In order to improve the overall level of the Oral Implant Center, ensure the medical quality and medical safety of the Oral Implant Center, and avoid medical risks to the maximum extent, these regulations are formulated.
Article 1 The oral implant center implements the director responsibility system under the leadership of the president. The director of the clinic is fully responsible for the medical management, technical training and team building of oral implantation.
Article 2 The Oral Implant Center gives full play to the surgical, periodontal, restorative and nursing specialties of all doctors and nurses and close cooperation, as well as adequate communication with technicians, to gather the strength of the team to obtain the clinical results of dental implants to the satisfaction of patients with a higher level of surgery and restoration.
Article 3 Qualification of doctors in the Oral Implant Center
(I) Qualification of Chinese experts
1.Have obtained the relevant physician’s license to practice in China or the region.
2.Being engaged in oral implant or implant restoration for 8 years or more.
3.With extensive influence in the Chinese dental field.
(2) Qualification of Chinese doctors
1.Have obtained the relevant medical practitioner license in China or the region.
2.Engaged in oral implant or implant restoration work for 2 years or more.
3.Provide X-ray images and oral photos of 5 completed implant cases, including single-tooth and multi-tooth implant restorations.
Article 4 Oral Implant Center Workflow
(I) Evaluation: All implant cases should be evaluated according to the criteria of SAC classification of dental implantology (simple, complex, highly complex) in terms of the beauty degree point of implantation, complexity of the treatment process (surgical factors, restorative factors) and risk of complications.
(ii) Data collection: The attending surgeon is responsible for the assessment and diagnosis of the patient’s clinical situation. All patients undergoing implant surgery are required to have preoperative dental models, panoramic films or CT images, implant surgery templates and other necessary information.
(iii) Communication: The patient should be informed of the level of difficulty of the treatment plan and form the basis of informed consent. Especially for difficult cases or cases that require expert consultation and guidance to complete, the patient’s informed consent should be obtained only after full communication and information with the patient.
(iv) Treatment planning: Select the most appropriate biomaterial for the patient and recommend the most suitable treatment plan. The treatment plan for complex and highly complex cases is subject to case discussion, and for difficult cases or cases requiring expert consultation and guidance to complete, a detailed treatment plan is even more necessary after participating in case discussion or consultation.
(E) Implementation: Treatment procedures must be implemented with appropriate criteria.
1. The implantation procedure must be completed in the operating room.
2. The operating room is uniformly scheduled for the surgery.
3. The operating room is responsible for sterilization of the operating room, preoperative preparation and management of implant items.
4.The relevant information of the patient should be given to the operating room nurse for keeping in advance.
5. It is required to keep the photos of the implant patient’s complete mouth closure in each stage of preoperative, intraoperative and postoperative restoration and the panoramic film before, immediately after the operation and after the completion of the restoration, which will be managed and archived by the operating room nurse in a unified manner to facilitate long-term follow-up.
(vi) Maintenance: Follow-up maintenance of the superstructure is performed by the attending surgeon with regular notification of return visits according to the recorded time of implantation and repair.
Article V surgical grading system
(A) Simple (Class I) surgery
1.Simple implant preparation cavity surgery in low aesthetic risk area
2. Non-invasive extraction plus immediate socket preservation
(B) Complex (Class II) surgery
1.Bone splitting surgery
2.Bone extrusion
3.Inside maxillary sinus lift
(C) Highly complex (Class III) surgery
1.Bone guided regeneration
2.External maxillary sinus lift
3.Block bone grafting
4.Immediate implant surgery
5.Mandibular nerve grafting
6.High aesthetic risk area implantation with soft and hard tissue defects
Article 6 Restoration Grading System
(I) Simple
1.Non-aesthetic degree point
2.Simple restorative process
3.Predictable restoration results
4.Low risk of complications
(II) Complex
1.Some aesthetic risks
2.The restoration steps may increase, but the results can be expected
3.The restoration result can be accurately expected
4.Low to moderate risk of complications
(iii) Highly complex
1.Moderate to high aesthetic risk
2.The restoration steps are numerous and the treatment plan may need to be re-evaluated based on the results of one or more steps
3. Difficult to anticipate restorative results prior to treatment
4. High risk of complications and the need for multiple contingency plans. These complications may lead to poor long-term results of the repair
5. The prosthodontist must communicate and cooperate with the surgeon and the technician to arrange the treatment procedure.
Article 7 Oral Implant Center Doctor Training and Admission
(A) Obtain the “Medical Practitioner’s Certificate” and the scope of practice is dental specialty.
(2) engaged in dental clinical treatment technology for more than 10 years, with senior attending physician or deputy senior professional and technical positions above the qualification, and through the provincial dental implantology training, assessment and certification; only engaged in the second class oral implantation treatment activities. (Doctors engaged in oral implant diagnosis and treatment activities should have received professional study or training in oral implantology. Undergraduate and undergraduate full-time education formal oral implantology course of 120 hours or more (including oral implantology internship) who passed the examination; or after oral implantology continuing education accumulated I credits of 40 points or more, or in foreign educational institutions (recognized by the Ministry of Education of the People’s Republic of China educational institutions) to receive oral implantology training and study and obtain a certificate of completion, before engaging in oral implant diagnosis and treatment (Activities)
Training path.
(a) Phase I: firstly, serve as an implant assistant, after participating in each case 10 times, then pass the in vitro model operation assessment and the basic implant theory assessment, they can enter the next phase.
(2) Phase II: expert counseling to complete the implant surgery, after assisting to complete the surgery 10 times for each case, and then approved by the implant primary theory assessment, can enter the next phase.
(3) The third stage: complete the first class implant surgery independently. After completing 30 cases of each kind of implant surgery, you can enter the next stage after approval by examination.
(IV) Stage 4: Complete the type II implant surgery independently. After completing 20 cases of each type of implantation, they may enter the next stage after approval by examination.
(V) Fifth stage: complete the type III implant surgery independently.
The guidance of the implant restoration part follows in this order.
Article VIII accounting for the workload of implantation
Workload = turnover – material costs – mechanic fees
(i) Pre-operative workload = implant consultation + radiological examination + implant treatment design
+ preoperative periodontal scaling (see the price catalog for charges)
The preoperative workload is divided into the above 4 items, and each workload is included in the workload of the actual attending doctor; for the referred items, 20% of the workload is transferred to the referring doctor.
(ii) Intraoperative workload = workload of implant surgery (see the price catalog of charges for details)
Intraoperative workload is included in the actual attending physician’s workload; for referred items, 20% of the workload is transferred to the referring physician.
(iii) Post-operative workload = workload of implant restoration (see the price catalog of charges for details)
The post-operative workload is included in the workload of the actual attending physician; for referred projects, 20% of the workload is transferred to the referring physician.
Article IX. Medical devices, materials and drugs required for implantation are purchased by the hospital.
Article 10, other management requirements.
1, the use of medical materials, instruments and equipment required for oral implantation approved by the State Food and Drug Administration.
2, the establishment of dental implant medical equipment registration system, to ensure that the source of the equipment can be traced, in the oral implant patient outpatient medical records and surgical records to keep the use of equipment bar code or other qualified documents.
3, strictly prohibit the illegal reuse of oral implant disposable equipment.
4. Strictly implement the national and provincial price policies.
Article 10: Refer to other relevant rules and regulations of the hospital for further details.
Attachment: Albrektsson-Zarb standard
In 1986, Sweden Albrektsson and Zarb and other proposed oral implant success evaluation criteria.
1. The degree of implant immobility.
2. Radiographs showing no transmissive areas around the implant.
3.After 1 year of implant functional loading, the vertical bone resorption is less than 0.2mm/year.
4.No persistent or irreversible symptoms of the implant, such as pain, infection, numbness, necrosis, abnormal sensation and damage to the mandibular canal.
5.For those who meet the above requirements, the success rate of 5 years is 85% or more; the success rate of 10 years is 80% or more as the minimum standard