Dental Records, Patient Distress Management and Team Referral Report

This report provides an overview of dental records and charts, detailing their importance and components such as clinical notes, diagnostic information, and treatment records. It explores various aspects of dental records including personal details, medical history, and orthodontic measurements. Th...Read More

Dental 6

Table of Contents
TASK 1............................................................................................................................................3
Identification of dental records and charts..................................................................................3
TASK 2............................................................................................................................................4
How can monitor, support and manage signs of distress inpatients...........................................4
TASK 3............................................................................................................................................5
Why patients refer to other team members and how is this done or communicated.................5

TASK 1
Identification of dental records and charts.
Dental Records and Charts: dental charts and records are used to record the patients
details which includes clinical notes, diagnostic information, patient related communication,
treatment performed that are in dental office. It includes instruction for consent treatment and
home care as well. For example personal details of patients and their health care.
Importance of Dental Records and Charts: It is essential practice of dentistry to keep
the records of patients in proper manner. It is fundamental to delivery of quality patient care.
Patients records and charts are official source of treatment and patient related communication,
clinical notes, diagnostic information. Charts and records provide invaluable data which includes
the past and future information. That is helpful to assess the quality of care. With that it assist
plan for treatment going forward.
Dental charts: it is a graphical tool for maintaining and organizing all the essential
information and records of patients gums and teeth. It keeps the record regarding to issues and
conditions which is described in dental chart. It includes records such as area of cavities, missing
teeth.
Radiographs: it is equipment with help of it images of teeth can be analysed.
Radiographs has law level of radiation to identify the malignant or benign masses, to find hidden
dental structure, cavities, bone loss. It assists dentist in order to analyse problems that impact
teeth and gums.
Bite-wing X-ray: it is sets of X-ray. It shows the teeth above the gum line and height
difference between teeth and bones. With that it support in order to show the crown of premolar

and molar, diagnosis of cavities, periodontal disease. Bite wing x-ray is used by placing it on the
tongue side of teeth.
Photographs: Photography is an invaluable part of dentistry. Intra oral photographs
makes easy to diagnosis and treatment planning, it enhances the communication and education of
patients, it can be used in order to insurance verification. It assists laboratory communication,
proper photographs help mistreated patients to provide accurate treatment.
Periodontal charts and BPE: it stands for the basic periodontal examination. If there is
a deep pockets then patients need periodontal treatment. This tool is used for indicating the level
of examination to provide basic guidance on treatment. It includes mobility charting, gingiva l
index, radiographic analysis, periodontal probing and evaluate the amount of attaches gingiva.
Study models: dentists use this diagnostic model to visualize the dental treatment in
specific cases for patients. It provides the accurate information and representation about the
supporting tissues, gums and teeth which help in proper treatment and diagnosis.
Personal details. It consists the information regarding to patient records, care services, business
records such as claims, billing, scheduling, laboratory charges, drug records and so on.
Medical history: It includes all the information about the general health, medical
condition, oral health, surgeries, allergies, medication use, radiographic history, personal dental
care, childhood disease regards to past and present of patients.
Orthodontic measurements: facial and intra oral photographs, dental models and
treatment planning are called orthodontic measurements. It alleviates and prevents the health
dental problems. Without treatment, orthodontic problems may enhance the bone loss, gum
disease, chewing and digestive problems, tooth loss, speech impairments, tooth decay, and other
dental injuries.
Lab sheets: It includes the records of treatment, deliver quality patient care. Lab sheets
are used in forensic purpose and crucial for legal matters, research and teaching as well.
TASK 2
How can monitor, support and manage signs of distress inpatients.
Adults: Sign of distress can be monitor in adults by noticing and reporting their daily
routine such as setting alone, avoid conversation with friend and families, addicted to drugs are

some sign that indicate adults are suffering from anxiety. It can support and manage by
consulting them psychicist.
Older people: in older people it can be identified by the monitoring circumstances which
they suffer such as extreme stress, bereavement, trauma, physical cause like medical conditions,
Alzheimer disease and other dementias. It can be manage by mediation, nutritional counselling,
acupuncture etc.
Children: Sign of distress in children can be monitored by analysing their behaviour
which includes restlessness, inattention, poor focus, avoidance etc. it is managed and supported
by focusing on the positivity, scheduling relaxation activities, rewarding them for their brave
behaviour and so on.
People with special needs: These kinds of people are very sensitive. It is important to
monitor distress via analysing their changing behaviour which can include agitation, somatic
symptoms such as stomachache, headache, tantrum, crying, restlessness etc. it can be manage
and supported through traditional medicines, relaxation technique, yoga, naturopath and so on.
TASK 3
Why patients refer to other team members and how is this done or communicated.
If team member are not able to understand and analyse the problems of their patients so
in this case patients refers to another team member. Such as many patients come with different
dental problem such as teeth ache, gum disease, tooth erosion, cosmetic needs, bad breath, oral
cancer, mouth sore and so on. Considering this, patients are referred to another team based ion
their requirement. For this team members can communicate with orally which includes face to
face communication, written communication such as emails, telephonic communication etc.
Equipment Instruments Materials
Hard tissues Microtomes sharp-edge Ceramic materials
Soft tissues Microscopy tissue diagnostic
instrument (TDI)
Anisotrophy modeling
Measuring and making a record of the teeth and gingivae

Periodontal probe is that instrument used in dentistry commonly use into armamentarium
which has long and thin ends.
Assessing the function of the dentition (orthodontic assessment)
Orthodontics is that branch of dentistry which is concerned with facial growth and
development of dentition and occlusion together with preventive and corrective actions for
occlusal anomalies.