Dental charting goes down a long way when dentists started to record everything in detail related to oral health. They understood that just examining the teeth is not enough and you need to understand a lot of things in detail regarding oral health. A lot of details were required in an organized form so that the checkups became simpler and the progress could be tracked.
The introduction about dental charting:
Dental charting is the record and detailed checkup of oral health. All the details, treatments, diagnoses, and management of the patient are listed in the dental charting. The awareness about health issues is increasing among patients, which is also raising legal issues around, and keeping a record of everything has become important for the healthcare professional. Dental records help provide good quality patient care and take care of all legal obligations if there are any. The record also helps provide continuous patient care considering the insurance claim and treatments. A detailed record is vital for dental practice, and it helps in the practice too.
The dental record consists of various elements, notes, graphics, pictures, and much more, which show everything about the patient’s oral health. The healthcare professional needs a lot of information about the teeth in order to provide treatment accordingly and check oral health. The information in the dental charting is mainly clinical in nature, and there is also some basic information recorded for the dental team to have a smooth workflow around.
The information is clearly written so that the dentist and the patients understand it for future reference. The most important part of dental charting is the regular update needed so that everything is easy to read for the people who hold the authority over the chart. There are several things written in the dental record:
- Identification data which includes the name, phone number, date of birth, and emergency information in case needed
- The dental history of the particular patient
- Examination of the oral health
- Treatment plan
- The documentation of the informed consent
- Medical history with a thorough investigation, which will include the basic information like the ongoing treatments, pregnancy, any relevant medical history in the family, any bleeding, any tolerance that is needed in the procedure, and much more
Maintenance of dental records
Usually, dentists make notes of the checkup on the dental paper chart, but now there are computerized fillings. The technology is updating, and so the system at the clinic also has auto-update. Electronic records have various benefits like access, quality, safety benefits for patients, and much more.
The traditional paper charts are also made for the convenience of the patients and dentist. The traditional fillings are labeled with different categories, making it easier for the dental team to find a particular file. The electronic file needs a little information for further access. Color codings and activities are labeled for the paper files to find them easily.
The history of dental charting has always been updated with the ongoing technology while taking care of the paperwork. The dentist will first think about serving the best interests of the patients and how the records will help that. Everything is detailed for easy access for the patients and the dentist. There are passwords for electronic records, whereas paper records are also safely kept. Now that the technology is updating, so is the convenience of dental charting.