Dentists are obligated to document and report suspected cases of abuse in all states, and dental hygienists are similarly obligated in some, but not all, states. The obligation is not to prove abuse or neglect, just to report what is suspected. Each state has different regulations on mandatory reporting for healthcare and other professionals, as well as specific reporting requirements for private citizens. It is essential that dental professionals know the potential signs and symptoms of the various types of abuse, are able to identify these, and understand the mandatory requirements for reporting in the state(s) in which they live and practice. It is by identifying, documenting and reporting abuse that victims can be protected and perpetrators prevented from continuing abusive practices and patterns.

Medical emergencies can and do occur, not only in your dental office but any place and at any time. The entire staff and designated in-office emergency team must be trained, and emergency equipment and drugs must be available and current. The best way to handle an emergency is to start by being prepared.

Government agencies regulate and make recommendations on instrument processing and occupational safety. There are a number of requirements and necessary steps involved in instrument processing, including preparation, cleaning and packaging of instruments for sterilization. The use of cassettes reduces the risk of exposure injuries for the operator, while simplifying and streamlining the process. There is a variety of instrument sterilizers for dental office settings including steam sterilizers (autoclaves), chemiclaves and dry heat sterilizers. Each has different features, advantages and disadvantages that must be considered when selecting sterilization equipment for your practice. Monitoring sterilization processes for sterility assurance requires the regular use of mechanical, chemical and biological indicators to assure that these processes and the equipment are providing effective sterilization. Sterility assurance monitoring must be documented to show compliance with regulations governing your practice.