Dental prophylaxis

Research conducted in our country and abroad, showed that highly advisable to efficiently organize the work of the subsidiary paramedical workers. Nurse should instruct the implementation of several activities, which usually produces dentist: removal of supragingival dental plaque, physiotherapeutic procedures, the imposition and delete temporary fillings, grinding and polishing permanent fillings, rubbing fluoride and painkillers pastes, functional tests at the dentist, medical records and other
After analyzing the data, the authors concluded that the expansion of the functions of nurses improves productivity doctor from 40 to 80%.
Century, Belousov (1974) studied the activities of nurses in outpatient stomatological institutions and found that on unproductive activities they support 44.1 % of the working time, including 29.9% on "staying" for lack of work, and 8.1 per cent to perform unskilled work.
Auxiliary nurses is less than 50% of the time. C. G. Belousov explains that nurses outpatient dental clinics do not the whole amount of auxiliary work, but only 3-4 species her (preparation of filling materials - 11,6%; communication with other units - 12,2%; keeping of medical documentation - 6.6 percent).
On the basis of the conducted research the author showed that in the work of nurses outpatient dental clinics on the main reception (therapeutic, parodontological, orthopaedic) working hours are wasted, there is no clear definition of responsibilities, limited functional activity, there is a significant reserve of time. For a rational solution of this problem the most dentists consider it necessary to more clearly define the responsibilities and expand the functions of nurses outpatient dental clinics.
On the basis of the executed Century, Belousov, in this respect, studies, literature data and our experience should be encouraged nurses outpatient dental clinics (including the precinct of the principle of service), the following kinds of works on therapeutic reception:
Preparatory work:
a) sterilization and layout tools;
b) selection of outpatient cards re sick and maps of dispensary registration;
C) preparation of the working place of a doctor for the patients;
g) the maintenance in operational condition of tools and equipment;
d) obtaining the missing materials, supplies or equipment.
Auxiliary work:
a) call the patient and its preparation for the reception;
b) assisting the doctor;
in the preparation of filling materials and medicines;
d) complete medical documentation as instructed by the doctor;
e) relationship with other departments of the institution.
Diagnostic and therapeutic work:
a) the imposition and delete temporary seals;
b) rubbing fluoride and painkillers pastes;
C) holding intramuscular, subcutaneous injection, and infiltration of injections in the oral cavity;
d) removal of dental plaque;
d) the imposition of periodontal top pastes;
e) carrying out various applications and controlled rinsing;
g) physical therapy (massage, hydrotherapy, vacuum therapy, electrode-adiagnostic, electrophoresis , and so on);
C) functional tests for diseases of the periodontium (determination of capillary resistance Century by the Imperial kulazhenko, the definition of Schiller's test - Pisarev and others).
Prevention and health education:
a) definition of hygienic index;
b) training of rational methods of hygiene of an oral cavity;
C) holding anticariogenic applications and rinse;
g) covering teeth with fluoride and covering varnishes;
e) exercise control over the introduction of pelletized preventive preparations;
e) carrying out of sanitary-educational work on the site and in the clinic.
Expansion of functions of nurses in therapeutic and periodontal techniques outpatient dental clinics, according to C. G. Belousova, significantly increase the productivity of dentists. Thus, the number of visits to adult therapeutic reception were up 37.7%, on children's therapeutic - 40%, periodontal - 14, 5%. The number sanitized patients increased by 36%; 82%; 18%.
Thus, increasing the role of nurses in outpatient dental clinics opens great opportunities to improve patient care. However, in this case requires special training nurses for dental out-patient facilities at the courses of specialization and advanced training, as well as the organization of specialized departments of medical colleges for training of dental nurses.
Taking into account the expansion of the functional responsibilities of nurses optimal should be considered as the ratio of dentists and nurses is 1:1.
A significant amount of work is necessary on nurses kindergartens and schools in their prevention of dental caries. So, the introduction anticariogenic drugs and registration of this activity carried out usually nurses under the control of dentists and doctors working in schools and kindergartens.
Nurses can lead issuance of powder products (glycyrrhizinate calcium, marine cabbage, vitamins, etc), pre-batching them in a special measuring cups.
The medication should be carried out under the direct supervision of nurses.
Training hygienic skills and controlled cleaning of the teeth prophylactic toothpaste can also be specially trained nurses. They should help doctors monitor the development of children, fixing anthropological data in the log.
Thus, the medical sister in the implementation and organization of dental prophylaxis belongs to a big and important work, which influences the amount and quality of health care, sanitary and hygienic propaganda of knowledge and rhythm of work of dental clinics.