|
Dental and medical history and
patient examination |
1.
An interview with parent or responsible person and child,
including history of health problems and medical treatment, past
dental experience.
2.
Clinical charting of the existing condition of the oral
and facial structures.
Radiographic survey with films
sufficient in number and quality to detect anomalies and
diseases and to evaluate development with the age and mental
development of the child as consideration. Adequate radiation
protection measures taken (i.e., lead apron for patient.) |
1.
No dental-medical history taken and noted in records.
2.
No chart record of existing conditions.
3.
Radiographic survey inadequate. (Refer also to item
“Radiographic Examination.”) No radiation protection
of patient. |
|
Patient and parent counseling,
motivation and preventive procedures |
1.
Plaque control: Parents instructed in toothbrushing and
expected to cleanse the mouth of the very young child, involving
the child in the process to the extent practical but maintaining
direct responsibility for mouth cleanliness. With maturity
educational efforts directed primarily to the child whose
dexterity will increase. The older child is expected to assume
responsibility for his own oral hygiene, encouraged and
supported by parents and reinforced by dental office personnel
at periodic recall visits.
2.
Oral prophylaxis and use of fluorides applied topically
at least annually and more frequently when necessary.
3.
When appropriate, review of dietary patterns of the child
including appropriate counseling.
4.
Fluorides for systemic use prescribed when indicated by
lack of availability through water supply in accordance with
1994 revised supplemental guidelines. |
1.
Parents not instructed or involved in home care
procedures. Responsibility not directed to parent when child is
very young. As child matures, educational efforts and
responsibility not redirected. No reinforcement by office
personnel at periodic recall visits.
2.
Inadequate prophylaxis, topically applied fluoride not
used as indicated.
3.
No review of dietary patterns evident, no nutritional
counseling.
4.
Fluorides for systemic use not prescribed when indicated
by lack of availability through water supply or exceeding
recommended levels for prescription of systemic fluoride. |
|
Diagnosis and plan of treatment |
1.
Identification of anomalies, disease and other
significant deviations from normal for treatment or referral.
2.
Formation of an organized approach to a plan to a plan
for treatment consistent with the needs of the patient and the
level of patient acceptance and compliance. Priority given to
the elimination of oral problems listed below:
a.
Pain and acute infection.
b.
Major and minor deformities.
c.
Carious lesions.
d.
Periodontal conditions.
e.
Prostheses or appliances for guidance of growth, space
maintenance, correction of anomalies.
3.
Presentation of proposed plan of treatment to patient,
parent or responsible party, with clear explanation of need,
possible consequences of nonacceptance of proposed treatment or
acceptance of partial treatment. |
1.
Anomalies, disease and other deviations from normal not
identified and/or not treated or referred for treatment.
2.
Incomplete diagnosis and inadequate sequential treatment
plan.
3.
Treatment plan not discussed, alternatives not indicated,
consequences of nontreatment or partial treatment not explained. |
|
Control of pain and apprehension |
Proper methods of apprehension and
pain control utilized to assure that child does not experience
unnecessary pain or discomfort. Child properly prepared for
dental treatment. |
No attempt made to control
apprehension and pain or to prepare child for dental treatment. |