Emergencies & Records - Week 8 PP Flashcards
Indirect Restorations
Inays and onlays are cast restorations designed to fit tightly within the preparation of a tooth. An inlay resembles a class II restorations and covers a portion of the occlusal and proximal surfaces.
An onlay resembles a multisurface restoration and covers the proximal surfaces and most of the entire occlusal surface
Periodontal Charting..
- Probing depths - bleeding/suppuration
- Gingival margin (recession/hyperplasia)
- Presence of furcation involvement
- Mobility
- Mucogingival involvement
Probing Depth Charting
Written in blue - anything from 1-3
Written in red - 4mm+
Bleeding points - red dot above measurement
Suppuration (pus): encircled dot
PSR Probing Depths
Code 0: The colored area of the probe remains completely visible in the deepest sulcus in the sextant; no calculus or defective margins are detected.
Code 1: The colored area of the probe remains completely visible during the deepest probing in the sextant; no calculus or defective margins are detected; bleeding occurs after gentle probing.
Code 2: The colored area of the probe remains completely visible during the deepest probing in the sextant; supragingival or subgingival calculus and defective margins are detected.
Code 3: The colored area of the probe remains partially visible at the deepest probing depth in the sextant.
Code 4: The colored area of the probe completely disappears, indicating probing depth greater than 5.5 mm.
Note additional items on the examination form, including sensitivity, calculus, saliva changes, and furcation involvement.
Furcation
Amount of exposed space between roots of a single tooth due to periodontal bone destruction
Classification of Furcations
Class I Furcation - beginning involvement. Furcation can be detected with an explorer or probe, but it cannot be entered. Cannot be detected radiographically.
Class II - Can enter furcation from one aspect with a probe or explorer but is not able to penetrate through to the other side.
Class III - Furcation covered by soft tissue with complete involvement from both sides
Class IV - Furcation not covered by soft tissue and complete involvement from both sides
(see how it’s charted with triangles)
Classification of Dental Mobility
Class I mobility: Tooth can be moved up to 1 mm in any direction.
Class II mobility: Tooth can be moved more than 1 mm in any direction but is not depressible into the socket.
Class III mobility: Tooth can be moved in a buccolingual direction and is depressible in the socket.
See how its charted in RED - with roman numerals
Gingival hyperplasia - charted
RED line on/across cervical third of crown
Recession - charted
RED line on/across cervical third of root
Abrasion - charted
2 RED lines on/across cervical third of root
Components to a SAIT Chart
- Health History questionnaire
- Medical Update
- Consent and Waiver form
- Schedule A
- Treatment Forms
-Clinical Observations (pink)- polish/fluoride clinics, xray clinics & sealant clinics
-Anatomical charting/periodontal charting, plaque index (blue)
-DA plan for treatment (green)
Additional documents (rare)
-printed radiographs
-referrals to specialists
-Services rendered (PARTS)
- SAIT referral form
- Sterilization Tracking Documentation
- Dental Health Forms (DA Students Only)
Services Rendered: Guidelines
- Non-erasable pen
- Entries must..
-correct, clear and complete
-neat and legible
-abbreviations are permitted - Prompted entries
- Operator must sign all entries
- Sequential (in order)
Chart Audit Purpose
A chart audit ensures that all documents involved in a patient’s dental care are:
- Present and signed off by all parties to avoid litigation
- Complete to ensure that a patient is receiving quality care
- Organized in chronological order to increase the efficiency of patient care and possibly for accurate research purposes
Active vs. Inactive patients
Active patient - has returned for dental treatment within the last 2 years
Inactive patient - any patient who has not been seen in the dental practice for the last 2 years
