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Guidelines for Emnanelment of Dental Clinic under RSBY-MSBY
Minimum Requirements for Empanelment of Dental Clinic
Oualification and Experience:
by Dental Council of India
eualified and Registered MDS from recognized University approved
uird Minirtty of Health and Family Welfare, GoI. MDS shall specify branch with degree.
OR
At least two BDS, one of them must have 8 years of working experience with approved Dental
College/Clinic.
Clinic, sufhcient space for dental
Space: Minimum area shall be 565 sq ft. as per BIS for Dental
dental hygiene,-dental workshop etc. It shall be well aerated, well
consultation cum -surgery,
illuminated and sPacious.
of mechanical power
complete Dental chair unit: At least 2 dental chairs with inbuilt source
tandardaccessorieslikegoodillumination,basicinstruments,
points'
suction hoses, lighq ultrasonlic scaler, micromotor
connection,
spittoon, inlet/outlet water
tips, etc'
airotor points, 3 way syringe with removable and auto clavable
Iland piece: with
each dental chair.
Amalqamator
and other treatments'
Dental Instruments: Tooth extraction, root canal treatment
ambu bag'
Resuscitation equipment: Laryngoscope with mask and
stethoscope'
machine,
Evaluation equipment: Blood pressure
adhesive tapes' band aid' syringes'
Treatment equipment: IV solutions, IV tubing, angiocath,
alcohol wipes, etc.
atropine' hydrocortisone'
Emergency drugs: Epinephrine, antihistaminic, nitroglycerine,
protocols with event record register'
aspirin, sugar, bronchodilatoi, instant sugar etc. Emergency
passed their
periodic check registers with document;J sign of staif ctrect ing it. No drug have
Emergency Drugs Card with its
expiration and date and all equipments i! operational'
Emergency drug logbook'
Indications, contraindications, doses and method of d.liutty'
masks and cannulas or working central
oxveen facilitv: oxygen cylinder (check filled) with
s.rppty
*tth;ask
and other required accessories'
**#'*--
Suction machine in running condition with sterilized consumables.
Sterilization: Facilities for complete and comprehensive sterilization should be available in the
Gntal clinic with modern methods of sterilization like autoclave/hot air oven/electrical
sterilization and chemical sterilization. Surgical Instrument Sterilizer in working condition.
Autoclave register/equivalent record and its maintenance.
Dental laboratorv: Shall have minimum basic equipment required for making or repair dentures
anA Oetttat apptiances. It shall be well aerated, well illuminated, and spacious' Provision for dust
extraction should be there.
Dental X-ray machine with lead apron, AERB license as per applied regulations for given
equipment.
Documentation: Clinical file to be maintained for each patient, duplicate to be kept with Clinic'
Documentation must include the following important information
following heads:
o Patient Name
o Age/Gender
o Date of each visit:
o Contact Number :
o Full Address
o Chief complaint,
o History of Present illness,
o Past medical historY,
o Extra oral examination,
o lntra oral examination,
o Examination of teeth
r Diagnosis
o Investigationdonelmaging/X-ray
o Treatment
Above mentioned heads to be filled
mandatorily
r
/t /
/''Ir/t'
/,/Y
U"
for
each patient under
Current
Package Name
Code
FP00100015
Fistulectomy
Fixation of fracture of iaw
Sequestrectomy
Tumour excision
Apisectomv includine LA
Complicated Ext. per Tooth including LA
Cvst under LA (Laree)
Cyst under LA (Small)
Extraction of tooth includine LA
Fracture wirine includine LA
Gingivectomy per Tooth
lmpacted Molar includine LA
Intra oral X-rav
Extraction of tooth under GA for Children
FP00100016
RCT
FP00100017
for multiple teeth (per quadrant)
Extaction of multiple teeth under LA
Tooth filline
MTA tooth perforation repair/Apexification+G50?
Root canal treatment (with out crown)
Fixed Orthodontic Appliance with prior approval from lA
1250
Removal Orthodontic Appliance
Extra Oral facial X-ray
3000
250C
FP00100059
Removable complete dentures (Acrylic Base) per arch
Cast partial dentures pre arch
FP00100060
Sinele
FP00100001
FP00100002
FP00100003
FP00100004
FP00100005
FP00r00006
FP00100007
FP00100008
FP00100009
FP00100011
FP00100012
FP00100013
FP00100014
FP00100018
FP00100052
FP00100053
FP00100054
FP001000ss
FP00100056
FP00100057
FP00100058
FP00100061
FP00100052
FP00100063
FP00100054
FP00100055
1030c
1200c
800c
1200c
L20C
L20C
500c
350
300
6000
300
t200
100
L200
2000
followed by caping
Flap operation
1250
300
1500
1200
8000
30c
5000
tooth cappine/FPD per unit
Maxillofacial prosthesis and obturator
Biopsy in case of tumour and cyst
Iooth Scaling for periodontitis
1000
6000
500
1000
800
Subeineival Curettage per Quardrant
Distraction osteogenesis of mandible or maxilla
15000
AWWI'-
RSBY U'G'i-<Atru''