Dental Office Management of Medical Emergencies

PowerPoint® Presentation for
Dental Office Management
Module:
Dental Team and Dental
Record Management
Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 1
Module: Dental Team and Dental
Record Management
Dental Team and

Dental Record
Management
Part A: Managing
the Dental Team
Part B: Managing
the Dental Record

Record Management
Learning Objectives
1. Define the Key Terms.
2. Delineate the clinical roles of the dental team.
3. Detail eligibility pathways available to the dental
assistant.
4. Summarize legal and ethical concepts in the
dental office.
5. Discuss dental office personnel issues from a
manager’s point of view.
6. Identify the basics of dental records management.
Record Management
Learning Objectives
7. Demonstrate risk management strategies and
methods applicable to the dental office.
8. Use team-building techniques in classroom
simulations.
9. Exhibit knowledge of dental terminology and
10. anatomy.
10. Simulate charting of the oral cavity, including
coding.

Record Management
Learning Objectives
11. Examine dental pharmacy procedures.
12. Create an office equipment specification
sheet based on an operating budget.
13. Contrast the policies and procedures of
a local dental office with material
presented in this module.

Key Terms
• Abandonment • Oral prophylaxis

• Byte • Orthodontics
• CPU • Periodontics
• Denturist • Prostheses
• Endodontics
• Esthetics
• Jurisprudence

Part A: Managing the Dental Team
Members of the dental team
DA credentials DA continuing education
Law and ethics Working as a team
Risk management Staff management
Equipment management

Members of the Dental Team
• Dentist (and dental

specialties)
• Dental hygienist
• Dental office manager
• Chairside DA
• Dental laboratory
technician
• Denturist
• Infection control
coordinator
• Others
DA Qualifications and Credentials
• Licensure and
registration
– State by state
– DANB
– ADA
• Certification
– “Certified Dental
Assistant”
designation
– Eligibility pathways
for certification
DA Eligibility Pathways
• CDA
• COA
• COMSA
• CDPMA

Continuing CDA Education
• Certification renewal
• Minimum hours a year
• Recertification sources
• Random CDE audits
• Multiple certification renewal requirements:
– One credential: 12 hours
– Two credentials: 18 hours
– Three credentials: 24 hours
– Four credentials: 36 hours
Working Together as a Dental Team
Primary goal
Communication
Respect
Staff meetings
Morning huddle
Goal setting
Law, Ethics, and the Dental Team
• Jurisprudence
– State Board of Dental Examiners
– State Dental Practice Act
– Expanded DA functions by state
• Ethics
– ADA Code of Ethics
– ADAA Code of Ethics
– Ethics and HIV/AIDs

Dental Team Management
• Staff supervision
– General
– Direct
• Personnel policies
• Office manuals
• Hiring
• Firing

The Law and Dental Team Supervision
• Fair hiring • Employee leasing and

• Quality of work temporary services
environment • Performance reviews
• Harassment • Termination
• Employee behavior • Salary and benefits
• Written job • Employee records
descriptions • Americans with
• Provisional Disabilities Act
employment
Risk Management
Avoiding malpractice
Maintaining patient confidentiality
Reporting domestic abuse

Managing Office Equipment
• Telephone
• Fax machine
• Photocopier
• Computer
– Hardware
– Software

Part B: Managing the Dental Record
Speaking dental
language
Charting the oral cavity
Managing patient records

Four Quadrants ID

Periodontium ID

Hard and Soft Structures ID

Deciduous Dentition ID

Permanent Dentition ID

Surfaces and Edges ID

Cavity Classifications ID

Oral Charting
• Complete dental chart

• Tooth numbering systems
• Charting symbols
• Office systems
• Charting terms
• Common charting symbols
• Manual versus computerized charting
• Semi-automated exam instruments
• ADA coding system
Numbering and Charting Systems
• Numbering
– Universal numbering
– Palmer system
– Federation Dentaire Internationale
• Charting
– Anatomic
– Geometric

Charting Abbreviation Quiz
• Abs • Cem
• Adj • Com
• Amal • Consult
• Anes • Cr
• Ant • Decid
• B • Del
• BO • Dent
• BWX • DI
• Br • Diag
• D • FX
• DL • FGCr
• DO • FLD
• Ex • FMX
• Ext • FUD
• Est • G
• F • GI
• FI • GO
• Fix Br • Impac
• IMPL • M
• IMP • MI
• I • Miss
• In • MO
• L • MOD
• LS • Nbk
• Lido • N202
• L • O
• LO • On
• OHI • PFM
• Pano • PJC
• PLD • Post
• PUD • PO
• PSR • Prep
• Perm • POH
• PFS • P
• Porc • Prox
• PFG • Rem
• RCT • ZOE
• St • ZnP
• Sh
• SM
• Temp
• The
• TX
• Tx Pl
• Xylo
Charting Abbreviation Answers
• Abscess • Cement
• Adjustment • Composite
• Amalgam • Consultation
• Anesthetic • Crown
• Anterior • Deciduous
• Buccal • Delivery
• Bucco-occlusal • Denture
• Bitewing • Disto-incisal
• Bridge • Diagnosis
• Distal • Fracture
• Disto-lingual • Full gold crown
• Disto-occlusal • Full lower denture
• Examination • Full-mouth x-rays
• Extraction • Full upper denture
• Estimate • Gold
• Facial • Gold inlay
• Fluoride • Gold onlay
• Fixed bridge • Impaction
• Implant • Mesial
• Impression • Mesio-incisal
• Incisal • Missing
• Inlay • Mesio-occlusal
• Labial • Mesio-occluso-distal
• Laser • Nerve block
• Lidocaine • Nitrous oxide
• Lingual • Occlusal
• Linguo-occlusal • Onlay
• Oral home • Porcelain

instructions • Porcelain fused to
• Panorex gold
• Partial lower denture • Porcelain fused to
• Partial upper denture metal
• Periodontal screening • Porcelain jacket
record crown
• Permanent • Posterior
• Pit & fissure sealants • Postoperative
• Preparation • Shade
• Preventative oral • Study models
hygiene • Temporary
• Prophylaxis • Tooth
• Proximal • Treatment plan
• Removable • Xylocaine
• Root canal therapy • Zinc-oxide eugenol
• Seat (final • Zinc oxyphosphate
cementation)
Charting Symbols

Charting Symbols
Revealed Missing tooth
Tooth Unerupted Teeth Teeth drifting
surgically or impacted drifting medially or
extracted tooth up or down distally
Porcelain
Tooth with Fixed Fractured
Fused to
crown bridge tooth
metal crown
Root-canal Tooth w/
Apical Periodontal
therapy on periodontal
abscess abscess
tooth pockets
Overhanging margins Full or partial denture
ADA Coding
• ADA updates code book every five years.

• Lists all known code numbers for dental
procedures.
• Codes are organized by:
– Category
– Specialty
– Type of treatment
• Manager can make coding cheat sheet.
The Dental Patient Record
• Dental record contents

• Record types
• Ownership
• Clinical uses
• Radiation safety
• Periodontal disease
predictability testing
• Intraoral camera
• Prescriptions
Dental Record Contents
• Clinical record
• Financial responsibility form
• Informed consent form
• Medical/dental history form
• Dental radiographs
NOTE: Do not include personal

patient information in the dental record

Dental Record Ownership and Use
• Ownership:
– Practice owns records
– Right to Privacy Act = patient access
• Uses:
– Diagnosis
– Treatment planning
– Case presentation
– Recall program

Other Components of the Record
• Radiation safety • Prescriptions

and alternatives – Pharmaceutical
• Periodontal – Laboratory
disease
predictability
testing
• Intraoral camera
images
Nine Parts to the Drug Rx

Abbreviating the Rx
• Before meals= ac
• Twice a day= bid
• Capsules= caps
• Liquid= liq
• Milliliter= ml
• After meals= pc
• Every 2 hours= q2h
Abbreviating the Rx

• Daily= qd
• Every hour= qh
• Four times a day= qid
• As necessary= prn
• Immediately= stat
• Tablets= tabs
• Three times a day= tid
Summary of Module
• Key Terms
• Managing the dental team
• Managing the dental record

Dental Office Management of Medical Emergencies

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PowerPoint® Presentation for

Dental Office Management

Dental Team and

Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 2

Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 4

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• Abandonment • Oral prophylaxis

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Members of the dental team

DA credentials DA continuing education

Law and ethics Working as a team

Risk management Staff management

Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 7

• Dentist (and dental

Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 10

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• Fair hiring • Employee leasing and

Maintaining patient confidentiality

Reporting domestic abuse

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Charting the oral cavity

Managing patient records

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• Complete dental chart

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• Oral home • Porcelain

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• ADA updates code book every five years.

• Dental record contents

NOTE: Do not include personal

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• Radiation safety • Prescriptions

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• Every 6 hours= q6h

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