Equipping a dental office for licensing


Licensing procedure

Article 12 of Federal Law No. 99-FZ of May 4, 2011, which defines the general licensing rules in Russia, establishes that all types of medical activities are classified as licensed. A specific list of areas of dentistry in the license is given in an additional regulatory document - Government Decree No. 291 of April 16, 2012. It includes the following areas of work activity of a doctor in dentistry:

  • hygienic;
  • general;
  • children's;
  • area of ​​general practice;
  • orthopedic;
  • preventive;
  • therapeutic;
  • surgical

Each of these areas requires a separate license. To obtain it, the applicant will have to study the list for a dental office license, which describes the necessary equipment. The issuance of such documents is carried out by Roszdravnadzor and relevant departments of regional executive authorities.

To obtain a license, the applicant provides the regulatory agency with a package of documents confirming that he meets the established standards and has purchased the necessary equipment in quantities not less than the established one. Based on the results of consideration of the application, a decision is made to grant a license or refuse to issue it. If the decision is positive, the validity period of such a document is not limited in accordance with Part 4 of Article 9 of 99-FZ.

Required documents

To obtain a license to operate a dental clinic, the applicant will need to draw up an application according to the established template. It is given in the appendix to Roszdravnadzor Order No. 3166 dated May 5, 2014. You will need to attach a list of documents to it that will confirm that you have fulfilled the current requirements for licensing orthodontists or other dentists and are ready to start working. The list of such documents includes:

  • notarized copies of the company’s constituent documentation;
  • copies of documents confirming the legal right to use premises suitable for the provision of services and having an area not less than the established one - for example, a certificate of ownership or a lease agreement;
  • copies of documents indicating that the applicant has the legal right to use medical equipment and equipment in an amount not less than necessary to perform work in the chosen field of dentistry;
  • information on the compliance of the existing premises with sanitary and epidemiological safety standards;
  • copies of registration certificates for the equipment used;
  • copies of diplomas, certificates and certificates confirming that the head of the organization and its doctors have the required level of education, qualifications and work experience in the relevant profile that is not less than established - for example, this is a physiotherapy room for licensing a dental organization or a functional diagnostics room;
  • copies of diplomas or certificates of staff members who will be involved in the maintenance of medical equipment, or a copy of the agreement with the organization that will provide such maintenance;
  • a copy of the receipt confirming payment of the state fee for the provision of the service for issuing a license;
  • a list of documents provided as part of the package.

List of required equipment

One of the important licensing conditions that the applicant must meet is the equipment of dentistry for licensing, that is, the availability of medical equipment in an amount no less than necessary to provide quality services. This issue is regulated by a separate legal act - order of the Ministry of Health dated December 7, 2011 N 1496n. Appendix No. 11 to this order provides the current standards for equipping different types of dental offices for licensing. This section of the document contains standards for:

  • general practice offices as part of a dental clinic;
  • therapeutic, surgical, orthopedic dentistry offices as part of a specialized clinic;
  • a dental laboratory operating as part of a specialized clinic;
  • an orthodontic, physiotherapeutic, x-ray room as part of a dental clinic, as well as a functional diagnostics room and a mobile unit;
  • centralized sterilization unit as part of the clinic.

The required dental equipment for a license given in the document is differentiated for organizations in which doctors provide inpatient and outpatient care to patients.

ATTEK center services

The ATTEK Center has been providing support for licensing applications for dental clinics and offices for many years. This is one of the core areas of our activity, which is handled by highly professional employees. They thoroughly know the standards of current legislation and regulatory authorities in this area, and in addition, they regularly monitor current legislation for changes. We offer you a full range of work that allows you to quickly obtain a dental license.

Equipment standard for a general practice department (office) of a dental clinic Standard equipment for a general practice department (office) at a dental clinic

Appendix No. 11 to the Procedure for providing medical care to the adult population for dental diseases, approved. by order of the Ministry of Health and Social Development of the Russian Federation dated December 7, 2011 No. 1496n.

Name of medical equipment, instruments, soft equipment, medical products, etc.Required quantity, pcs.
1Autoclave (steam sterilizer), in the absence of a central sterilization unitat least 1 per department (office)
2Water distiller (medical), in the absence of a central sterilization unitat least 1 per department (office)
3Autoclave for handpieces (tabletop steam sterilizer)*at least 1 per office
4Amalgam mixer*at least 1 per office
5An air-abrasive device for removing dental plaque in the absence of a universal working place for a dentist (hereinafter referred to as MRU) and a dental unit (hereinafter referred to as US)at least 1 per doctor’s workplace
6Apparatus for disinfection of impressions, dental products and instruments*at least 1 per office
7Apparatus for diagnosing pulp vitality (electroodontometer)at least 1 per office
8Device for making individual mouth guards*at least 1 per department (office)
9Apparatus for determining the depth of the root canal (apex locator)at least 1 per office
10Device for phonophoresis (medicinal electrophoresis)* in the absence of a physiotherapy roomat least 1 per office
11Ultrasonic dental plaque removal device (scaler) if not available in MRU and USat least 1 per doctor’s workplace
12Articulator (dental) with facebow*at least 1 per office
13Surgical aspirator (suction device), if not available in MRU and USat least 1 per doctor’s workplace
14Bixes (sterilization box for storing sterile instruments and material)as needed***
15Dental drill*at least 1 per office
16Portable dental drill*at least 1 per department (office)
17Vibrating table (dental, dental)*at least 1 per office
18Gypsum sedimentation tanks (sludge trap)at least 1 per sink
19Dental burner (alcohol, gas, piezo)at least 1 per office
20Dental diathermocoagulator if not available in MRU and USat least 1 per doctor’s workplace
21Additional accessories (retraction cords and rings, matrix systems, wedges, occlusion registration materials)at least 1 name of each position per office
22Assorted hemostatic clampsat least 5 titles per office
23Assorted eye probes for probing the duct of the salivary glandsat least 3 titles per office
24Dental instruments (small): - burs, - polishers, - finishers, - shaped heads, - separation discs and wheels, - cutters, - root instrumentson demand
25Incubator for microbiological tests (CO2 incubator for growing cell and tissue cultures)*at least 1 per department (if there is a separate room, taking into account the requirements of SanPiN)
26Disposable products: - syringes and injection needles, - assorted scalpels, - masks, examination, diagnostic, surgical gloves, paper chest napkins for patients, - hand towels in a container, - sanitary napkins, medical underwear for medical personnel, - dressings, - saliva ejectors, - impression trays, - plastic glasseson demand***
27Dental injector, for carpule anesthesiaat least 3 per doctor’s workplace
28Universal dental injector, dosing, for carpule anesthesia*at least 1 per office
29Chambers for storing sterile instruments (in the absence of a packaging system)at least 1 per office
30Dental compressor (oil-free), if not available in MRU and USon demand, taking into account the calculated power
31Dental crown removerat least 1 per doctor’s workplace
32Corsage straightat least 3 per office
33Dental rubber dam*on demand
34Dental chair, if not available in MRU and USat least 1 for two doctor positions during two-shift work
35Surgical hooks, serrated, different sizesat least 5 per office
36Lamp (irradiator) bactericidal for premiseson demand***
37Dental lamp for photo polymerization (light removal) in the absence of MRU and USat least 1 per doctor’s workplace
38Dental impression trays (for orthopedic work)*at least 10 per 1 doctor position
39Surgical spoons (bone), different sizesat least 3 per 1 doctor position
40Binocular magnifying glass for doctorsat least 1 per office
41Packaging machine (apparatus for pre-sterilization packaging of instruments) in the absence of a central sterilization unit*at least 1 per department
42Working place (set of equipment) for a dentist: Dental unit (DS), including a dentist’s unit (drill), a dental chair, a dental hydraulic unit, a dental operating lamp (these parts can be attached to a single supporting frame, or attached mutually, or separately to load-bearing structures (wall, furniture) or a universal working place for a dentist* (MRU), including a US equipped with a turbine, micromotor, diathermocoagulator, ultrasonic scaler, vacuum cleaner, negatoscopeat least 1 set for two medical positions with a two-shift working day
43Micrometer (dental)at least 1 per doctor’s workplace
44Dental micromotor with or without optics (if not available in MRU and US)at least 1 per doctor’s workplace
45A set of devices, instruments, medicines, teaching materials and documents for providing emergency medical care for life-threatening conditions (a first aid kit for providing emergency care for general somatic complications in dental offices)at least 1 per office
46Set (tools, brushes, discs, pastes) for grinding and polishing fillings and denturesat least 1 set for 1 doctor position
47Set of instruments for examining the mouth (basic): - medical dental tray, - dental mirror, - angular dental probe, - dental tweezers, - dental excavators, - wide double-sided trowel, - trowel-filler, - dental spatulaon demand***
48An assortment of tools for removing dental plaque: - excavators - hooks for removing tartarat least 2 per doctor’s workplace
49Tracheotomy instrument setat least 1 per clinic (department)
50Set of tools, needles and suture materialat least 2 types
51A set of medications for individual prevention of parenteral infections (anti-AIDS first aid kit)at least 1 per office
52Set of reagents for control (indicators) of disinfection and sterilizationon demand***
53Microbiological kits (reagents, reagents for bacteriological research) for testing acid-forming microflora when using an incubator for microbiological tests*at least 1 set for 10 visits
54Straight dental mechanical handpiece for micromotor if MRU and US are not included in the kitat least 2 per doctor’s workplace
55Dental mechanical angular handpiece for micromotor if MRU and US are not included in the kitat least 2 per doctor’s workplace
56Dental turbine handpiece without fiber optics in the absence of MRU and US in the kit, and installation without fiber opticsat least 2 per doctor’s workplace
57Dental turbine handpiece with fiber optics* if MRU and US are not included in the kit, and installed with fiber opticsat least 2 per doctor’s workplace
58Dental endodontic handpiece* reducing mechanical angular for micromotor in the absence of MRU and US included in the kitat least 1 per office
59Dental gear handpiece* with fiber optics, increasing mechanical angular for micromotor, for turbine bur when MRU and US are not included in the kitat least 1 per 1 doctor position
60X-ray viewer if MRU and US are not included in the kitat least 1 per office
61Dental knife for plasterat least 1 per doctor’s workplace
62Assorted scissorsat least 3 per doctor’s workplace
63Dental crown scissorsat least 1 per doctor’s workplace
64Dental knife-spatulaat least 1 per doctor’s workplace
65Occluderat least 1 per 1 doctor position
66Dust suction device (dental vacuum cleaner) if MRU and US are not included in the kitat least 1 per doctor’s workplace
67Saliva suction device (dental saliva ejector) if MRU and US are not included in the kitat least 1 per doctor’s workplace
68Impression materials (dental impression materials) of different groupsat least 3 titles per office
69Ultrasonic cleaner (device for ultrasonic cleaning and disinfection of instruments and products)at least 1 per office
70Protective glasses (from light radiation) for the doctor, patient and assistantat least 1 set per doctor’s workplace
71Dental parallelometer*at least 1 per office
72Anatomical tweezers of different sizesat least 2 per doctor’s workplace
73Device and means for cleaning and lubricating tips in the absence of an autoclave for tipsat least 1 per office
74Device (installation) for disposal of syringes and needles* in the absence of centralized disposalon demand***
75Consumable dental materials and medications: - medicinal, - filling, - cushioning materials, - adhesive materials, - materials for sealing dentin, - materials for temporary filling and temporary fixation of fixed dentures, - for permanent fixation of fixed dentures, - anesthetics, - antiseptics drugs, - for the treatment of hypersensitivity, - for fluoride prophylaxisat least 2 names of each type of material per cabinet
76Radiovisiograph or dental x-ray, in the absence of an x-ray room or a contract for radiology diagnosticsat least 1 set per clinic (department)***
77Dental raspatoryat least 2 per doctor’s workplace
78Dental retractors (gingival)at least 2 per doctor’s workplace
79Dental lamp without MRU and US included in the kit1 per doctor’s workplace
80Individual air conditioning and humidification system in medical rooms**in accordance with SanPiN
81Scalpels (holders) and disposable blades in assortmentat least 2 per doctor’s workplace
82Personal protective equipment against ionizing radiation in the presence of a radiation sourcein accordance with SanPiN
83Means and containers for disinfecting instrumentsin accordance with SanPiN
84Glasperlene dental sterilizer for small instruments*at least 1 per doctor’s workplace
85Dry air sterilizer in the absence of a central sterilization unit and an autoclaveat least 1 per office
86Plaster dental table with a working surface made of stainless steel or plastic with a hole for removing plaster wasteat least 1 per office*, at least 1 per department
87Doctor's deskat least 1 per doctor’s workplace
88Dental tableat least 1 per doctor’s workplace
89Chair for a medical assistant if MRU and US are not included in the setat least 1 per assistant’s workplace
90Chair for a dentist if MRU and US are not included in the kitat least 1 per doctor’s workplace
91Medical cabinet for storing consumablesat least 1 per office
92Medical cabinet for medicinesat least 1 per office
93Wardrobe for medical clothes and linenon demand***
94Dental spatula for mixing impression materialsat least 1 per doctor’s workplace
95Dental modeling spatula for waxat least 1 per doctor’s workplace
96Dental spatula for mixing plasterat least 1 per doctor’s workplace
97Dental forceps for removing teeth and tooth roots on the upper and lower jaws in an assortmentat least 15 per doctor’s workplace
98Dental crampon forcepsat least 1 per workplace
99Protective shields (against mechanical eye damage) for doctors and assistantsat least 2 per doctor’s workplace
100Dental elevators for removing tooth roots on the upper and lower jaws in an assortmentat least 5 per doctor’s workplace
101Diagnostic kits for conducting tests to identify neoplasms (screening) and monitoring the treatment of neoplasms*at least 1 per office
102Depophoresis kit*1 per office

* Positions that are mandatory for equipment only when using (declaring) technology that involves the use of these devices, tools, and medications. ** Offices and premises are equipped in which it is not possible to meet sanitary and hygienic requirements with the existing stationary ventilation and air conditioning systems. *** In accordance with sanitary and epidemiological rules and regulations.

Documentation

Order of the Ministry of Health and Social Development of the Russian Federation No. 1496n dated December 7, 2011 Appendix No. 11 Standard for equipment of the department (office) of general practice of a dental clinic

Equipment for dental organizations: regulatory framework

So, the list of main regulatory documents that regulate the standards for equipping a general dentistry office for licensing and other types of dental organizations includes:

  • Federal Law of November 21, 2011 No. 323-FZ, dedicated to issues of protecting the health of citizens;
  • Sanitary and epidemiological requirements for medical organizations SanPiN 2.1.3.2630-10, approved by Resolution of the Chief State Sanitary Doctor of May 18, 2010 No. 58;
  • Decree of the Government of the Russian Federation of April 16, 2012 No. 291, establishing the procedure for licensing medical activities;
  • current Order of the Ministry of Health dated December 7, 2011 No. 1496n, which defines the rules for the provision of dental care to adult citizens by doctors;
  • Order of the Ministry of Health of November 13, 2012 No. 910n, establishing the rules for the provision of dental care to children by doctors;
  • new Order of the Ministry of Health dated July 31, 2021 No. 786n, introducing an updated procedure for the provision of dental services to the adult population by doctors.

New rules for equipping dentistry from 2021

From January 1, 2021, a new list of dental office equipment for licensing, approved by Order of the Ministry of Health No. 786n, will come into force in Russia. The procedure for its operation is determined by an additional regulatory document - Order of the Ministry of Health dated June 9, 2021 No. 560n, which also comes into force on January 1, 2021.

The new equipment rules involve the following changes to the current procedure:

  • In addition to the required number of doctors, each dental office must install its own dental X-ray machine with a digital image receiver. This technique will require the hiring of specialized personnel, including radiologists, and consequently, the permitted organizational and legal forms of organizations that are allowed to engage in this type of work activity will also change. Individual entrepreneurs are prohibited from working with such installations: they will have to re-register as an LLC;
  • operating LLCs, whose list of working equipment for licensing a dental office previously included only a visiograph, will be required to purchase a panoramic X-ray machine. This means they will need a larger room, since each installation will require at least 4 square meters of additional space.

The operation of additional working equipment must be carried out in accordance with SanPiN 2.6.1.1192-03, approved by Resolution of the Chief State Sanitary Doctor of February 18, 2003 No. 8: they regulate the rules of work for doctors in X-ray rooms. In addition, when making changes to the standard list of equipment for equipping a dental laboratory for licensing, all organizations will need to re-issue documents for the equipment, which, of course, will require additional time and financial costs.

Regulatory documents for dentists

Order of the Ministry of Health of Russia dated February 2, 2021 No. 41n “On the specifics of certification by medical workers and pharmaceutical workers to obtain a qualification category in 2021”

Decree of the Government of the Russian Federation of June 17, 2020 No. 868

“On the invalidation of certain acts and certain provisions of certain acts of the Government of the Russian Federation and on the repeal of certain acts of federal executive authorities containing mandatory requirements, compliance with which is assessed during control measures in the implementation of state control of the quality and safety of medical activities” view

Memo on the actions of medical workers directly working with patients confirmed to have a new coronavirus infection (COVID-19) and patients suspected of COVID-19 view

Order of the Ministry of Health of the Russian Federation dated July 31, 2020 No. 786n “On approval of the Procedure for providing medical care to the adult population for dental diseases” (comes into force on January 1, 2021) view

Order of the Ministry of Health of the Russian Federation dated April 30, 2020 No. 394-N “Features of certification for medical workers and pharmaceutical workers to obtain a qualification category”

Letter of the Ministry of Health of the Russian Federation dated April 24, 2020 No. 16-7/I/2-5471 on the application of Order of the Ministry of Health of Russia dated April 14, 2020 No. 327n “On the specifics of admission of individuals to carry out medical activities and (or) pharmaceutical activities without a specialist certificate or certificate of completion of specialist accreditation and (or) in specialties not covered by the specialist certificate or specialist accreditation certificate" view
Order of the Ministry of Health of Russia dated April 14, 2020 No. 327n “On the peculiarities of admission of individuals to carry out medical activities and (or) pharmaceutical activities without a specialist certificate or certificate of completion of specialist accreditation and (or) in specialties not covered by a specialist certificate or certificate of specialist accreditation" view
Infographic “Temporary guidelines for the prevention, diagnosis and treatment of the new coronavirus infection COVID-19” view
Order of the Ministry of Health of the Russian Federation dated June 14, 2021 No. 422n “On approval of the Procedure for providing medical care in the field of maxillofacial surgery” download
Order of the Ministry of Health of the Russian Federation dated December 21, 2021 No. 898n “On amendments to the order of the Ministry of Health of Russia dated December 22, 2017 No. 1043n “On approval of the terms and stages of accreditation of specialists, as well as categories of persons with medical, pharmaceutical or other education and specialists subject to accreditation»» download

Order of the Ministry of Health of the Russian Federation dated December 22, 2021 No. 1043n “On approval of the terms and stages of accreditation of specialists, as well as categories of persons with medical, pharmaceutical or other education and specialists subject to accreditation”

Order of the Ministry of Health of the Russian Federation dated October 13, 2021 No. 804n “On approval of the range of medical services” download

Order of the Ministry of Health of the Russian Federation dated October 13, 2021 No. 805 “On amendments to the annex to the order of the Ministry of Health of the Russian Federation dated December 30, 2014 No. 959 “On the list of chief freelance specialists of the Ministry of Health of the Russian Federation in the federal districts of the Russian Federation”

Order of the Ministry of Health of the Russian Federation dated June 29, 2021 No. 425n “On approval of the procedure for familiarizing the patient or his legal representative with medical documentation reflecting the patient’s health status”

Order of the Ministry of Health of the Russian Federation dated June 2, 2021 N 334n (as amended on December 20, 2016) “On approval of the Regulations on the accreditation of specialists”

Order of the Ministry of Labor and Social Protection of the Russian Federation dated May 10, 2016 No. 227n “On approval of the professional standard “Dentist””

Order of the Ministry of Health of the Russian Federation dated March 14, 2016 No. 127n “On approval of the terms and stages of accreditation of specialists, as well as categories of persons with medical, pharmaceutical or other education and specialists subject to accreditation” has become invalid

Order of the Ministry of Health of the Russian Federation dated December 19, 2021 No. 973n “On approval of standard industry standards of time for performing work related to one patient’s visit to a cardiologist, endocrinologist, or dental therapist” download
Order of the Ministry of Health of the Russian Federation dated April 23, 2013 No. 240n “On the procedure and timing of certification for medical workers and pharmaceutical workers to obtain a qualification category” download
Order of the Ministry of Health of Russia dated November 13, 2012 No. 910n (as amended on September 28, 2021) “On approval of the procedure for providing medical care to children with dental diseases” download
Orders of the Ministry of Health of the Republic of Bashkortostan:

Order of the Ministry of Health of the Republic of Bashkortostan dated September 28, 2021 No. 1476-A “On the prevention of HIV infection in the performance of professional duties”
Order of the Ministry of Health of the Republic of Belarus dated April 8, 2021 No. 483-D “On the certification commission of the Ministry of Health of the Republic of Bashkortostan for assigning qualification categories to medical and pharmaceutical employees." Attachments to the order.

Order of the Ministry of Health of the Republic of Bashkortostan dated January 28, 2021 No. 91-D “On approval of the personnel of the main freelance specialists of the Ministry of Health of the Republic of Bashkortostan” Order Personnel

Order of the Ministry of Health of the Republic of Belarus dated January 25, 2021 No. 70 “ON THE TEMPORARY PROCEDURE FOR PASSING CERTIFICATION FOR MEDICAL AND PHARMACEUTICAL WORKERS TO OBTAIN A QUALIFICATION CATEGORY”

Order of the Ministry of Health of the Republic of Belarus dated April 23, 2020 No. 375-A “On amendments to the order of the Ministry of Health of the Republic of Belarus dated April 2, 2020 No. 273-A “On the provision of emergency dental care to patients undergoing treatment in hospitals, in self-isolation at home (contact with patients with COVID-19, with an established diagnosis of a new coronavirus infection COVID-19) in the Republic of Bashkortostan"

Order of the Ministry of Health of the Republic of Belarus dated April 9, 2020 No. 660-D “On temporary measures to organize certification and assign qualification categories to medical and pharmaceutical workers in pursuance of Decree of the Government of the Russian Federation dated April 3, 2020 No. 440 “On the extension of permits and other features regarding licensing activities in 2021""

Order of the Ministry of Health of the Republic of Belarus dated 04/02/2020 No. 273-A “On the provision of emergency dental care to patients undergoing treatment in hospitals, in self-isolation at home (contacts of patients with COVID-19, with an established diagnosis of a new coronavirus infection COVID-19) in Republic of Bashkortostan" Order of the Ministry of Health of the Republic of Bashkortostan dated December 26, 2021 No. 2331-D "On improving the organization of medical care for the adult population in the field of oncology in medical organizations of the Republic of Bashkortostan"

Order of the Ministry of Health of the Republic of Bashkortostan dated October 25, 2021 No. 1899-D “On the routing of the child population in the Republic of Bashkortostan, including disabled children and children with limited mobility, when providing medical care in the field of pediatric dentistry”

Order of the Ministry of Health of the Republic of Bashkortostan dated March 14, 2021 No. 478-D “On the main freelance specialists of the Ministry of Health of the Republic of Bashkortostan” download
Order of the Ministry of Health of the Republic of Belarus dated March 29, 2017 No. 692-D “On the Councils of the Ministry of Health of the Republic of Bashkortostan” download
Order of the Ministry of Health of the Republic of Bashkortostan dated July 1, 2021 No. 2021 “On the organization of medical care for the adult population for dental diseases in medical organizations of the Republic of Bashkortostan” download
Order of the Ministry of Health of the Republic of Bashkortostan dated September 27, 2021 No. 2834-D “On the organization of medical care for the adult population in the profile of “maxillofacial surgery” in medical organizations of the Republic of Bashkortostan” download

Order of the Ministry of Health of the Republic of Bashkortostan dated April 20, 2012 No. 1071 “On improving measures for the prevention and early diagnosis of oral cancer”

Order of the Autonomous Institution of the Republican Dental Clinic dated May 8, 2021 No. 182-d “On the temporary procedure for organizing the work of the Autonomous Institution of the Republican Dental Clinic in order to implement measures to prevent and reduce the risks of the spread of the new coronavirus infection (COVID-19)” download

Requirements for dental equipment

One of the key standards that a dental organization must satisfy in order to obtain a license to conduct its activities is compliance with established standards for equipping it with equipment and tools. The current list of drugs and equipment for organizing a dental office is contained in Resolution No. 1496n. It contains lists of required items, the number of which is calculated depending on various factors, including:

  • number of doctors' jobs;
  • the number of divisions operating in the organization;
  • the required number of types of equipment per organization;
  • number of patient visits;
  • number of doctor positions;
  • number of assistant jobs;
  • number of shells;
  • other criteria.

Some types of positions are acquired by the organization at its own discretion if necessary - but not less than the minimum values.

General requirements

According to Resolution No. 1496n, the preparation of a list of equipment for dental offices for licensing must be carried out in accordance with the type of organization and the profile of its working activities. The appendices to this regulatory document separately formulate standards for the following types of dental institutions.

Type of organization Units within its composition that are subject to equipment requirements
Dental clinic Department or office of therapeutic dentistry
Department or office of surgical dentistry
Department or office of orthopedic dentistry
Dental laboratory
Orthodontic department or office
Physiotherapeutic department or office
X-ray department or office
Functional diagnostics room
Centralized sterilization department or unit
Mobile dental office
General medical facility providing dental care on an outpatient basis Department of therapeutic dentistry
Department of Surgical Dentistry
Department of Orthopedic Dentistry
Dental laboratory
Orthodontic department
X-ray department
Dental office in educational organizations, recruiting stations and enterprises
Hospital Maxillofacial and Dental Surgery Department
Operating room of the surgical maxillofacial and dental department
Profile division of the surgical maxillofacial and dental department

Standards for different types of organizations

For specialized departments of dental clinics, the list of equipment for licensing a dental office most often contains 100 or more items. For auxiliary units it is somewhat shorter, but also requires a fairly serious approach to equipping everything necessary.

Equipment standard for the radiology department of the clinic

N Name Quantity, pcs.
1. Dental x-ray diagnostic device 1 per office
2. Dental chair 1 per dental device
3. Computed tomograph* 1 per department
4. Disposable products: of necessity***
— masks
— examination gloves, diagnostic
- paper chest napkins for patients
- hand towels in a container
— sanitary napkins
- dressings
5. Lamp (irradiator) bactericidal for premises of necessity***
6. Mobile bactericidal lamp (irradiator) for indoors* of necessity***
7. Dental film developing machine 1 per office
8. Wall-mounted X-ray viewer 1 per doctor’s workplace
9. Assorted scissors 3 per office
10. Orthopantomograph with teleradiographic attachment* at least 1 per department (office)
11. Dental radiovisiograph included 1 per department (office)
12. Individual air conditioning and humidification system in medical rooms** of necessity***
13. Personal protective equipment for X-ray examinations (set) of necessity***
14. Means and containers for disinfecting instruments of necessity***
15. Doctor's desk 1 per doctor’s workplace
16. X-ray technician's table 1 per doctor’s workplace
17. Doctor's chair 1 per doctor’s workplace
18. Medical chair 1 per doctor’s workplace
19. Cabinet for storing chemical reagents and materials at least 1 per office
20. Medicine cabinet at least 1 per office
21. Drying cabinet for X-ray films at least 1 per department (office)
22. Wardrobe for medical clothes and linen of necessity

*Items that are required to be equipped only when using (declaring) a technology that involves the use of these devices, tools, and medications. **Offices and rooms are equipped in which it is not possible to meet sanitary and hygienic requirements with the existing stationary ventilation and air conditioning systems. ***In accordance with sanitary and epidemiological rules and regulations.

Standard for equipping a functional diagnostics unit in dentistry for a specialized clinic

N Name Quantity, pcs.
1. Axiograph* at least 1
2. Dental articulator with facebow* at least 1
3. Electroodontic diagnostic apparatus * (odontosensimeter, odontometer) at least 1
4. Disposable products: on demand***
- syringes and needles for injections
— masks
— examination gloves, diagnostic
- paper chest napkins for patients
- hand towels in a container
— sanitary napkins
- dressings
— saliva ejectors
- plastic glasses
5. Chambers for storing sterile instruments (in the absence of a packaging system) at least 1 per office
6. Kinesiograph* 1
7. Dental chair if not available in US 1 per dental device
8. Lamp (irradiator) bactericidal for premises on demand***
9. Mobile bactericidal lamp for indoors* on demand***
10. Dentist's working place: Dental unit (US), including a dentist's unit (drill), a special chair, a dental hydraulic unit, and a dental operating lamp. These parts can be mounted on a single supporting frame or attached mutually or separately to supporting structures (walls, furniture) 1 for 2 medical positions with a two-shift working day
11. Myotonometer* (gnatodynamometer) at least 1
12. Myostim* (electroneurostimulator, neuromyostimulator, peripheral nerve stimulator) at least 1
13. Oral examination kit (basic): on demand***
- medical dental tray,
- dental mirror,
- angular probe,
- dental tweezers,
— dental excavators,
— wide double-sided ironing board,
- dental spatula
14. Periotest* (device for determining the mobility of teeth, crowns and implants) at least 1
15. Reopolarograph* at least 1
16. Lamp without MRU and US included in the kit 1 per doctor’s workplace
17. Doctor's desk 1 per doctor’s workplace
18. Dental table 1 per doctor’s workplace
19. Medical chair 1 per doctor’s workplace
20. Doctor's chair 1
21. T-scan for assessing dentition occlusion* (device for determining central occlusion) 1
22. Medical cabinet for storing consumables and instruments at least 1 per office
23. Medical cabinet for medicines at least 1 per office
24. Wardrobe for medical clothes and linen on demand***
25. Electromyograph for contact studies* at least 1

*Items that are required to be equipped only when using (declaring) a technology that involves the use of these devices, tools, and medications. **Offices and rooms are equipped in which it is not possible to meet sanitary and hygienic requirements with the existing stationary ventilation and air conditioning systems. ***In accordance with sanitary and epidemiological rules and regulations.

Standard equipment for a general dental office

Appendix No. 3 to the Procedure for providing medical care to the adult population for dental diseases, approved by order of the Ministry of Health and Social Development of the Russian Federation dated July 31, 2021 N 786n

STANDARD OF EQUIPMENT FOR A DENTAL CLINIC

Standard equipment for a general dentistry office

N p/p Code of type of nomenclature classification of medical devices <1> Name of the type of medical device in accordance with the nomenclature classification of medical devices Name of equipment (equipment) Required quantity, pcs.
1. 119630 Dental unit Work place (set of equipment) for a dentist:

Dental unit (US), including a dentist's unit (drill), a dental chair, a dental hydraulic unit, a dental operating lamp (these parts can be attached to a single supporting frame, or attached mutually or separately to load-bearing structures (wall, furniture)) or A universal working place for a dentist (MRU), including a US equipped with a turbine, micromotor, diathermocoagulator, ultrasonic scaler, vacuum cleaner, negatoscope

at least 1
2.<2> 122760 Gas formaldehyde sterilizer Sterilizer for instruments, in the absence of a centralized sterilization department 1
125800 Microwave sterilizer for unpackaged products
330780 Steam sterilizer
125810 Steam sterilizer for unpackaged products
150480 Ozone/hydrogen peroxide sterilizer
173090 Dry heat sterilizer
183670 Chemical liquid sterilizer
188040 Sterilizer-boiler
211070 Ethylene oxide sterilizer
211110 Ethylene oxide/steam sterilizer
215790 Plasma sterilizer
237470 Gas sterilizer based on hydrogen peroxide
253700 Steam sterilizer
291960 Electrolytic sterilizer
330770 Bactericidal sterilization chamber
3.<4> 119850 External defibrillator with manual control Automatic external defibrillator 1 per department
126500 External automatic defibrillator for professional use, powered by rechargeable battery
262440 External semi-automatic defibrillator for professional use, powered by a non-rechargeable battery
4. 185950 Distillation water purification system Water distiller (medical), in the absence of a central sterilization unit 1
5. 121300 Dental pulp condition analysis system Apparatus for diagnosing pulp vitality (electroodontometer) 1 per department (office)
6. 127410 Ultrasonic system for cleaning root canals/removing dental plaque Ultrasonic dental plaque removal device (scaler) if not available in MRU and US at least 1 per doctor’s workplace
7.<2><5> 209330 Dental X-ray intraoral system, mobile, digital Dental X-ray machine with a digital image receiver (radiovisiograph) (in the absence of an X-ray room or an agreement with a medical organization that has a license for radiology work (services)) at least 1 set (per department/office)
191300 Dental x-ray intraoral stationary system, digital
191230 Dental x-ray extraoral stationary system, digital
173230 Dental X-ray portable intraoral system, digital
8.<2> 269850 Container for chemical disinfection system for medical instruments Containers for disinfecting instruments at least 1
185890 Container for sterilization
127550 Ultrasonic bath for cleaning and disinfecting instruments
9.<2> 257280 Container for collecting sharps and cutting medical waste Container for collecting household and medical waste at least 2
336200 Package for collection, storage and transportation of medical waste
123680 Container for biological waste
10. 257280 Container for collecting sharps and cutting medical waste Container for disposal of syringes, needles and other disposable instruments at least 1
11. 118770 Syringe for dental anesthesia, reusable Dental injector, for carpule anesthesia at least 3 per doctor’s workplace
12. 113870 Air compressor for medical products Dental compressor (oil-free), in the absence of MRU and US or a centralized compressed air supply system taking into account the calculated power
13. 121250 Dental/surgical polymerization lamp Dental lamp for photopolymerization (light curing) in the absence of MRU and US 1
14.<2> 131980 Ultraviolet bactericidal lamp Germicidal irradiator/air purifier/device for disinfection and (or) air filtration and (or) disinfection of surfaces 1
209360 Mobile laminar flow installation
152690 High-efficiency filtering air purifier, mobile
152700 High-efficiency filtering air purifier, stationary
292620 Electrostatic deposition air purifier, mobile
15. 282070 Dental drill motor with remote control Dental micromotor with or without optics (if MRU and US are not included in the kit) at least 2
16.<2> 119690 Dental drill handpiece Dental mechanical angular handpiece for micromotor if MRU and US are not included in the kit at least 2 per workplace
256310 Handpiece of a combined dental drill with mains power
282060 Dental drill handpiece, with remote control
17. 216740 Dental drill handpiece, pneumatic Dental turbine handpiece without fiber optics if MRU and US are not included in the kit and installed without fiber optics at least 2 per workplace
18.<2> 238570 Medical X-ray viewer, with power supply X-ray viewer if MRU and US are not included in the kit 1 per department
238840 Medical X-ray viewer, without electrical control
19.<2> 146180 LED dental lamp, mains powered Dental lamp without MRU and US included in the kit 1 per doctor’s workplace
151730 Dental reflected light lamp
20. 270010 Surgical instrument table Dental table 1
21. 121630 Dentist stool Dentist's chair if MRU and US are not included in the set 1
22.<4> 279970 First aid kit containing medicines Layout of emergency prevention of parenteral infections for primary health care, emergency medical care, specialized medical care and palliative care <3> 1 per office
23.<2> 119180 Cabinet for dental instruments Medical cabinet for storing consumables 1
260470 General purpose rack
139690 Medicine storage cabinet
270000 Medical cabinet for instruments
24. 170630 Tooth extraction forceps Dental forceps for removing teeth and tooth roots on the upper and lower jaws in an assortment at least 15 per doctor’s workplace
25.<5> 215850 Pharmaceutical refrigerator Refrigerator for storing medicines 1 per medical organization
26. 103830 Root elevator Dental elevators for removing tooth roots on the upper and lower jaws in an assortment at least 5 per doctor’s workplace

<1> Part 2 of Article 38 of the Federal Law of November 21, 2011 N 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation” (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724).

<2> One of the following items must be present.

<3> Clause 5.2.12 of the Regulations on the Ministry of Health of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 19, 2012 N 608 (Collected Legislation of the Russian Federation, 2012, N 26, Art. 3526; 2021, N 9, Art. 1268 ).

<4> Recognized as invalid according to the order of the Ministry of Health of the Russian Federation dated February 18, 2021 No. 109n “On introducing changes to the Procedure for providing medical care to the adult population for dental diseases, approved by order of the Ministry of Health of the Russian Federation dated July 31, 2020 No. 786n.”

<5> Updated in accordance with the order of the Ministry of Health of the Russian Federation dated February 18, 2021 No. 109n “On amendments to the Procedure for providing medical care to the adult population for dental diseases, approved by order of the Ministry of Health of the Russian Federation dated July 31, 2021 No. 786n.”

Rating
( 1 rating, average 5 out of 5 )
Did you like the article? Share with friends:
For any suggestions regarding the site: [email protected]
Для любых предложений по сайту: [email protected]