By Carlos Gudes-Pinto
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Additional resources for Rehabilitacion Bucal En Odontopediatria. Atencion Integral
Example text
Entries must be stated clearly and objectively. Treatment detail should include the teeth or soft tissue area treated, medications administered, and details surrounding the treatment procedures. Any potentially life threatening condition or medical problem that could have a significant impact on the dental treatment should be displayed in a prominent place in the record. Examples include allergies, need for premedication, and avoidance of epinephrine. The retention of study models for all patients presents storage problems.
Color photographs and digital images of patients are excellent methods for recording patient findings, both before and after treatment. Some practitioners, especially orthodontists, routinely take photographs of all their patients. Intraoral video cameras are used to educate patients about specific problems in their mouths. Many systems can instantaneously print still images that can be given to the patient or placed in the record. Several varieties of worksheets and dental charts are available for recording findings, diagnoses, and treatment Treatment Note Problem: Caries distal upper right first molar.
4 Radiographic Examination Conventional and digital radiographs provide informative images of the teeth and jaws, and serve to document the patient’s dental condition at the beginning of treatment. Before ordering any radiographs, the dentist should review the patient’s oral health history and perform the clinical examination. When possible, any radiographs made by a previous dentist should be obtained, particularly those less than 3 years old. The dentist determines which type of radiograph to obtain based on patient age, clinical findings, and oral health history.