Matching 2 MOD 2 Dental Records
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Written Permission | As a dental auxillary you must obtain this before tranfering a copy of the patients record to another dentist office.
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| 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.
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| Red/Blue | The two colors of pencil used to chart on a manual dental chart.
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| Care Plan | Also called the treatment plan, when the DDS evaluates, accesses and diagnoses dental disease of the oral cavity.
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| Signed Informed Consent | Materials found in the patients chart would include this form.
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| Medical History | Provides information on the patients existing medical conditions, list of drugs and interactions.
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| Extraoral/Intraoral Exam | This involves the observation and palpation of the neck, face and lips, and oral cavity.
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| Complete oral exam armamentarium | This includes a mirror, explorer, perio probe, articulating paper and holder, and gauze squares.
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| Periodontal Exam | This is where the DDS takes 6 measurements of each tooth sulcus and records the depths.
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| Infection | A sure sign of this is when a DDS palpates the extraoral area and finds swelling.
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| Chief Complaint | This is what prompts a patient to seek a dentist.
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| Electronic Patient Charts | The disadvantage to using this is there is no universal standard set within the U.S. for all DDS to follow.
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| 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.
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| Dental Assistant | This is the person who sits and talks with the patient prior to treatment, this is important.
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| S.O.A.P. | Subjective, objective, assessment and plan.
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| Objective and unemotional | This type language should be used to chart patient information.
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Created by:
mgarrett
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