Starting and running a successful dental practice is a challenging process. There are a lot of requirements and regulations that need to be met to be allowed to operate. "Dentists and their teams must comply with regulations issued by multiple agencies at the national, state and local levels. Adhering to an effective Quality System, Safety Program and Ensuring good regulatory practices will ultimately aid your business in operating more efficiently as it safeguards our patients, the members of our dental teams, our practices and the environment. Staying up-to-date requires constant vigilance. Complying to these requirements and regulations often becomes complicated and over whelming. "Many practicing dentists report that knowing all of the applicable regulations and guidelines is one of the most challenging aspects of running a dental practice.\nHere is a checklist of Dental Radiology regulatory requirements to adhere to when running your dental practice:\n\n1) Institution Registration:\n\n \tInstitute (i.e. dental clinic) must register with any one of the agencies which have been accredited by Bhabha Atomic Research Centre (BARC) to provide personnel Radiation monitoring service.The list of agencies is:\n\n \tRENENTECH LABORATORIES PVT LTD\n \tAvanttec Laboratories Pvt Ltd (Chennai)\n \tUltratech Laboratories Pvt Ltd(Chhattisgarh)\n\n\n \tThe application form should be obtained by contacting any of the above-mentioned agencies and submitted back to the agency as per their submission process.\n \tOnce the form is submitted, the agency will register the institute and send an email with Atomic Energy Regulatory Board (AERB) website login credentials to the email id filled in the form.\n \tClick here for Sample Application Form for Institution Registration and application for TLD:\n\n2) Personnel Monitoring (TLD Badges):\n\n \tDetails for obtaining TLD badges (dosimeter) for the operators of the dental X-ray equipment should be submitted in the Institute registration form itself.\n \tIt is not mandatory to have a TLD badge for the operators of the dental X-Ray equipment. However, it is important to monitor the radiation exposure on a timely basis to avoid any radiation hazard.Each TLD pouch has 2 components:\n\n \tOuter cassette.\n \tInner Refill Pouch.\n\n\n \tThe inner refill pouch must be replaced by a new Refill pouch on every quarterly basis. The new refill pouch will be provided by the agency and old refill pouch will be sent back to the agency to analyze and provide the TLD reading report.\n \tPlease note: The institute will also be getting a control TLD Badge which has to be kept in the radiation-free area of the clinic.\n \tClick Here to get TLD USER INSTRUCTION MANUAL for reference.\n\n3) Machine Registration:\n\n \tOnce the TLD badge for the operator is obtained and the institute is registered, The X-Ray machine of the clinic has to be registered with AERB as per the instructions mentioned on their site.\n \tThe screen of the Xray machine page to be added.\n\n4) Periodic Quality Assurance (QA):\n\n \tA quality assurance test has to be performed on the X-Ray machine and the results of the same have to be uploaded on the AERB site using the login id and password.\n \tThis test has to be done every 5 years. It is done by agencies that are registered with AERB.\n \tScreen shot of the Quality Assurance Test page to be added.\n \tOnce the results of the QA test are uploaded, it takes about 30-45 days to obtain a license from AERB to operate the X-Ray machine.\n \tThe license will be accessible on AERB site account.\n\n5) Decommissioning:\n\n \t\nIt is mandatory to intimate the AERB, in case of withdrawal of the X-Ray unit from service in case of clinic closure or relocation of a clinic.\n\n \tIntimation can be sent to AERB through the AERB site account.\n\nNow that you have learned the regulatory requirements in dental radiology, lets put it into practice and ensure a safe environment for us and our patients.\nStay tuned for more information on regulatory requirements in dental practice and key parameters for obtaining NABH accreditation.