01: Recall Protocol

Question 1

What are the 3 parts of the Recall Protocol?

Answer 1

Examination
Treatment Plan
Treatment

Question 2

What comprises the Examination Portion of the Protocol?

Answer 2

Medical/Dental Histories
H & N Exam
Hard/Soft Tissue Exams

Question 3

What are some of the options for the Recall Treatment Plan?

Answer 3

Periodic oral examination
Oral hygiene instruction
Adult prophylaxisFluoride application

Question 4

What are the steps to access the Health History Form in Axium?

Answer 4

1. Bring Up Patient EHR
2. Select the “Forms” Tab
3. Click the Green Cross Folder

Question 5

What are the steps to add a medication to the health history?

Answer 5

1. Click on “Medications” Tab
2. Click on the Green Cross Folder
3. Select either New Prescription or axiUm eRx

Question 6

What axium form is needed for the H & N exam?

Answer 6

Initial Assessment

Question 7

What are the steps to access the initial assessment form in axiUm?

Answer 7

1. Click on the “Forms” Tab
2. Click on the Green Cross Folder
3. Under the “Form” Drop down box select D2VCIA “02-Initial Assessment”

Question 8

How often is a BW Radiograph required in a Px with no caries and not high risk?

Answer 8

24-36 months

Question 9

How often is a BW Radiograph recommended is a Px with active caries and/or high risk?

Answer 9

12-24 months

Question 10

What are the recommended radiograph guidelines for a patient with controlled periodontitis?

Answer 10

PA and/or BW at 24-36 monthsFull mouth at 5 years

Question 11

What are the radiograph recommendations for a patient with uncontrolled periodontitis?

Answer 11

PA and/or BW at 12-24 monthsFull mouth 3-5 years

Question 12

Are horizontal or vertical BW’s preferred for Perio Patients?

Answer 12

Vertical

Question 13

How do we access Radiographs on axiUm?

Answer 13

1. Select Chart Add Tab
2. Click on Diagnostics
3. Select the Radiographs to add
4. Click on the Green Cross Post-It Icon

Question 14

What are the steps to complete the Radiographic assessment?

Answer 14

1. Order new Radiographs if needed
2. Interpret new radiographs
3. Record in Initial Assessment Form
4. Review findings with Faculty

Question 15

How do you access the Initial X Ray Eval Form on axiUm?

Answer 15

1. Click on the X-Ray Icon
2. Click on the “Forms” tab
3. Click on the “Initial X-Ray Eval” Tab

Question 16

In perio patients, what structures are important enough to see that we order vertical BW’s

Answer 16

Alveolar ridge

Interproximal spaces

Question 17

What are we looking for on the radiographs?

Answer 17

Vertical Bone Loss
Horizontal Bone Loss
Widened PDL

Question 18

What is the first thing we do for the soft tissue exam

Answer 18

PSR

Question 19

What is the code for Periodic Oral Exam

Answer 19

0120

Question 20

What is the oral hygiene instruction code

Answer 20

1330

Question 21

What code is scaling, rubber cup polish, and flossing covered under

Answer 21

1110 (Adult Prophy)

Question 22

What code is Fluoride application

Answer 22

1206

Question 23

During treatment, what type of note must be completed in Axium?

Answer 23

Template Note

Question 24

As we are updating the heath history, what will need to be keyed in if there are no health changes?

Answer 24

Basically, you will go line by line and just update the Date.

Question 25

What is the keyboard shortcut that will update the Date for all Health History Line Items

Answer 25

Control R

Question 26

How do you order radiographs?

Answer 26

Through the Chart Add process in Axium

Question 27

What is the type of radiographs that are most likely to be ordered during the recall patient visit?

Answer 27

Horizontal or Vertical BW's

Question 28

Where is the "Interpret Radiographs" Section found in Axium?

Answer 28

Under EHR and Initial Assessment Form | The Fourth Tab is labeled "Initial Xray Eval"

Question 29

Where is the Perio Assessment Found in Axium?

Answer 29

Initial Assessment PSR Tab Enter Coding

Question 30

Where can we access the plaque score in Axium?

Answer 30

It is only available in the Perio Chart 1. Perio Chart Icon 2. Click the Add Perio (Green Cross) 3. Choose Plaque Index in the Exam Type Pull Down Menu 4. Enter in coding, scoring will be calculated

Question 31

If there is an existing Initial Assessment for the Patient, will we just be updating it?

Answer 31

No, despite the name of the form, a new Initial Assessment will be filled out for each visit, including for this recall.

Question 32

How do we enter a Perio Diagnosis?

Answer 32

Click on Treatment History | Click on Diagnose Biology

Question 33

How do we complete a Template Note

Answer 33

Click on the Green Cross Post It Note Icon Select Template Note and Click OK Click the Code Pull Down Menu (Ellipses) Select Template Note

Question 34

What are the steps to complete the Adult Prophy

Answer 34

1. Right Click on Planned Treament 2. Select Complete Treatment 3. Select your GPG 4. Click on the Checkmark Folder at the top of the Complete Treatment Screen 5. Click OK 6. Get Faculty to Swipe

Question 35

What if a patient refuses recommended treatment?

Answer 35

There is a refusal of treatment form, but you can also note it in template notes.