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DENTAL CHARTING

DENTAL CHARTING. Dental Records provide descriptions & assessments of the patient’s medical and dental status Medical History Forms provide the medical information Dental charts provide the oral conditions, assessment and prognosis for dental treatment.

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DENTAL CHARTING

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  1. DENTAL CHARTING

  2. Dental Records provide descriptions & assessments of the patient’s medical and dental status Medical History Forms provide the medical information Dental charts provide the oral conditions, assessment and prognosis for dental treatment

  3. Dental Records are conducted to record the • Dental conditions present in the oral cavity and • treatment needed. • It is part of the legal record • Dental records are preformed at the initial examination • and every subsequent visit. • Uses of these dental records include: • DIAGNOSIS • CONSULTATION • BILLING • FORSENSIC DENTISTRY IDENTIFICATION

  4. The Oral Examination used to record the dental history • Consists of the following: • VISUAL EXAMINATION • PALPATION • CLINICAL EXTRAORAL EXAMINATION • Face, neck • Lymph Nodes • TMJ • Lips • CLINICAL INTRAORAL EXAMINATION • Soft Tissue Exam • Oral mucosa and frenums • Tongue • Palate • Uvula • Floor of mouth • Hard Tissue Exam of teeth • Periodontal Charting (next semester) • Perio pocket readings • Gum levels • RADIOGRAPHS • INTRAORAL IMAGING • PHOTOS

  5. Armamentarium (set up) for oral examination for charting Mirror Explorer Air Water syringe Periodontal probe Black ink pen Red and Blue pencil Charting form or computer program 2 x 2 gauze

  6. There are several formats or styles of dental charts: ANATOMICAL - teeth are outlined on their crown, root, occlusal mesial, distal, facial and lingual GEOMETRIC – geometrical shapes like circles, triangular are representative of the tooth and surfaces NUMERICAL – uses letters, symbols and codes to describe conditions AUTOMATIC/COMPUTERIZE – Usually part of the dental office management software using a wand, voice activation or computer keyboard to chart conditions

  7. Anatomical Chart completed

  8. Example of a geometric chart system

  9. COMPUTERIZED CHARTING

  10. THE DENTAL CHART USES THE FOLLOWING FOR NOTATIONS: • Symbols Figure 28-11 in MDA • Color Red needed; blue done • Numbers • Abbreviations – Next 4 slides

  11. Mobility 0, 1, 2, 3 or I, II, III Furcation I, II, III – the lost of attachment between bifurcated or trifurcated roots

  12. COMMON DENTAL ABBREVIATIONS

  13. COMMON DENTAL ABBREVIATIONS

  14. Another anatomical chart completed with additional information

  15. Review of classifications of cavities

  16. Caries chart symbols

  17. Oral Conditions Charting Symbols

  18. Additional Charting Symbols of oral conditions

  19. More charting Symbols of oral conditions

  20. PRACTICE CHARTING CHARTING KEY

  21. END OF SERIES

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