The personnel needed for a dental service are the dentist, the dental assistant, or an appropriately trained aide, and a nurse's aide. The initial visit would include a screening and review of all participants, and providing the home with necessary permission slips. A home care checklist chart is developed for each participating resident. If the forms reflect the organization, completion of the forms is simple, and easily managed and updated. An emergency care room should be established with ample light, a dental chair, a sink, and necessary supplies (Table). On the second and subsequent visits, an aide can organize the charts and bring patients to the dental room for screening. It is easy for the aide or nurse to tell what the personal health and mood of the patient is. A screening examination is charted with potential and immediate problems written on the conservator's form (Fig 2). Treatment may consist of directions to staff, temporary medicated dressing (cement or denture liner, or trimming of denture flanges), and the recommendation for extensive treatment or absolute immediate care in the office of an oral surgeon or a hospital based dental department. Subsequent treatment visits should include education for untrained aides and an update for staff members already trained. Treatment should be done after consultation with staff. New patients with completed conservator's request forms may be screened for potential or immediate need. Any billing would be completed by the dentist or aide, using the same procedures that he or she would use in the private office. The dentist is responsible for billing. Instruction sheets are left at the home on the first day by the secretary. These directives help to keep things slowly smoothly when the dentist comes for the first visit (Fig 2).

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HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 007D52 | SxmlIndent | more

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