Job description for the specialty “Dentist-surgeon”

Job description of a dental surgeon

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Job Description No. __ Dentist Surgeon

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1. GENERAL PROVISIONS

1.1. This job description defines the job duties, rights and responsibilities of a dental surgeon.

1.2. A dentist-surgeon is appointed to a position and dismissed by order of ______________ in accordance with the current legislation of the Russian Federation.

1.3. The dentist-surgeon is directly subordinate to ______________________, and in his absence – to __________________________________.

1.4. During the absence of a dental surgeon (business trip, vacation, illness, etc.), his duties are performed by another employee appointed _____________________.

2. QUALIFICATION REQUIREMENTS

2.1. A person who has __________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________ is appointed to the position of a dental surgeon.

2.2. A dentist-surgeon in his activities is guided by:

– legislative and regulatory documents in the field of healthcare; – the charter, orders and instructions for the establishment; – ________________________________________________________________; – this job description.

2.3. A dental surgeon should know:

– legislative and other regulatory legal acts on health issues; – the basics of organizing medical and preventive care in hospitals and outpatient clinics, ambulance and emergency medical care, disaster medicine services, sanitary and epidemiological services, drug provision for the population and medical and preventive institutions; – theoretical foundations, principles and methods of medical examination; – organizational and economic foundations of the activities of healthcare institutions and medical workers in the conditions of budgetary insurance medicine; – fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology; – legal aspects of medical activities; – general principles and basic methods of clinical, instrumental and laboratory diagnostics of the functional state of organs and systems of the human body; – etiology, pathogenesis, clinical symptoms, clinical features, principles of complex treatment of major diseases; – rules for providing emergency surgical dental care; – basics of examination of temporary disability and medical and social examination; – basics of health education; – modern methods of prevention, diagnosis, treatment and rehabilitation of surgical diseases of the maxillofacial area; – content and sections of surgical dentistry as an independent clinical discipline; – tasks, organization, structure, staffing and equipment of the surgical dental service; – rules for preparing medical documentation; – principles of planning and reporting of surgical dental services; – methods and procedures for monitoring the activities of the surgical dental service; – basics of labor legislation; – Labor regulations; – rules on labor protection, environmental protection, industrial sanitation and fire safety.

3. JOB RESPONSIBILITIES

Dentist surgeon:

3.1. Provides qualified medical care in the field of surgical diseases of the maxillofacial area, using modern methods of prevention, diagnosis, treatment and rehabilitation, approved for use in medical practice.

3.2. Determines the tactics of patient management in accordance with established rules and standards.

3.3. Develops a plan for examining the patient, clarifies the scope and rational methods of examining the patient in order to obtain complete and reliable diagnostic information in the shortest possible time.

3.4. Based on clinical observations and examination, anamnesis, data from clinical, laboratory and instrumental studies, establishes (or confirms) a diagnosis.

3.5. In accordance with established rules and standards, prescribes and monitors the necessary treatment, organizes or independently carries out the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and activities.

3.6. Makes changes to the treatment plan depending on the patient's condition and determines the need for additional examination methods.

3.7. Provides advisory assistance to doctors of other departments of the medical institution in their specialty.

3.8. Provides emergency surgical dental care in full on an outpatient basis and in a hospital setting.

3.9. Supervises the work of the nursing and junior medical personnel subordinate to him (if any), assists them in the performance of their official duties.

3.10. Monitors the correctness of diagnostic procedures, operation of instruments, apparatus and equipment, rational use of reagents, compliance with safety and labor protection rules by nursing and junior medical personnel.

3.11. Participates in conducting training courses for medical personnel.

3.12. Plans his work and analyzes his performance indicators.

3.13. Ensures timely and high-quality execution of medical and other documentation in accordance with established rules.

3.14. Conducts sanitary and educational work on the prevention of surgical dental diseases of the maxillofacial area.

3.15. Complies with the rules and principles of medical ethics and deontology.

3.16. Participates in the examination of temporary disability and prepares the necessary documents for medical and social examination.

3.17. Conducts an analysis of his own work and the work of subordinate specialists with secondary medical education.

3.18. Monitors compliance by nursing and junior medical personnel with safety regulations and sanitary-epidemiological regime.

3.19. Qualifiedly and timely carries out orders, instructions and instructions from the management of the institution, as well as regulatory legal acts related to his professional activities.

3.20. Promptly takes measures, including timely informing management, to eliminate violations of safety regulations, fire safety and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors.

3.21. Systematically improves his skills.

4. RIGHTS

A dentist surgeon has the right:

4.1. Independently establish a diagnosis in the specialty based on clinical observations and examination, medical history, data from clinical, laboratory and instrumental studies.

4.2. Determine patient management tactics in accordance with established rules and standards.

4.3. Prescribe instrumental, functional and laboratory diagnostic methods necessary for a comprehensive examination of the patient.

4.4. Carry out diagnostic, therapeutic, rehabilitation and preventive procedures using approved diagnostic and treatment methods.

4.5. Involve, when necessary, doctors of other specialties for consultations, examination and treatment of patients.

4.6. Make proposals to the management of the institution on improving the diagnostic and treatment process, including improving the work of paraclinical and administrative services, issues of organization and conditions of their work.

4.7. Monitor the work of subordinate employees (if any), give them orders within the framework of their official duties and demand their strict execution, make proposals to the management of the institution for their encouragement or imposition of penalties.

4.8. Request, receive and use information materials and regulatory documents necessary to perform their official duties.

4.9. Pass certification in the prescribed manner with the right to receive the appropriate qualification category.

4.10. Take part in meetings, conferences, sections where issues related to professional competence are discussed.

4.11. Improve your qualifications through advanced courses ___________________.

5. RESPONSIBILITY

The dentist-surgeon is responsible for:

5.1. For improper performance or failure to fulfill one’s job duties as provided for in this job description - in accordance with current labor legislation.

5.2. For violations committed in the course of carrying out its activities - in accordance with current civil, administrative and criminal legislation.

5.3. For causing material damage - in accordance with current legislation.

5.4. For violation of labor regulations, fire safety and safety regulations established in the organization.

The job description was developed in accordance with the order of ______________________.

AGREED

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I have read these instructions.

I received one copy in my hands and undertake to keep it at my workplace.

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Cosmetic interventions

The need for cosmetic surgery in the oral cavity arises from functional and anatomical defects of soft and bone tissues resulting from:

1. congenital malformations of the dental system;
2. injuries;
3. age-related changes;
4. inflammatory diseases;
5. surgical intervention.

The main cosmetic operations include: gingivoplasty, vestibuloplasty, frenuloplasty, elimination of gingival recession.

Gingivoplasty

Gingivoplasty is an operation performed on the gums to improve the aesthetics, condition and functionality of periodontal tissue.

During the process of gingivoplasty, the dental surgeon adds missing or removes excess gum tissue. Indications for gingivoplasty are:

1. multi-level arrangement of the gum edge;
2. covering a significant part of the tooth crown (“shark smile”);
3. receding (recession) of the gums, exposing the root part of the tooth;
4. presence of periodontal pockets;
5. the need to form the gum edge during prosthetics or implantation;
6. various aesthetic pathologies of the gums.

When performing gingivoplasty, curettage is often performed, tissue is transplanted onto gums taken from other places, and sometimes bone grafting is performed.

Vestibuloplasty

The vestibule of the mouth is the area located between the lip or cheeks and the teeth. A shallow vestibule (less than 5 mm deep), observed in every fifth person, can cause a number of pathologies - excessive tension and atrophy of the gums, exposure of the necks of teeth, malocclusion, jaw deformation, gingivitis, periodontitis, periodontitis.

The defect is corrected using vestibuloplasty. This is not only a cosmetic, but also a medical operation. Its essence is to deepen and expand the vestibule. The operation is performed under local anesthesia.

Vestibuloplasty technique:

1. an incision is made between the gum and the movable part of the vestibule to the entire depth of the mucosa without affecting the periosteum;
2. the mucous membrane with the underlying tendons and muscles is detached and moved inward along the periosteum;
3. a mucous flap is sutured to the newly formed vestibule.

Frenuloplasty

The fold connecting the tongue to the floor of the mouth is called the inferior frenulum or frenulum . Its length is normally 2.7–3 cm, and it is attached approximately to the middle of the tongue.

A shortened frenulum is a pathological (usually congenital) condition leading to dysfunction of the dentofacial apparatus. It causes excessive tension in the gingival tissue, deterioration of blood circulation in the periodontium, exposure of the necks of the teeth, and leads to mechanical injuries.

Infants with a shortened frenulum have problems with sucking milk, older children and adults have problems with diction (lisp).

Due to the strong tension of the frenulum, large gaps appear between the teeth, the bite is disturbed, and an aesthetically unattractive “gummy smile” can form (exposure of a significant part of the gums when smiling).

The pathology is eliminated by frenuloplasty - an operation the essence of which is to cut and/or change the attachment site of the frenulum.

The most appropriate frenuloplasty technique in a particular case is chosen by the dental surgeon, based on the clinical situation.

Elimination of gum recession

Gum recession is a displacement of its edge towards the apex of the root, as a result of which the neck of the tooth is exposed. In young people, this pathology is observed relatively rarely, in about 1 in 10. With age, its frequency increases, reaching 80-95% in older people.

The causes of gum recession are inflammatory processes in the periodontium, malocclusion, individual structural features of teeth, gums and jaws, injuries, and age-related changes in the dentofacial apparatus.

The consequence is exposure of the tooth roots, hypercementation, development of caries, swelling, bleeding, and loose teeth.

Gum recession is most often treated surgically, although conservative treatment methods have also been developed and used.

Surgical intervention consists of covering exposed dental roots with tissue flaps (DSDT, SST, SDT grafts), special membranes, and displacement of the mucous membrane from the gums. A combination of these methods is possible.

Other responsibilities

Naturally, the doctor’s responsibility does not end there. He is also responsible for the preparation of all documentation depending on him, and the preparation of these materials must be timely and of high quality. The specialist must also provide all the necessary statistical information on his own activities. In addition, the doctor is responsible for the work performed by his subordinates. He must be responsible for fulfilling not only his official duties, but also the work of the employees who are subordinate to him. Well, the last point is responsibility for quickly and timely taking all necessary measures in case of violation of certain rules, for informing management, and so on.

conclusions

Well, now you have a more complete understanding of what the job description of a doctor who plans to work as a dental surgeon is. Of course, you should understand that job descriptions at different places of work may differ slightly, but in general they will be similar to what is described in this article. All the main points of rights and responsibilities are described here, you also became familiar with the responsibilities that will be assigned to you in this position. And now you are completely ready to take a serious step.

Competence and Responsibilities

A dentist-implantologist can only be a certified specialist who has completed the necessary training in this field.

The required knowledge of this doctor includes:

• Human Anatomy and Physiology;
• Structure of the skull and jaw apparatus;
• Have knowledge and experience in dental surgery;
• Complete training in dental implantation;
• Ability to work with dental instruments and equipment;
• Know about the compositions and effects of medicines (especially anesthetics);
• Have diagnostic skills;
• Be able to read x-rays.

An implantologist restores lost teeth by implanting artificial roots, on which a prosthesis will subsequently be installed.

His competence includes the following dental defects in a patient:

1. Single absence of elements of the jaw arch. In this case, there are neighboring teeth that can serve as a support for prosthetics, or may remain unaffected.
2. Missing teeth on one or both jaws. In such a situation, removable or non-removable structures are used.

Modern developments in implantology make it possible to restore any defects.

Work with children

Performing operations on younger patients is a complex undertaking. The psychological aspect is of paramount importance.

The child is afraid of any intervention, especially in the dentist’s office. It is important for the specialist to gain the trust of the little patient and carry out the procedure with the least discomfort.

For this purpose, special attention is paid to the choice of medications and selection of anesthesia. It is important to consider the possibility of allergic reactions and drug intolerance. Anesthesia should be used in a minimum concentration for a short period of time.

If possible, administering anesthesia by injection should be avoided.

The doctor must take into account that the tissues are just being formed and their constant and not always uniform growth occurs, therefore the introduced elements must be installed taking into account the development of the oral organs.

Useful tips for patients

Removal or loss of teeth always leads to changes in the structure of the jaw apparatus:

1. The bite changes. The teeth begin to shift, resulting in increased stress on the peri-labial tissues and front teeth. Gaps appear between the teeth, where food debris gets stuck and caries and gingivitis develop.
2. In places where teeth are missing, the load is reduced, which leads to bone tissue atrophy.
3. Changes in the bite and uneven distribution of the load cause loosening of teeth and their loss.

The longer teeth are missing, the more the jaw apparatus changes. Many processes are irreversible and lead to complete loss of teeth.

If you lose one or more teeth, it is necessary to restore them as soon as possible using implantation. This will avoid complications.

The video provides additional information on the topic of the article.

Tooth-preserving operations

If there is an advanced pathological process in the oral cavity, it is always easier to solve the problem radically - to remove the affected tooth. But a good specialist will do everything to save all the incisors and molars. What does a highly qualified dental surgeon do? He considers all possible treatment options for the disease and chooses the one that will cost the least amount of damage.

If the tooth is not completely destroyed, the specialist makes an incision in the gum and removes the pathological area. Such operations are not simple, but they allow you to save the tooth. Very often, resection of the root apex is performed. It is worth asking in advance what the dental surgeon does during such an intervention. The specialist removes the affected tooth root and cuts out the infected soft tissue. The dentist fills the resulting defect with bone material and sutures the wound.

Cystectomy is another type of surgical intervention aimed at preserving a tooth. Such manipulations are performed if there is a cyst on one of the roots. Under local anesthesia, the specialist removes the pathological formation and cuts off the damaged root. As in the previous case, the defect is filled with bone material, and the wound is sutured. To reduce the likelihood of complications, the surgeon additionally administers antibacterial therapy.

If we consider what a dental surgeon does, it becomes clear that such a profession involves great responsibility. When choosing a specialist, you should pay attention to experience, level of qualifications, and study patient reviews.

Indications for surgical treatment

If pain or other signs of a pathological process appear, the patient initially turns to a dentist-therapist. If conservative treatment fails, the patient is referred for consultation to a dental surgeon. Most often, the need for such treatment arises in the following cases:

• advanced carious process of wisdom teeth;
• the need to remove baby teeth for normal growth of permanent molars or incisors;
• rapidly progressing disease of the oral cavity with the formation of pus;
• third degree of periodontitis with mobility of incisors and molars;
• impossibility of restoring a molar or incisor damaged by caries;
• the presence of molars or incisors on the jaw fracture line;
• the need for implantation of prostheses.

The complexity of surgical treatment depends on the diagnosis and the degree of neglect of the disease. The position of a dental surgeon involves both simple and complex interventions. With a simple tooth extraction, the operation takes no more than 10 minutes and is performed in a dental office. Surgeries for complex diseases are performed in a hospital setting under general anesthesia. After such an intervention, the patient should remain under medical supervision for several more days.

A little bit of history

Tooth loss has occurred in people at all times. The first attempts to restore implants were noted in ancient times.

The initial goal of such procedures was to restore the functional abilities of the jaws. The first artificial teeth were inserted only during meals, because... were practically not fixed on the jaw.

To carry out procedures, people used improvised means - wood, metal, teeth of animals and other people.

In the 19th century, the first intraosseous implants appeared, which served as the basis for modern products.

The concept of an implantologist appeared only at the beginning of the last century. Today, this branch of dentistry is very developed and has a wide range of artificial implants that are highly aesthetic.