PowerPoint ®  Presentation for Dental Office Management  Module: Dental Team and Dental Record Management
Module: Dental Team and Dental Record Management Dental Team and Dental Record Management Part A:  Managing the Dental Tea...
Module: Dental Team and Dental Record Management <ul><li>Learning Objectives  </li></ul><ul><li>1. Define the Key Terms. <...
Module: Dental Team and Dental Record Management <ul><li>Learning Objectives </li></ul><ul><li>7.  Demonstrate risk manage...
Module: Dental Team and Dental Record Management <ul><li>Learning Objectives </li></ul><ul><li>11. Examine dental pharmacy...
Key Terms  <ul><li>Abandonment </li></ul><ul><li>Byte </li></ul><ul><li>CPU </li></ul><ul><li>Denturist </li></ul><ul><li>...
Part A: Managing the Dental Team Members of the dental team DA credentials Risk management Staff management Law and ethics...
Members of the Dental Team <ul><li>Dentist (and dental specialties) </li></ul><ul><li>Dental hygienist </li></ul><ul><li>D...
DA Qualifications and Credentials <ul><li>Licensure and registration </li></ul><ul><ul><li>State by state </li></ul></ul><...
DA Eligibility Pathways <ul><li>CDA  </li></ul><ul><li>COA </li></ul><ul><li>COMSA </li></ul><ul><li>CDPMA </li></ul>
Continuing CDA Education <ul><li>Certification renewal  </li></ul><ul><li>Minimum hours a year </li></ul><ul><li>Recertifi...
Working Together as a Dental Team Primary goal Communication Respect Staff meetings Morning huddle Goal setting
Law, Ethics, and the Dental Team   <ul><li>Jurisprudence </li></ul><ul><ul><li>State Board of Dental Examiners </li></ul><...
Dental Team Management <ul><li>Staff supervision </li></ul><ul><ul><li>General </li></ul></ul><ul><ul><li>Direct </li></ul...
The Law and Dental Team Supervision <ul><li>Fair hiring  </li></ul><ul><li>Quality of work environment </li></ul><ul><li>H...
Risk Management Avoiding malpractice Maintaining patient confidentiality Reporting domestic abuse
Managing Office Equipment <ul><li>Telephone </li></ul><ul><li>Fax machine </li></ul><ul><li>Photocopier </li></ul><ul><li>...
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 <ul><li>Complete dental chart </li></ul><ul><li>Tooth numbering systems </li></ul><ul><li>Charting symbols  ...
Numbering and Charting Systems <ul><li>Numbering </li></ul><ul><ul><li>Universal numbering </li></ul></ul><ul><ul><li>Palm...
Charting Abbreviation Quiz <ul><li>Abs </li></ul><ul><li>Adj </li></ul><ul><li>Amal </li></ul><ul><li>Anes </li></ul><ul><...
Charting Abbreviation Quiz <ul><li>D </li></ul><ul><li>DL </li></ul><ul><li>DO </li></ul><ul><li>Ex </li></ul><ul><li>Ext ...
Charting Abbreviation Quiz <ul><li>IMPL </li></ul><ul><li>IMP </li></ul><ul><li>I </li></ul><ul><li>In </li></ul><ul><li>L...
Charting Abbreviation Quiz <ul><li>OHI </li></ul><ul><li>Pano </li></ul><ul><li>PLD </li></ul><ul><li>PUD </li></ul><ul><l...
Charting Abbreviation Quiz <ul><li>RCT </li></ul><ul><li>St </li></ul><ul><li>Sh </li></ul><ul><li>SM </li></ul><ul><li>Te...
Charting Abbreviation Answers <ul><li>Abscess </li></ul><ul><li>Adjustment </li></ul><ul><li>Amalgam </li></ul><ul><li>Ane...
Charting Abbreviation Answers <ul><li>Distal </li></ul><ul><li>Disto-lingual </li></ul><ul><li>Disto-occlusal </li></ul><u...
Charting Abbreviation Answers <ul><li>Implant </li></ul><ul><li>Impression </li></ul><ul><li>Incisal </li></ul><ul><li>Inl...
Charting Abbreviation Answers <ul><li>Oral home instructions </li></ul><ul><li>Panorex </li></ul><ul><li>Partial lower den...
Charting Abbreviation Answers <ul><li>Preparation </li></ul><ul><li>Preventative oral hygiene </li></ul><ul><li>Prophylaxi...
Charting Symbols
Charting Symbols Revealed Missing tooth Tooth surgically extracted Unerupted or impacted tooth Teeth drifting up or down T...
ADA Coding <ul><li>ADA updates code book every five years. </li></ul><ul><li>Lists all known code numbers for dental proce...
The Dental Patient Record <ul><li>Dental record contents </li></ul><ul><li>Record types </li></ul><ul><li>Ownership </li><...
Dental Record Contents <ul><li>Clinical record </li></ul><ul><li>Financial responsibility form </li></ul><ul><li>Informed ...
Dental Record Ownership and Use <ul><li>Ownership: </li></ul><ul><ul><li>Practice owns records </li></ul></ul><ul><ul><li>...
Other Components of the Record <ul><li>Radiation safety and alternatives </li></ul><ul><li>Periodontal disease predictabil...
Nine Parts to the Drug Rx
Abbreviating the Rx <ul><li>Before meals= </li></ul><ul><li>Twice a day= </li></ul><ul><li>Capsules= </li></ul><ul><li>Liq...
Abbreviating the Rx <ul><li>Every 6 hours= </li></ul><ul><li>Every 12 hours= </li></ul><ul><li>Daily= </li></ul><ul><li>Ev...
Summary of Module <ul><li>Key Terms </li></ul><ul><li>Managing the dental team </li></ul><ul><li>Managing the dental recor...
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Module 1

  1. 1. PowerPoint ® Presentation for Dental Office Management Module: Dental Team and Dental Record Management
  2. 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
  3. 3. Module: Dental Team and Dental Record Management <ul><li>Learning Objectives </li></ul><ul><li>1. Define the Key Terms. </li></ul><ul><li>2. Delineate the clinical roles of the dental team. </li></ul><ul><li>3. Detail eligibility pathways available to the dental assistant. </li></ul><ul><li>4. Summarize legal and ethical concepts in the dental office. </li></ul><ul><li>5. Discuss dental office personnel issues from a manager’s point of view. </li></ul><ul><li>6. Identify the basics of dental records management. </li></ul>
  4. 4. Module: Dental Team and Dental Record Management <ul><li>Learning Objectives </li></ul><ul><li>7. Demonstrate risk management strategies and </li></ul><ul><li>methods applicable to the dental office. </li></ul><ul><li>8. Use team-building techniques in classroom simulations. </li></ul><ul><li>Exhibit knowledge of dental terminology and </li></ul><ul><li>anatomy. </li></ul><ul><li>10. Simulate charting of the oral cavity, including </li></ul><ul><li>coding. </li></ul>
  5. 5. Module: Dental Team and Dental Record Management <ul><li>Learning Objectives </li></ul><ul><li>11. Examine dental pharmacy procedures. </li></ul><ul><li>12. Create an office equipment specification </li></ul><ul><li>sheet based on an operating budget. </li></ul><ul><li>13. Contrast the policies and procedures of </li></ul><ul><li>a local dental office with material </li></ul><ul><li>presented in this module. </li></ul>
  6. 6. Key Terms <ul><li>Abandonment </li></ul><ul><li>Byte </li></ul><ul><li>CPU </li></ul><ul><li>Denturist </li></ul><ul><li>Endodontics </li></ul><ul><li>Esthetics </li></ul><ul><li>Jurisprudence </li></ul><ul><li>Oral prophylaxis </li></ul><ul><li>Orthodontics </li></ul><ul><li>Periodontics </li></ul><ul><li>Prostheses </li></ul>
  7. 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
  8. 8. Members of the Dental Team <ul><li>Dentist (and dental specialties) </li></ul><ul><li>Dental hygienist </li></ul><ul><li>Dental office manager </li></ul><ul><li>Chairside DA </li></ul><ul><li>Dental laboratory technician </li></ul><ul><li>Denturist </li></ul><ul><li>Infection control coordinator </li></ul><ul><li>Others </li></ul>
  9. 9. DA Qualifications and Credentials <ul><li>Licensure and registration </li></ul><ul><ul><li>State by state </li></ul></ul><ul><ul><li>DANB </li></ul></ul><ul><ul><li>ADA </li></ul></ul><ul><li>Certification </li></ul><ul><ul><li>“Certified Dental Assistant” designation </li></ul></ul><ul><ul><li>Eligibility pathways for certification </li></ul></ul>
  10. 10. DA Eligibility Pathways <ul><li>CDA </li></ul><ul><li>COA </li></ul><ul><li>COMSA </li></ul><ul><li>CDPMA </li></ul>
  11. 11. Continuing CDA Education <ul><li>Certification renewal </li></ul><ul><li>Minimum hours a year </li></ul><ul><li>Recertification sources </li></ul><ul><li>Random CDE audits </li></ul><ul><li>Multiple certification renewal requirements: </li></ul><ul><ul><li>One credential: 12 hours </li></ul></ul><ul><ul><li>Two credentials: 18 hours </li></ul></ul><ul><ul><li>Three credentials: 24 hours </li></ul></ul><ul><ul><li>Four credentials: 36 hours </li></ul></ul>
  12. 12. Working Together as a Dental Team Primary goal Communication Respect Staff meetings Morning huddle Goal setting
  13. 13. Law, Ethics, and the Dental Team <ul><li>Jurisprudence </li></ul><ul><ul><li>State Board of Dental Examiners </li></ul></ul><ul><ul><li>State Dental Practice Act </li></ul></ul><ul><ul><li>Expanded DA functions by state </li></ul></ul><ul><li>Ethics </li></ul><ul><ul><li>ADA Code of Ethics </li></ul></ul><ul><ul><li>ADAA Code of Ethics </li></ul></ul><ul><ul><li>Ethics and HIV/AIDs </li></ul></ul>
  14. 14. Dental Team Management <ul><li>Staff supervision </li></ul><ul><ul><li>General </li></ul></ul><ul><ul><li>Direct </li></ul></ul><ul><li>Personnel policies </li></ul><ul><li>Office manuals </li></ul><ul><li>Hiring </li></ul><ul><li>Firing </li></ul>
  15. 15. The Law and Dental Team Supervision <ul><li>Fair hiring </li></ul><ul><li>Quality of work environment </li></ul><ul><li>Harassment </li></ul><ul><li>Employee behavior </li></ul><ul><li>Written job descriptions </li></ul><ul><li>Provisional employment </li></ul><ul><li>Employee leasing and temporary services </li></ul><ul><li>Performance reviews </li></ul><ul><li>Termination </li></ul><ul><li>Salary and benefits </li></ul><ul><li>Employee records </li></ul><ul><li>Americans with Disabilities Act </li></ul>
  16. 16. Risk Management Avoiding malpractice Maintaining patient confidentiality Reporting domestic abuse
  17. 17. Managing Office Equipment <ul><li>Telephone </li></ul><ul><li>Fax machine </li></ul><ul><li>Photocopier </li></ul><ul><li>Computer </li></ul><ul><ul><li>Hardware </li></ul></ul><ul><ul><li>Software </li></ul></ul>
  18. 18. Part B: Managing the Dental Record Speaking dental language Charting the oral cavity Managing patient records
  19. 19. Four Quadrants ID
  20. 20. Periodontium ID
  21. 21. Hard and Soft Structures ID
  22. 22. Deciduous Dentition ID
  23. 23. Permanent Dentition ID
  24. 24. Surfaces and Edges ID
  25. 25. Cavity Classifications ID
  26. 26. Oral Charting <ul><li>Complete dental chart </li></ul><ul><li>Tooth numbering systems </li></ul><ul><li>Charting symbols </li></ul><ul><li>Office systems </li></ul><ul><li>Charting terms </li></ul><ul><li>Common charting symbols </li></ul><ul><li>Manual versus computerized charting </li></ul><ul><li>Semi-automated exam instruments </li></ul><ul><li>ADA coding system </li></ul>
  27. 27. Numbering and Charting Systems <ul><li>Numbering </li></ul><ul><ul><li>Universal numbering </li></ul></ul><ul><ul><li>Palmer system </li></ul></ul><ul><ul><li>Federation Dentaire Internationale </li></ul></ul><ul><li>Charting </li></ul><ul><ul><li>Anatomic </li></ul></ul><ul><ul><li>Geometric </li></ul></ul>
  28. 28. Charting Abbreviation Quiz <ul><li>Abs </li></ul><ul><li>Adj </li></ul><ul><li>Amal </li></ul><ul><li>Anes </li></ul><ul><li>Ant </li></ul><ul><li>B </li></ul><ul><li>BO </li></ul><ul><li>BWX </li></ul><ul><li>Br </li></ul><ul><li>Cem </li></ul><ul><li>Com </li></ul><ul><li>Consult </li></ul><ul><li>Cr </li></ul><ul><li>Decid </li></ul><ul><li>Del </li></ul><ul><li>Dent </li></ul><ul><li>DI </li></ul><ul><li>Diag </li></ul>
  29. 29. Charting Abbreviation Quiz <ul><li>D </li></ul><ul><li>DL </li></ul><ul><li>DO </li></ul><ul><li>Ex </li></ul><ul><li>Ext </li></ul><ul><li>Est </li></ul><ul><li>F </li></ul><ul><li>FI </li></ul><ul><li>Fix Br </li></ul><ul><li>FX </li></ul><ul><li>FGCr </li></ul><ul><li>FLD </li></ul><ul><li>FMX </li></ul><ul><li>FUD </li></ul><ul><li>G </li></ul><ul><li>GI </li></ul><ul><li>GO </li></ul><ul><li>Impac </li></ul>
  30. 30. Charting Abbreviation Quiz <ul><li>IMPL </li></ul><ul><li>IMP </li></ul><ul><li>I </li></ul><ul><li>In </li></ul><ul><li>L </li></ul><ul><li>LS </li></ul><ul><li>Lido </li></ul><ul><li>L </li></ul><ul><li>LO </li></ul><ul><li>M </li></ul><ul><li>MI </li></ul><ul><li>Miss </li></ul><ul><li>MO </li></ul><ul><li>MOD </li></ul><ul><li>Nbk </li></ul><ul><li>N202 </li></ul><ul><li>O </li></ul><ul><li>On </li></ul>
  31. 31. Charting Abbreviation Quiz <ul><li>OHI </li></ul><ul><li>Pano </li></ul><ul><li>PLD </li></ul><ul><li>PUD </li></ul><ul><li>PSR </li></ul><ul><li>Perm </li></ul><ul><li>PFS </li></ul><ul><li>Porc </li></ul><ul><li>PFG </li></ul><ul><li>PFM </li></ul><ul><li>PJC </li></ul><ul><li>Post </li></ul><ul><li>PO </li></ul><ul><li>Prep </li></ul><ul><li>POH </li></ul><ul><li>P </li></ul><ul><li>Prox </li></ul><ul><li>Rem </li></ul>
  32. 32. Charting Abbreviation Quiz <ul><li>RCT </li></ul><ul><li>St </li></ul><ul><li>Sh </li></ul><ul><li>SM </li></ul><ul><li>Temp </li></ul><ul><li>The </li></ul><ul><li>TX </li></ul><ul><li>Tx Pl </li></ul><ul><li>Xylo </li></ul><ul><li>ZOE </li></ul><ul><li>ZnP </li></ul>
  33. 33. Charting Abbreviation Answers <ul><li>Abscess </li></ul><ul><li>Adjustment </li></ul><ul><li>Amalgam </li></ul><ul><li>Anesthetic </li></ul><ul><li>Anterior </li></ul><ul><li>Buccal </li></ul><ul><li>Bucco-occlusal </li></ul><ul><li>Bitewing </li></ul><ul><li>Bridge </li></ul><ul><li>Cement </li></ul><ul><li>Composite </li></ul><ul><li>Consultation </li></ul><ul><li>Crown </li></ul><ul><li>Deciduous </li></ul><ul><li>Delivery </li></ul><ul><li>Denture </li></ul><ul><li>Disto-incisal </li></ul><ul><li>Diagnosis </li></ul>
  34. 34. Charting Abbreviation Answers <ul><li>Distal </li></ul><ul><li>Disto-lingual </li></ul><ul><li>Disto-occlusal </li></ul><ul><li>Examination </li></ul><ul><li>Extraction </li></ul><ul><li>Estimate </li></ul><ul><li>Facial </li></ul><ul><li>Fluoride </li></ul><ul><li>Fixed bridge </li></ul><ul><li>Fracture </li></ul><ul><li>Full gold crown </li></ul><ul><li>Full lower denture </li></ul><ul><li>Full-mouth x-rays </li></ul><ul><li>Full upper denture </li></ul><ul><li>Gold </li></ul><ul><li>Gold inlay </li></ul><ul><li>Gold onlay </li></ul><ul><li>Impaction </li></ul>
  35. 35. Charting Abbreviation Answers <ul><li>Implant </li></ul><ul><li>Impression </li></ul><ul><li>Incisal </li></ul><ul><li>Inlay </li></ul><ul><li>Labial </li></ul><ul><li>Laser </li></ul><ul><li>Lidocaine </li></ul><ul><li>Lingual </li></ul><ul><li>Linguo-occlusal </li></ul><ul><li>Mesial </li></ul><ul><li>Mesio-incisal </li></ul><ul><li>Missing </li></ul><ul><li>Mesio-occlusal </li></ul><ul><li>Mesio-occluso-distal </li></ul><ul><li>Nerve block </li></ul><ul><li>Nitrous oxide </li></ul><ul><li>Occlusal </li></ul><ul><li>Onlay </li></ul>
  36. 36. Charting Abbreviation Answers <ul><li>Oral home instructions </li></ul><ul><li>Panorex </li></ul><ul><li>Partial lower denture </li></ul><ul><li>Partial upper denture </li></ul><ul><li>Periodontal screening record </li></ul><ul><li>Permanent </li></ul><ul><li>Pit & fissure sealants </li></ul><ul><li>Porcelain </li></ul><ul><li>Porcelain fused to gold </li></ul><ul><li>Porcelain fused to metal </li></ul><ul><li>Porcelain jacket crown </li></ul><ul><li>Posterior </li></ul><ul><li>Postoperative </li></ul>
  37. 37. Charting Abbreviation Answers <ul><li>Preparation </li></ul><ul><li>Preventative oral hygiene </li></ul><ul><li>Prophylaxis </li></ul><ul><li>Proximal </li></ul><ul><li>Removable </li></ul><ul><li>Root canal therapy </li></ul><ul><li>Seat (final cementation) </li></ul><ul><li>Shade </li></ul><ul><li>Study models </li></ul><ul><li>Temporary </li></ul><ul><li>Tooth </li></ul><ul><li>Treatment plan </li></ul><ul><li>Xylocaine </li></ul><ul><li>Zinc-oxide eugenol </li></ul><ul><li>Zinc oxyphosphate </li></ul>
  38. 38. Charting Symbols
  39. 39. Charting Symbols Revealed Missing tooth Tooth surgically extracted Unerupted or impacted tooth Teeth drifting up or down Teeth drifting medially or distally Tooth with crown Porcelain Fused to metal crown Fixed bridge Fractured tooth Apical abscess Root-canal therapy on tooth Tooth w/ periodontal pockets Periodontal abscess Overhanging margins Full or partial denture
  40. 40. ADA Coding <ul><li>ADA updates code book every five years. </li></ul><ul><li>Lists all known code numbers for dental procedures. </li></ul><ul><li>Codes are organized by: </li></ul><ul><ul><li>Category </li></ul></ul><ul><ul><li>Specialty </li></ul></ul><ul><ul><li>Type of treatment </li></ul></ul><ul><li>Manager can make coding cheat sheet. </li></ul>
  41. 41. The Dental Patient Record <ul><li>Dental record contents </li></ul><ul><li>Record types </li></ul><ul><li>Ownership </li></ul><ul><li>Clinical uses </li></ul><ul><li>Radiation safety </li></ul><ul><li>Periodontal disease predictability testing </li></ul><ul><li>Intraoral camera </li></ul><ul><li>Prescriptions </li></ul>
  42. 42. Dental Record Contents <ul><li>Clinical record </li></ul><ul><li>Financial responsibility form </li></ul><ul><li>Informed consent form </li></ul><ul><li>Medical/dental history form </li></ul><ul><li>Dental radiographs </li></ul>NOTE: Do not include personal patient information in the dental record
  43. 43. Dental Record Ownership and Use <ul><li>Ownership: </li></ul><ul><ul><li>Practice owns records </li></ul></ul><ul><ul><li>Right to Privacy Act = patient access </li></ul></ul><ul><li>Uses: </li></ul><ul><ul><li>Diagnosis </li></ul></ul><ul><ul><li>Treatment planning </li></ul></ul><ul><ul><li>Case presentation </li></ul></ul><ul><ul><li>Recall program </li></ul></ul>
  44. 44. Other Components of the Record <ul><li>Radiation safety and alternatives </li></ul><ul><li>Periodontal disease predictability testing </li></ul><ul><li>Intraoral camera images </li></ul><ul><li>Prescriptions </li></ul><ul><ul><li>Pharmaceutical </li></ul></ul><ul><ul><li>Laboratory </li></ul></ul>
  45. 45. Nine Parts to the Drug Rx
  46. 46. Abbreviating the Rx <ul><li>Before meals= </li></ul><ul><li>Twice a day= </li></ul><ul><li>Capsules= </li></ul><ul><li>Liquid= </li></ul><ul><li>Milliliter= </li></ul><ul><li>After meals= </li></ul><ul><li>Every 2 hours= </li></ul><ul><li>Every 3 hours= </li></ul><ul><li>Every 4 hours= </li></ul><ul><li>ac </li></ul><ul><li>bid </li></ul><ul><li>caps </li></ul><ul><li>liq </li></ul><ul><li>ml </li></ul><ul><li>pc </li></ul><ul><li>q2h </li></ul><ul><li>q3h </li></ul><ul><li>q4h </li></ul>
  47. 47. Abbreviating the Rx <ul><li>Every 6 hours= </li></ul><ul><li>Every 12 hours= </li></ul><ul><li>Daily= </li></ul><ul><li>Every hour= </li></ul><ul><li>Four times a day= </li></ul><ul><li>As necessary= </li></ul><ul><li>Immediately= </li></ul><ul><li>Tablets= </li></ul><ul><li>Three times a day= </li></ul><ul><li>q6h </li></ul><ul><li>q12h </li></ul><ul><li>qd </li></ul><ul><li>qh </li></ul><ul><li>qid </li></ul><ul><li>prn </li></ul><ul><li>stat </li></ul><ul><li>tabs </li></ul><ul><li>tid </li></ul>
  48. 48. Summary of Module <ul><li>Key Terms </li></ul><ul><li>Managing the dental team </li></ul><ul><li>Managing the dental record </li></ul>
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