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Dental 22

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DENTAL AUXILIARY

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A Dental auxiliary is a person who
is given responsibility by a dentist
so that he or she can help the
dentist render dental care, but
who is not himself or herself
qualified with a dental degree.

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CLASSIFICATION
BY WHO (1967)
Dental
auxiliary

Non-
Operating
operating

laborator
Clinical
y

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Revised classification
NON-OPERATING OPERATING
AUXILIARIES AUXILIARIES

Dental surgery School dental nurse


assistant
Dental therapist
Dental secretary
Dental hygienist
Dental laboratory
technician Expanded function
dental auxiliaries
Dental health
educator 4
NON-OPERATING DENTAL
AUXILIARY

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1.DENTAL SURGERY ASSISTANT

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• A non-operating auxiliary who assists the dentist or
dental hygienist in treating patients, but who is not
legally permitted to treat patient independently.
• Perform non – technical work that do not require any
or much training.
• Also known as:
 Dental assistant
 Chair side dental assistant
 Dental nurse

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FOUR HANDED DENTISTRY
• The art of seating both the dentist and the dental
assistant in such a way that both are within easy
reach of the patient’s mouth.
• The patient is in a fully supine position.
• The assistant will hand the dentist, the particular
instrument he needs.
• She will also perform additional tasks such as
retraction or aspiration. The dentist thus can keep his
hands and eyes in the field of operation and work
with less fatigue and greater efficiency.
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2.DENTAL SECRETARY / RECEPTIONIST
• Assists the dentist with his secretarial work and
patient reception duties.

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3.DENTAL LABORATORY TECHNICIAN
• Is a non- operating auxiliary who fulfils the
prescriptions provided by dentists regarding
the extra oral construction and repair of oral
appliances and bridge work.
• Also known as dental mechanics.

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As per the Indian Dental Act of 1948, dental
mechanic is a person who makes or repairs
dentures and dental appliances.
They receive training through apprenticeship
which is associated with formal training at a
dental school or technical college.
Formal training period covers 2 years.

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DUTIES :
• Casting of models from impressions made by the
dentist.
• Fabrication of dentures, splints, orthodontic
appliances, inlays, crowns & special trays.

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The DCI has prescribed that,
• The course of studies should extend over a period of
2 academic years and lead to the qualification of
dental mechanic certificate.
• The candidate should be at least 15years of age at
the time of admission or within 3 months of it and
should be medically fit.
• The candidate must have passed at least
matriculation examination of a recognized university
taking science subject or an equivalent recognized
qualification.

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Denturist
• Is a term applied to those dental laboratory
technicians who are permitted to fabricate dentures
directly for patients without a dentist’s prescription.
.

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• They may be licensed or registered.
• The desire for autonomy among dental
laboratory technicians led to the formation of
‘denturists’. Their craft is called ‘denturism’.
• According to that, if the patient is in need of a
denture, from the impression onwards, is
done by the technician in direct relationship
with the patient.

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• The ADA defines ‘denturism’ as the fitting and
dispensing illegally to the public.
• Tasmania, a state in Australia, was the first place
where technicians were legally permitted to provide
a prosthetic service.

The ADA has vigorously opposed the denturist movement at


the political level. The Association’s principal argument is
that denturists are unqualified to treat patients and that
poor quality care and actual harm could result to patients.
The WHO expert committee on Auxiliary Dental
Personnel(1959) has recommended that only qualified
dentists may work directly on patients.
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4.DENTAL HEALTH EDUCATOR
• This is the person who instructs in the
prevention of dental disease and who may also
be permitted to apply preventive agents intra
orally.

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