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

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

4. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 3 Module: Dental Team and Dental 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.

5. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 4 Module: Dental Team and Dental 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.

6. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 5 Module: Dental Team and Dental 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.

7. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 6 Key Terms Abandonment Byte CPU Denturist Endodontics Esthetics Jurisprudence Oral prophylaxis Orthodontics Periodontics Prostheses

8. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 7 Part A: Managing the Dental Team Members of the dental team DA credentials Risk management Staff management Law and ethics Working as a team DA continuing education Equipment management

9. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 8 Members of the Dental Team Dentist (and dental specialties) Dental hygienist Dental office manager Chairside DA Dental laboratory technician Denturist Infection control coordinator Others

10. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 9 DA Qualifications and Credentials Licensure and registration –State by state –DANB –ADA Certification –“Certified Dental Assistant” designation –Eligibility pathways for certification

11. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 10 DA Eligibility Pathways CDA COA COMSA CDPMA

12. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 11 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

13. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 12 Working Together as a Dental Team Primary goal Communication Respect Staff meetings Morning huddle Goal setting

14. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 13 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

15. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 14 Dental Team Management Staff supervision –General –Direct Personnel policies Office manuals Hiring Firing

16. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 15 The Law and Dental Team Supervision Fair hiring Quality of work environment Harassment Employee behavior Written job descriptions Provisional employment Employee leasing and temporary services Performance reviews Termination Salary and benefits Employee records Americans with Disabilities Act

17. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 16 Risk Management Avoiding malpractice Maintaining patient confidentiality Reporting domestic abuse

18. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 17 Managing Office Equipment Telephone Fax machine Photocopier Computer –Hardware –Software

19. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 18 Part B: Managing the Dental Record Speaking dental language Charting the oral cavity Managing patient records Speaking dental language Charting the oral cavity Managing patient records

20. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 19 Four Quadrants ID

21. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 20 Periodontium ID

22. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 21 Hard and Soft Structures ID

23. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 22 Deciduous Dentition ID

24. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 23 Permanent Dentition ID

25. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 24 Surfaces and Edges ID

26. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 25 Cavity Classifications ID

27. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 26 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

28. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 27 Numbering and Charting Systems Numbering –Universal numbering –Palmer system –Federation Dentaire Internationale Charting –Anatomic –Geometric

29. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 28 Charting Abbreviation Quiz Abs Adj Amal Anes Ant B BO BWX Br Cem Com Consult Cr Decid Del Dent DI Diag

30. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 29 Charting Abbreviation Quiz D DL DO Ex Ext Est F FI Fix Br FX FGCr FLD FMX FUD G GI GO Impac

31. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 30 Charting Abbreviation Quiz IMPL IMP I In L LS Lido L LO M MI Miss MO MOD Nbk N202 O On

32. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 31 Charting Abbreviation Quiz OHI Pano PLD PUD PSR Perm PFS Porc PFG PFM PJC Post PO Prep POH P Prox Rem

33. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 32 Charting Abbreviation Quiz RCT St Sh SM Temp The TX Tx Pl Xylo ZOE ZnP

34. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 33 Charting Abbreviation Answers Abscess Adjustment Amalgam Anesthetic Anterior Buccal Bucco-occlusal Bitewing Bridge Cement Composite Consultation Crown Deciduous Delivery Denture Disto-incisal Diagnosis

35. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 34 Charting Abbreviation Answers Distal Disto-lingual Disto-occlusal Examination Extraction Estimate Facial Fluoride Fixed bridge Fracture Full gold crown Full lower denture Full-mouth x-rays Full upper denture Gold Gold inlay Gold onlay Impaction

36. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 35 Charting Abbreviation Answers Implant Impression Incisal Inlay Labial Laser Lidocaine Lingual Linguo-occlusal Mesial Mesio-incisal Missing Mesio-occlusal Mesio-occluso-distal Nerve block Nitrous oxide Occlusal Onlay

37. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 36 Charting Abbreviation Answers Oral home instructions Panorex Partial lower denture Partial upper denture Periodontal screening record Permanent Pit & fissure sealants Porcelain Porcelain fused to gold Porcelain fused to metal Porcelain jacket crown Posterior Postoperative

38. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 37 Charting Abbreviation Answers Preparation Preventative oral hygiene Prophylaxis Proximal Removable Root canal therapy Seat (final cementation) Shade Study models Temporary Tooth Treatment plan Xylocaine Zinc-oxide eugenol Zinc oxyphosphate

39. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 38 Charting Symbols

40. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 39 Charting Symbols Revealed Missing tooth Tooth surgically extracted Tooth surgically extracted Unerupted or impacted tooth Unerupted or impacted tooth Teeth drifting up or down Teeth drifting up or down Teeth drifting medially or distally Teeth drifting medially or distally Tooth with crown Tooth with crown Porcelain Fused to metal crown Porcelain Fused to metal crown Fixed bridge Fixed bridge Fractured tooth Fractured tooth Apical abscess Apical abscess Root-canal therapy on tooth Root-canal therapy on tooth Tooth w/ periodontal pockets Tooth w/ periodontal pockets Periodontal abscess Periodontal abscess Overhanging margins Full or partial denture

41. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 40 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.

42. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 41 The Dental Patient Record Dental record contents Record types Ownership Clinical uses Radiation safety Periodontal disease predictability testing Intraoral camera Prescriptions

43. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 42 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 NOTE: Do not include personal patient information in the dental record

44. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 43 Dental Record Ownership and Use Ownership: –Practice owns records –Right to Privacy Act = patient access Uses: –Diagnosis –Treatment planning –Case presentation –Recall program

45. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 44 Other Components of the Record Radiation safety and alternatives Periodontal disease predictability testing Intraoral camera images Prescriptions –Pharmaceutical –Laboratory

46. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 45 Nine Parts to the Drug Rx

47. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 46 Abbreviating the Rx Before meals= Twice a day= Capsules= Liquid= Milliliter= After meals= Every 2 hours= Every 3 hours= Every 4 hours= ac bid caps liq ml pc q2h q3h q4h

48. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 47 Abbreviating the Rx Every 6 hours= Every 12 hours= Daily= Every hour= Four times a day= As necessary= Immediately= Tablets= Three times a day= q6h q12h qd qh qid prn stat tabs tid

49. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 48 Summary of Module Key Terms Managing the dental team Managing the dental record