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MOD 2 Dental Records
Matching 2 MOD 2 Dental Records
Question | Answer |
---|---|
Written Permission | As a dental auxillary you must obtain this before tranfering a copy of the patients record to another dentist office. |
Valuable Information | The patients recall history, patients previous dental care, and dates of the patients last dental treatment all included in the patients Dental History. |
Red/Blue | The two colors of pencil used to chart on a manual dental chart. |
Care Plan | Also called the treatment plan, when the DDS evaluates, accesses and diagnoses dental disease of the oral cavity. |
Signed Informed Consent | Materials found in the patients chart would include this form. |
Medical History | Provides information on the patients existing medical conditions, list of drugs and interactions. |
Extraoral/Intraoral Exam | This involves the observation and palpation of the neck, face and lips, and oral cavity. |
Complete oral exam armamentarium | This includes a mirror, explorer, perio probe, articulating paper and holder, and gauze squares. |
Periodontal Exam | This is where the DDS takes 6 measurements of each tooth sulcus and records the depths. |
Infection | A sure sign of this is when a DDS palpates the extraoral area and finds swelling. |
Chief Complaint | This is what prompts a patient to seek a dentist. |
Electronic Patient Charts | The disadvantage to using this is there is no universal standard set within the U.S. for all DDS to follow. |
Progress Notes | This includes date of treatment, tooth treated, and treatment performed. Also can include broken and canceled appointments, compliance issues, and conversations about treatment. |
Dental Assistant | This is the person who sits and talks with the patient prior to treatment, this is important. |
S.O.A.P. | Subjective, objective, assessment and plan. |
Objective and unemotional | This type language should be used to chart patient information. |