About the Author
Prarthit Shah is a practising architect, author and speaker specialized in dental clinic design with pan India presence.
He and his team of ARCHITECTS+DOCTORS specialize in dental clinic interior design with focus on high efficiency clinic. The technical team includes his periodontist wife Dr. Heena Shah and renowned dentist of every speciality. Prarthit has learned about services, equipments and working of dentistry while interacting with dentists and designing several clinics in last few years. His constant endeavour is to upgrade knowledge base regarding dental clinic design and share it with dental fraternity in India. He also speaks at dental conferences about – how to design a technical yet aesthetical dental clinic. He is a contributing author in Indian Dental Association Times and FAMDENT Magazine.
Visit: Dental Clinic Design Projects in India
Contact : +91 9426998096
If you think good design is expensive, you should look at the cost of bad design. – Dr. Ralf Speth, CEO Jaguar
This quote is perfectly suitable for today’s scenario of dental clinic design in India. A lot of new clinics are made in commercial spaces which are actually meant for retail shops and thus they lack even a single window for natural light and ventilation. Chairs and dental equipments lack pre-planned services and clinics are designed with decorative yellow lighting. Good design is not cheap but bad design actually costs a lot more in long-term. Bad design will decrease work efficiency, affect the health of dentist and will take maintenance forever.
Importance of Design and Planning
Designing and planning are of major importance for efficient functioning, avoiding logistic problems and wastage of money in future as well as creating a unique identity of the clinic in a competitive environment.
Even a small dental clinic is a complex design because of multiple services involved. So, the design and construction require extraordinary teamwork. Collaboration and coordination are required between dentist, interior designer, equipment installers, and agencies like carpenter, electrician, plumber, fabricator, false ceiling maker and so on. And here like a captain of cricket team, dentist is the leader of whole team.
Making a dental clinic can be quite overwhelming, especially for the first time because there are many things one is not sure about. So, to simplify things, here are basic parameters of dental clinic design.
Parameters of Dental Clinic Design
- Choosing the clinic space
- Functioning of Layout
- Functioning of chair and other equipments
- Planning of services
- Lighting and ventilation
- Selection of materials
- Hygiene and sterilization
- Storage Design
- Clinic Identity
Choosing the dental clinic space
The clinician should be clear about all the requirements – number of chairs, provision of chairs, kind of X-ray unit, utilization of storage, staff – before buying the space.
Natural light and ventilation play a major role in improving the efficiency of work. Commercial spaces that do not have any window, are not at all advisable for making dental clinics.
Number of chairs and its functionality not only depends on the total area of space but also on size and shape of space, entry direction, window location and several other factors. Thus, pre-planning of the layout is required before buying the space.
Functioning of Layout
Basic functions of a dental clinic are:
- Waiting area – executive waiting
- Consulting area
- Dental Operatory
- Laboratory – Scrub Room
- Operation Theatre and Patient Ward (in case of Oral Surgeon)
- X-ray room (if required)
- Nursing or Pantry (optional)
Division of space
There are basically four possibilities for the relationship between consulting and operatory:
- Consulting and operatory can be completely open without any partition in-between, this will be most suitable for small clinics with a single chair and niche practice. (Fig. 1)
- There can be half partition between consulting and operatory, that will provide a marginal visual privacy to the patient without dividing whole space. (Fig. 2)
- Consulting and operatory can also be completely separated with glass partition. That will allow audio and visual privacy to consultation.
- There is also a possibility where one chair can be with consultation room and rest of the chairs are in operatory.
Fig. 1 – Consulting area open with operatory
Fig. 2 – Half partition between consulting area and operatory
Patient movement inside the clinic also has two possibilities:
- If waiting area and operatory are in open layout than from waiting area patient can go to operatory via consulting area. In this case, every patient will pass in front of the clinician but consultation will not have privacy. (Fig. 3)
- In second scenario, from waiting area patient can be taken directly to operatory by receptionist. Dentist can check and take the patient to consulting area for explaining the treatment plan and finally patient can directly come out in waiting Such a loop moment will help in making operatory hassle-free while maintaining the patient flow. (Fig. 4)
Fig. 3 – Patient movement from waiting to operatory via consulting
Fig. 4 – Patient movement – waiting-operatory-consulting in loop
Functioning of chair and equipments
One of the most crucial aspects is to make dental clinic design layout in a way that leaves enough space to work around the chair. For normal practice in Indian context, ideal space for one chair would be 10 feet x 7 feet. When space is limited one can accommodate one chair in minimum 8.5 feet x 6 feet space.
Basic diagram of four-handed dentistry suggests 7 o’clock to 12 o’clock positions as clinician’s zone (Fig. 5) but every specialist dentist should keep space around the chair according to their own preferable work positions.
Movement of chair arms should be considered with proximity to adjacent platform and storage. If one is planning for wall mount X-ray unit than it has to be checked in the layout itself that arms are reachable to necessary chairs. Generally, X-ray unit arms are 6 feet long but if required one can pre-order longer arms.
Planning of dental equipments with rest of the interior is crucial for efficiency because even a small mistake can cost huge if neglected. For example, if X-ray unit is kept below air conditioner, normal water leakage will cost damage of the whole X-ray unit.
Fig. 5 – Four-handed dentistry
Ergonomics is the design science that fits the work to the worker. Application of dental ergonomic will increase comfort for the dental team and decrease work-related disorders.
Dentists often suffer from low back pain, neck and shoulder pain, wrist and hand problems, stress etc. These are results of awkward posture, forceful exertions, repetitive motions like scaling and vibrating hand tools. These problems can be tackled with appropriate work postures (Fig.6 &7), shadow-free lighting and organizing equipments and materials in a manner that reduces posture deviation while working.
Fig. 6 – Saddle Stool promotes neutral pelvic position
Fig. 7 – Work posture to reduce low back pain
Planning of services
Dental clinic has multiple services integrated with each other. So, if one starts execution without planning, the clinic will end up with pipelines and wires meshed up in every corner.
While planning can fetch absolutely brilliant result like just simply chair on the floor without any box or pipes visible! (Fig. 8 &9) To make pipes invisible all the service lines has to be taken under the floor and a small chamber has to be made right below the chair. All the services will directly get connected to the chair from this chamber. These services include electric connection, water inlet, RO water inlet, plumbing outlet, HDMI cable, Suction, and Compressor inlet. Such underfloor services will not only give clean look but will also allow hassle-free movement around the chair.
In such a case, the floor has to be raised 5 to 6 inches above the slab and location of the chair has to be finalized before doing the flooring.
All other services namely – plumbing, electrical, Lan cable, air condition, CCTV cameras, intercom, music system, compressor, power backup should be planned in the layout before starting execution.
To transfer data from RVG to screen, HDMI cable is used and it is not possible to make a joint in HDMI cable. So, a 2-inch separate pipe has to be placed under the floor to carry this cable.
Fig. 8 – Pipes and boxes are visible
Fig. 9 – Hassle-free movement around chair as services are under the floor
Lighting and ventilation
Maximum natural light is preferable for dental clinic as it will improve work efficiency. Also, natural light is considered best in shade matching for cosmetic work.
Ventilation is preferable in laboratory area to allow exhaustion of bad odor and also heat generated from autoclave.
Decorative yellow lighting should be avoided in operatory as it will distract surgery procedure. Uniform lighting is must in operatory because it will smoothen the work procedure. (Fig. 10 &11)
Fig. 10 – Decorative yellow light should be avoided in operatory
Fig. 11 – Uniform lighting will smoothen surgery procedure
Selection of materials
For dental clinic interior design, selection of material is a tricky thing as one has to make a fine balance between durability, aesthetics, and budget.
For flooring tiles, marbles are common options. Matt finish tiles are preferable as glossy tiles would reflect the artificial light harshly and would be slippery.
Even platform has options of granite, solid surface(Corian) and glass. Granite is the most durable and cost-effective but in laboratory, one has to select such a granite which doesn’t get stained by chemicals like betadine. Even stainless-steel sink in laboratory can get rusted and get scratches, so it is better to opt for ceramic or polypropylene basins. Whereas small basins in operatory can be of glass to match with the chair spittoon.
Hygiene and sterilization
Hygiene and sterilization are technically significant aspects while of dental clinic design. Especially laboratory area should be made in such a way that it is easily cleanable and maintenance free. Smallest thing like a built-in dustbin and tissue wipe holder near basin can help in maintaining hygiene level in a big way.
Radiation should be taken seriously and proper lead room and lead door are essential requirements for OPG unit.
Fig. 12 – Readymade built-in cabinet
Fig. 15 – Laboratory planning according to flow of instruments
Readymade built-in storage cabinets for dental clinics are available worldwide (Fig.12) but it will cost way more than making it on site.
While making cabinets on site, each drawer should be made exactly according to the specific instruments that are to be placed in it. Initiative for such planning has to be taken by dentist only.
All equipments like suction, CPU, invertor, small trolleys, CCTV DVR should be built-in storage only so that nothing is seen outside and it is easy to keep it clean. In small clinics, dental trolley with multiple drawers and folding top can be immensely useful and space saving. (Fig. 13 &14)
Laboratory area has lot of equipments and services. Basin, autoclave, UV chamber, micromotor, glass bead sterilizer, ultra-sonic vibrator, freeze and other equipments should be planned according to sterilization flow of instruments.(Fig. 15) Such microplanning will increase hygiene and efficiency to a new level.
Fig. 13 – Folding top trolley for clinics with limited space
Fig. 14 – Customised drawers according to the instruments
In a competitive era, to give a unique identity of your clinic, the clinic should be designed aesthetically with a specific theme. Branding can be done where same theme and color tone can be maintained in the interior, stationery, visiting card, clinic name board, and website. Clinic logo can be incorporated as part of the interior so that people easily identify with it. (Fig. 16)
Fig. 16 – clinic logo can be part of interior
In dental clinic design if aesthetics go hand in hand with functionality the result would be a very soothing space where clinician would love to work for longer hours and patients would not mind for a painful extraction.
This article is not meant to emphasis on just aesthetical value of the clinic. Only spending more money will not make your clinic a really good workplace. Designing a technical yet aesthetical clinic requires clinician’s consistent attention, reasonable budget but most importantly planning at several levels. Planning the most suitable layout, planning of services, pre-planned equipments and micro-planning of storage.
There is a popular quote saying, “Dentistry is not expensive. Neglect is.” It can be rephrased as – Dental clinic interior is not expensive. Lack of planning is.
smile dental clinique
roots dental clinic – waiting area
roots dental clinic – entrance
dental Clinic @ prarthana Hospital
Jain Malkin, Medical and Dental Space Planning – 2002 edition, John Wiley & Sons New York
Indian health service, Ergonomics recommendations for dental programs, https://www.dentalclinicmanual.com/documents/ergonomic-considerations.pdf
Fig. 5 : Minas Sarakinakis, Dental assisting notes dental assistant’s chairside pocket guide(2015), F. A. Davis Company – Philadelphia, pg. no. 63
Fig. 12 : page no.6 https://www.planmeca.com/globalassets/usapdfs/cabinetry/optiline_brochure.pdf
Fig. 15 : Fig 6.4 https://pocketdentistry.com/6-dental-ergonomics/
Images are from clinics designed by the author – Roots Dental Clinic (Dr. Pooja & Dr. Ankit Sirodaria), The Smile Clinique (Dr. Dhwani Gohil), Maa Sharda Dental Clinic (Dr. Kuldeep Khant), Dental Unit at Prarthna Hospital (Dr. Heena Shah)
The most important role of design in your dental office is how the space affects your patients. The first impression your patients will have will be based on the appearance of your dental clinic, so you should make it count.
- Mouth mirror. This will almost certainly be used during your visit. ...
- Dental probe. There are a number of different types of probe. ...
- Anaesthetic. ...
- Dental syringe. ...
- Dental drill. ...
- Spoon excavator. ...
- Burnisher. ...
Smile design is a cosmetic dental procedure that corrects teeth imperfections and restores your dental health and appearance. It involves a customized treatment and long-lasting results for a straighter, whiter, and natural-looking smile.
- how your employees feel about coming in to work each day, how they feel about working for you, and how they feel about their teammates.
- how your patients feel when they call or walk into your office. ...
- how you feel when you're at the office and with your team.
A good dental clinic should have highly skilled and qualified dentists in all dental specialities. The dentists should have the experience needed to diagnose and treat the most complex problems without any difficulty. They should have the knowledge and expertise to handle any case.
The two most important OSHA standards for dentistry are the Blood-borne Pathogens Standard and the Hazard Communication Standard. OSHA is responsible for ensuring the safety and health of the: OSHA is a federal regulatory agency that ensures the health and safety of America's workers.
- Attention to detail: ...
- Manual dexterity: ...
- Interpersonal skills: ...
- Thirst for Knowledge: ...
- Polite & Patient:
Trustworthy. Since dentists are working with sharp metal objects in the mouth, a very sensitive area of the body, it is really important that they are trustworthy.
Specific classes of materials used for these applications include metals (silver–mercury amalgam alloys, noble metal inlays and crowns, base metal alloy partial dentures and crowns), ceramics (porcelain denture teeth, gypsum investments), polymers (acrylics for dentures, alginates for impressions), and composites ( ...
- Dental Microscopes. A dental microscope is a traditional piece of equipment you'll find in most dental labs. ...
- Dental Scanner. ...
- 3 Model-building Equipment. ...
- 4 Dental Die and Casting Machine. ...
- 5 Divesting Machines. ...
- 6 Dental Electric Waxers. ...
- 7 Lighting Equipment. ...
- 8 Air Purifier and Filtration System.
The three most commonly used delivery systems for patient treatment (over-the-patient, rear, and side delivery) are compared below, with photos and some of the advantages and disadvantages of each.
In the United States nine specialties are recognized by the American Dental Association: orthodontics and dentofacial orthopedics; pediatric dentistry; periodontics; prosthodontics; oral and maxillofacial surgery; oral and maxillofacial pathology; endodontics; public health dentistry; and oral and maxillofacial ...
Reception Area. The goal of a well-planned dental office is to create a reception area that makes patients feel at home, relaxes them, and prepares them for treatment (Fig. 32-2). This area should not be referred to or thought of as the “waiting area,” but as an area in which you receive and greet patients.
A model may be defined as a replica of the structures in the oral cavity. It is made by pouring a material such as dental plaster into an impression of the area. •
The goals of the clinic operation are to: maintain an effective and efficient patient care delivery system. maintain and communicate current patient care policies and procedures throughout School of Dentistry clinics. maintain a system of operation that can accommodate changes in the educational programs.
- Set your practice apart from the competition. ...
- Attract and retain top talent. ...
- Expand your services. ...
- Offer flexible financing. ...
- Facilitate seamless referrals. ...
- Create balance. ...
- Master your mindset.
Dental records consist of documents related to the history of present illness, clinical examination, diagnosis, treatment done, and the prognosis.
As a healthcare service, dentistry provides quality care for the patient, following standards of care established by governmental agencies and the profession itself.
The one key to a successful work environment is teamwork. show appreciation for coworkers, don't take advantage of them.
Improving the quality of dentistry
The International Organization for Standardization (ISO) develops standards through over 200 Technical Committees (TC), each representing a specific sector of activity.
Similarly, the ADHA publication identifies standards of clinical care and incorporates a framework of six components in providing dental hygiene care to patients. The six components are assessment, dental hygiene diagnosis, planning, implementation and evaluation, and documentation.
- 1 – Teeth Cleanings. This is by far the most common reason people visit the dentist. ...
- 2 – Teeth Whitening. Like cleaning, whitening is a relatively discomfort-less process. ...
- 3 – Extractions. ...
- 4 – Veneers. ...
- 5 – Fillings. ...
- 6 – Crowns. ...
- 7 – Root Canal. ...
- 8 – Braces/Invisalign.
- The first dentist was 5000 years ago! ...
- Dentistry is one of the top jobs in the US. ...
- Oral and maxillofacial surgeons are the best-paid dentists. ...
- There'll be 10,400 new dentists by 2028. ...
- 80% of dentists practice general dentistry. ...
- 80% of dentists go into private practice.
- Remove decay from teeth and fill cavities.
- Repair or remove damaged teeth.
- Place sealants or whitening agents on teeth.
- Administer anesthetics to keep patients from feeling pain during procedures.
- Prescribe antibiotics or other medications.
- Promoting Oral Health & Disease Prevention.
- Cleaning & Repairing Teeth.
- Interpreting X-rays & Diagnostic Tests.
- Creating Treatment Plans To Maintain Or Restore The Oral Health.
- Ensuring The Safe Administration Of Anesthetics.
- Monitoring The Growth & Development Of The Teeth & Jaws.
The ideal restorative material should be biocompatible, bond permanently to tooth structure or bone, match the natural appearance of tooth structure and other visible tissues, and be capable of initiating tissue repair or regeneration of missing or damaged tissues .
Teaching people about dental hygiene. Filling cavities. Removing buildup or decay from teeth. Repairing or removing damaged teeth.
Success in dentistry depends on the ability to properly manage both the clinical and practice management aspects of your practice. by Louis Malcmacher, DDS, MAGD.
Various Dental Materials: Amalgam; Composite; Inlay; Onlay; Crowns; Bridges. A science which deals with physical, mechanical and biological properties of dental materials and their interactions with oral environment.
Criteria for a new dental material: It must not be poisonous, harmful, irritating. Help protect the tooth, tissues. Resemble the natural dentition as closely as possible.
Dental plasters are materials commonly used in dentistry, especially in the laboratory when creating models for prostheses or coatings for casts.
Quadrants to identify your teeth
Quadrant 1 (top right) Quadrant 2 (top left) Quadrant 3 (bottom left) Quadrant 4 (down on your right)
- Services: Health care assistance available.
- Consumers: People in need of health care, both preventive and curative.
- Personnel (providers): People who provide health care. ...
- Payment: Method of paying for the health care services.
Figure 1–1 illustrates that a health care delivery system incorporates four functional components—financing, insurance, delivery, and payment, or the quad-function model.
Some of the most common diseases that impact our oral health include cavities (tooth decay), gum (periodontal) disease, and oral cancer.
- Tooth Decay. Tooth decay is also known as dental caries or dental cavities. ...
- Gum Disease. Gingivitis is the early stage and mild form of gum or periodontal disease. ...
- Bad Breath. ...
- Sensitive Teeth. ...
- Cracked or Broken Teeth. ...
- Receding Gums. ...
- Root Infection. ...
- Enamel Erosion.
What considerations must be made when designing a treatment room? It must allow the esthetician to move comfortably in the space. It must be at least 15 feet by 10 feet. It must be just large enough to accommodate a table.
3. 3D dental printing
- Dental molds.
- Surgical guides and more.
Dentists benefit from dental technology because they can correct oral health problems in half of the time than they were able to before. Patients benefit from dental technology because they can have procedures performed in a timely manner, the procedures are less painful and more treatment options are available.
DSD is a technical tool which is used to design and modify the smile of patients digitally and help them to visualize it beforehand by creating and presenting a digital mockup of their new smile design before the treatment physically starts.
2,00,000 to Rs. 10,00,000 as part of the cost of setting up a dental clinic in India. You will also need to pay between Rs. 2,00,000 to Rs.
A new dental clinic set-up cost can set you back by as much as Rs. 10 lakh, going by current market rates for materials.
|Type of Space||Square feet (sq. ft.)|
|Reception Area (5 to 8 operatory clinic)||120 sq. ft.|
|Reception Area (9 to 16 operatory clinic)||240 sq. ft.|
|Dental Director's Office||120 sq. ft.|
|Dental Office Manager's or Dental Assistant Supervisor's Office||100 sq. ft.|
What's in a Dental Treatment Plan? The most important aspect of any dental treatment plan is understanding why we recommend a specific treatment in the first place. Everyone has unique dental needs, based on such factors as their age, daily oral care habits, and existing dental restorations, such as fillings or crowns.
By the 3rd year, the clinic, if managed properly will start to show good turn out of patients as the population is ever booming. You also got to remember that – dental practice has a profit margin of around of 60 yo 70 %. So once the patient flow increases then you will gradually start making profit.
- Develop a Marketing Plan.
- Update and Implement Better Dental Business Practices.
- Take a Second Look at Your Operational Habits.
- Modernize with Automation.
- Dental Practices Need Effective Financial Goal Planning.
- Implement an Effective Collection Strategy for Existing Patients.
- Increase Your Capacity to do More Dentistry. ...
- Include More High Profit Procedures in Your Treatment Repertoire. ...
- Accept More Patients into Your Practice. ...
- Increase Your Case Acceptance Rate. ...
- Expand Responsibilities of Your Dental Assistants.
The Cost of Starting a New Practice
According to the American Dental Association, you can expect to pay about $500,000 to start a new dental practice from scratch. One of the most significant costs is construction.
- Prepare a Business Plan. “Failing to plan is planning to fail.” ...
- Procure Financing. ...
- Choose a Location. ...
- Obtain the Appropriate Equipment. ...
- Medical Equipment. ...
- Hire Staff. ...
- Determine your Billing Process. ...
- Market your Clinic.
Capitalized earnings method—The basis of this valuation method is the practice's prior year's (or average of the last few years) net income (EBITDA). This number is divided by a cap rate (industry standard is 25% to 31%) to get the fair market value of a dental practice.
Length of cushion: 1200mm, widest of cushion: 540mm, length of backrest: 540mm, widest of backrest: 600mm. 6. The load capacity of the patient chair is ≦135Kg. 7.
To give you an idea: The typical 6-operatory dental practice would fall in about a 1800-2400 square footage range.
As stated earlier, the clinic is the small room where the dentist performs dental treatments on patients. It has several pieces of dental equipment such as the dental chair, lighting, handheld tools and devices, oral irrigators, suction machines, and laser systems.