clinical demonstrations: The consultants demonstrate different endodontic, restorative and surgical proceures on selected cases to the postgraduate students in the clinics on their alloted days..



OUT PATIENT DEPARTMENT MANAGEMENT


 

 

Purpose:

·         To ensure full coordination of services so that patients get the required best possible care and

·         To respond to the need and expectation of the patients and to enhance patient satisfaction

Scope:

 Covers all the patients (new and old) visiting the department for diagnosis and varios treatment procedures both emergency treatment and appointment based.

Standard procedure in OPD:

·         Every patient visiting the OPD will undergo a comprehensive clinical evaluation to determine if the patient needs restorative, endodontic or palliative treatment. Clinical evaluation shall be performed by the consultant on duty and his team comprising of senior resident and postgraduate students.

·         After comprehensive clinical evaluation the consultant on duty will discuss the findings with his/her team and then explain to the patient the treatment procedure needed. The consultant will then allot the patient to undergraduate / postgraduate student depending upon the treatment needed.

·         The consultants are responsible for supervision of all the undergraduate and postgraduate students on their respective OPD days and also for rendering treatment to patients on their working/OT days.

 

 

SOP’s for the functioning of the Undergraduate (UG) Clinic

Activity

Responsibility

  • Open the clinic by 8.30 am and switch the mains on.

  • Clean and disinfect the chairs, spittoons, side trolleys and fill bottles of dental chairs with water.


  • Sweep and swab the department.

  • Register patients and segregate case papers into old and new patients.

  • Sort out and arrange sterilized instruments in trays for use.

  • Dispensing of dental materials to students.

  • Prepare clinical areas before the consultants start treating the patient.

  • At the end of the OPD hours remove all the equipments (handpieces, motors, lightcure units etc) clean and schedule for sterilization.

  • Close the OPD at 4:00 pm, switch of the mains

MTS Staff


Clinical assistants/ MTS Staff



Sweeper/MTS

Clerical/daily wager staff


Staff nurse/ Clinical Assistant/Lab Assistant


Staff nurse/ Clinical Assistant/Lab Assistant

Staff nurse/ Clinical Assistant


Staff nurse/ Clinical Assistant



MTS Staff


 

 





















SOP’s for the functioning of the Post graduate (PG) Clinic

Activity

Responsibility

  • Open the clinic by 8.30 am and switch the mains on.

  • Clean and disinfect the chairs, spittoons, side trolleys and fill bottles of dental chairs with water.


  • Sweep and swab the department.

  • Register patients and segregate case papers into appointment patients and patients requiring emergency treatment.

  • Sort out and arrange sterilized instruments in trays for use.

  • Dispensing of dental materials to resident doctors and consultants on duty.

  • Prepare clinical areas before the consultants start treating the patient.

  • At the end of the OPD hours remove all the equipments (handpieces, endomotors, apex locators, lightcure units etc) clean and schedule for sterilization.

  • Close the OPD at 4:00 pm, switch of the mains

MTS Staff


Clinical assistants/ MTS Staff




Sweeper/MTS staff


Clerical/daily wager staff


Staff nurse/ Clinical Assistant/Lab Assistant


Staff nurse/ Clinical Assistant/Lab Assistant

Staff nurse/ Clinical Assistant


Staff nurse/ Clinical Assistant




MTS Staff
























SOP’s for the functioning of the casting Lab and the Ceramic Lab.

Dental laboratory is a place where indirect restorations (temporary and permanent) are fabricated.

Types of restorations fabricated:

1.      Cast metal restorations

2.       Porcelain fused to metal (PFM) restorations

3.      Castable Ceramic restorations

Responsiblity:

Lab Technician, Junior Lab. Technician.

Impressions, wax patterns and bite registration are received from the clinics and then further process of fabrication of restorations is started.

Protocol:

All impressions, bite registrations or other items placed in the patient’s mouth should be disinfected before sending them to the lab or utilizing the Department’s lab.

After the impression is made, rinse it in water to remove blood and saliva and shake gently to remove excess water.

Spray the impression with a disinfectant until it glistens and place into a zip-lock bag or immerse in a disinfectant for 10 minutes, depending on the type of impression material.

Be sure to use fresh disinfectant for each impression.

Rinse the impression thoroughly and pour up the model.

DISINFECTING IMPRESSIONS*

Alginate

Method: Rinse with water

       Spray until glistens

       Seal in plastic bag for 10 minutes

       Rinse impressions and pour

Recommended Disinfectants: Sodium hypochlorite (Bleach) 1: 10 dilution (example: 1/4 cups bleach to 2 1/2 cups water) Iodophor solution (1:213)

 

Zinc Oxide-Eugenol

Method: Rinse with water

       Immerse for 10 min. in fresh disinfectant

       Rinse

Recommended Disinfectants: 2%.Glutaraldehyde

       Iodophor solution (1:213)

Polysulfides

Method: Rinse with water

       Immerse for 10 min. in fresh disinfectant.

       Rinse

Recommended Disinfectants: Sodium Hypochlorite (Bleach) 1: 10 dilution

       Iodophors

       Phenols

       Glutaraldehyde

 

Silicone Materials

Method: Rinse with water

       Immerse in disinfectant for recommended time.

       Rinse

Recommended Disinfectants: 2%.Glutaraldehyde (acidic)

 

Polyether Materials

Method: Rinse with water

       Spray with disinfectant

       Seal in a plastic baggy for recommended time.

       Rinse

Recommended Disinfectants: Fast acting Chlorine dioxide

       Glutaraldehyde

                 Phenol Glutaraldehyde

 

Reversible Hydrocolloid (agar)

Method: Rinse with water

       Immerse in disinfectant

Recommended Disinfectants: Iodophors (1:213)

       Bleach (1:10)

       Glutaraldehyde with phenol buffer (diluted1:16)

 

*Consult manufacturer for recommended disinfectant for impressions material if in doubt.

Use of Lathe

Protective barriers must always be worn when working with a lathe. Never use a polishing lathe, rag wheel , brushes or pumice in the laboratory without first disinfecting the appliance. Rag wheels can be heat sterilized.

The following is a suggested method on handling the pumice pan.

1. Line the pumice pan with plastic wrap.

2. Use fresh pumice per patient procedure.

3. Use sterilized rag wheel.

4. Disinfect the prosthesis as necessary.

5. Discard plastic, pumice and change rag wheel.