CONTACTS
SUBJECTS
Dental Examination Cleaning Bleeding Gums Conflicts Patient History
2803 -
2803 - ..
2804 - Summary/Objective
2805 -
280501 - Follow up ref SDS 23 0000. ref SDS 21 0000.
280502 -
280503 - Very good work today with Doctor Mark Graham. Bleeding gums using
280504 - dental pick for cleaning teeth today has not occurred with daily
280505 - brushing, nor eating the past 25 years. ref SDS 0 8659 Good results
280506 - on prior visit last February supports trying ultrasonic scalar again
280507 - for next meeting in April 2012. ref SDS 0 WX4J Continue monitor a few
280508 - issues for possible intervention on subsequent examinations.
280509 - ref SDS 0 DQ85 Periodontal review, ref SDS 0 6Z3V, found mostly 2s
280510 - and 3s, some 4s and no pockets greater than 5. ref SDS 0 EV4T Graham
280511 - Dental provided excellent support for doctor patient partnership
280512 - submitting medical chart that enables timely review and feedback on
280513 - alignment with patient history. ref SDS 0 534L Initial efforts
280514 - applying electronic communications show promise of rising efficiency
280515 - and patient outcomes. ref SDS 0 P55M Problem opening full Internet
280516 - address, so could not provide survey and feedback. ref SDS 0 QF6L
280518 - ..
280519 - [On 110929 2028 received medical chart, ref SDS 27 VT5I,
280520 - and entered in this record on patient history, shown below.
280521 - ref SDS 0 534L
280523 - ..
280524 - [On 110930 2252 letter to Graham Dental requests again
280525 - medical chart, ref SDS 28 V25Q, and transmits patient
280526 - history, ref SDS 28 V25O, with questions/action items for
280527 - meeting at Graham Dental on 110928 0800. ref SDS 0 004T
280529 - ..
280530 - [On 111022 1923 received and paid invoice for dental
280531 - services performed today on 110928. ref SDS 29 004T
280533 - ..
280534 - [On 111026 1022 letter to Graham Dental offices submits
280535 - this record for dental work on 110928 (today), ref SDS 30
280536 - VT5I, and requests comment on questions and pending action
280537 - items. ref SDS 30 WC5W
280539 - ..
280540 - [On 120404 0800 Mark advised that he did not receive letter
280541 - on 111026 (today) with questions about dental services
280542 - performed on 110928. ref SDS 31 KT6H
280543 -
280544 -
280545 -
280547 - ..
2806 -
2807 -
2808 - Background
2809 -
280901 - On 101108, Lynn scheduled examination and cleaning for today, 110202,
280902 - confirmed in letter. ref SDS 21 HG6P, and following up prior cleaning
280903 - on 100325 0800. ref SDS 17 TL9F
280905 - ..
280906 - Background on prior work is listed on 100514 0730. ref SDS 19 VH5N
280907 -
280908 -
280910 - ..
2810 -
2811 -
2812 - Progress
2813 -
281301 - Dental Care Leverages Patient History with Medical Chart
281302 -
281303 - Meeting today was scheduled by the medical chart received with Doctor
281304 - Mark Graham's letter on 110202 0800. ref SDS 23 IA5M
281306 - ..
281307 - On 110225 1644 received and paid invoice $170. ref SDS 24 004T
281309 - ..
281310 - Lynn scheduled the next meeting in April at 0800. This will be
281311 - entered in the medical chart and submitted to the patient by email, as
281312 - Mark did for the pior meeting, reported on 110202 0800. ref SDS 23
281313 - IA5M
281314 -
281315 - [...below medical chart #12 schedules next meeting on
281316 - 120404 0800. ref SDS 0 6Z6Q
281318 - ..
281319 - [On 110919 2024 received letter from Mark advising next
281320 - meeting on 120404 0800. ref SDS 25 5W3T
281322 - ..
281323 - [On 110930 2252 letter to Graham Dental requests again
281324 - medical chart, ref SDS 28 V25Q, and transmits patient
281325 - history, ref SDS 28 V25O, with questions/action items for
281326 - meeting at Graham Dental on 110928 0800. ref SDS 0 004T
281328 - ..
281329 - Mark did the cleaning today. Excellent work.
281331 - ..
281332 - Mark advised that he read the record submitted to the team for the
281333 - prior meeting on 110202 0800. ref SDS 23 004T
281335 - ..
281336 - Xrays were not taken today, because xrays were taken during the prior
281337 - meeting on 110202 0800. ref SDS 23 SY5L
281339 - ..
281340 - The doctor used a hand dentist pick, instead of the ultrasonic scaler.
281341 - This change avoided severe pain, experienced previously on 050518
281342 - 1100, ref SDS 4 FB6L, and following Tanya's work cleaning teeth for
281343 - the prior meeting on 110202 0800. ref SDS 23 865J Mark had used a
281344 - conventional dental pick on request for the initial cleaning on 100325
281345 - 0800. ref SDS 17 SW86
281347 - ..
281348 - For next cleaning in April 2012, will suggest trying the ultrasonic
281349 - scaler, which is faster and so more economical, and perhaps more
281350 - thorough. Tanya tried the ultrasonic scaler for part of the work on
281351 - 110202, and this was easily tolerated. 110202 0800. ref SDS 23 QH6F
281352 - Possibly gums are better able now for using this high end technology.
281354 - ..
281355 - As a result, the Ultasonic scaler was not used to remove plaque, and
281356 - so numbing agent was not needed, discussed in the record on 110202
281357 - 0800. ref SDS 23 QH6F
281358 -
281359 -
281361 - ..
281362 - Findings No Remedial Work Performed Nor Recommended
281363 -
281364 - Mark reported finding...
281365 -
281366 - 1. Moderate to severe gum bleeding from back teeth on both left
281367 - and right sides occurring when cleaning the teeth with a dental
281368 - pick. Mark showed gauze blotted with blood on the right side.
281369 - Could also taste blood from the cleaning process. Exact
281370 - location was not clear during the meeting though Mark said back
281371 - teeth on both sides are involved. Mark will list affected
281372 - areas in the medical chart. Report today of moderate to severe
281373 - bleeding gums during teeth cleaning aligns with Tanya's finding
281374 - during the prior meeting on 110202 0800. ref SDS 23 8659 Mark
281375 - further stated that the medical chart for his work on 100325,
281376 - also, shows findings of moderate to severe gum bleeding. There
281377 - is nothing in the record on 100325 indicating examination found
281378 - bleeding gums at that time. ref SDS 17 SW86
281379 -
281380 - [...below letter to Graham Dental requests medical chart to
281381 - complete analysis of work today. ref SDS 0 TN5F
281383 - ..
281384 - Mark advised that flossing can improve gum health to avoid
281385 - bleeding, also, noted by Tanya on 110202 0800. ref SDS 23 UD4O
281386 -
281387 - [...below medical chart finding #10 says HS/POL/Floss
281388 - possible reference to guidance on flossing. ref SDS 0 H560
281390 - ..
281391 - Explained finding moderate and severe bleeding gums today
281392 - during cleaning with sharp metal dental pick aligns with
281393 - patient history the past 25 years, showing no evidence of
281394 - bleeding gums (by taste nor observation) from routine daily
281395 - activity, including eating and brushing, previously reported on
281396 - 110202 0800. ref SDS 23 UD5J
281397 -
281398 - [...below medical chart finding #9 reports mod+ gum
281399 - bleeding. ref SDS 0 H55L
281401 - ..
281402 - [...below medical chart finding #3 Perio chart summary
281403 - lists bleeding teeth and sites = 0. ref SDS 0 XO5H
281405 - ..
281406 - 2. Tissue fraying from the inside the mouth, which Tana previously
281407 - attributed to tooth paste with ingredients harmful to some
281408 - people, and reported during the prior meeting on 110202 0800.
281409 - ref SDS 23 AW4O
281411 - ..
281412 - During the meeting today, explained work plan to switch
281413 - toothpaste after finishing current supply.
281414 -
281415 - [...below medical chart finding #2 reports finding evidence
281416 - of injury using harmful toothpaste, and work plan for
281417 - switching to another brand. ref SDS 0 6Z3F
281419 - ..
281420 - 3. Pocket measurements were taken; by memory there was one finding
281421 - of 5, about 3 or 4 4s, and the rest 2 and 3. This will be
281422 - confirmed in the medical chart.
281423 -
281424 - [...below medical chart #2 shows periodontal examination,
281425 - ref SDS 0 6Z3V; summary of findings lists 16 teeth and 29
281426 - sites with pockets 4 - 5, and none above 5. ref SDS 0 EV4Y
281428 - ..
281429 - 4. Cavity beginning to form between teeth on lower right side
281430 - between back and front teeth. Mark will note the number in the
281431 - medical chart.
281433 - ..
281434 - Previously during the meeting on 110202, Doctor David Graham
281435 - identified cavity beginning to form on the 2nd lower tooth from
281436 - the left, and shown in xray images taken that day. ref SDS 23
281437 - SZ55 The medical chart for 110202 does not identify the tooth
281438 - number that indicates possible cavity activity, also noted in
281439 - the record on 110202 0800. ref SDS 23 4K9N
281440 -
281441 - [...below on 110928 0800 medical chart #4 lists tooth 29 D
281442 - for monitoring, but does not identify condition as "cavity
281443 - beginning to form. ref SDS 0 5L5I
281445 - ..
281446 - [On 120404 0800 Mark advised that he did not receive letter
281447 - on 111026 (today) with questions about dental services
281448 - performed on 110928. ref SDS 31 KT6H
281450 - ..
281451 - [On 120404 0800 Doctor Mark Graham explained finding cavity
281452 - beginning to form on tooth #13; there is no mention of
281453 - tooth 29D, ref SDS 31 8E8J, cited in medical chart for work
281454 - 110928 for monitoring, ref SDS 0 5L5I, and which was
281455 - described during the meeting as a lower right side between
281456 - front and back teeth. ref SDS 0 DQ90
281458 - ..
281459 - 5. Several teeth identified today show procelain beginning to
281460 - fail. Mark will list in medical chart for continued
281461 - monitoring.
281462 -
281463 - [...below medical chart #5, 6 & 7 lists tooth 25 needs
281464 - mineralize lesion, ref SDS 0 PD8O; 31, 30 and 13 for
281465 - monitoring diminshed porcelain. ref SDS 0 H54U
281467 - ..
281468 - [On 120404 0800 procelain beginning to wear reported again,
281469 - but not increased. ref SDS 31 F53J
281471 - ..
281472 - [On 120404 0800 Doctor Mark Graham explained finding cavity
281473 - beginning to form on tooth #13; there is no mention of
281474 - tooth 29D, ref SDS 31 DQ90, cited in medical chart for work
281475 - 110928 for monitoring, ref SDS 0 5L5I, and which was
281476 - described during the meeting as a lower right side between
281477 - front and back teeth. ref SDS 0 DQ90
281479 - ..
281480 - 6. No dental correlation was found today for recent ear infection
281481 - causing "hollow head" also "echo" symptom, reported in patient
281482 - history a few days ago on 110926 1618. ref SDS 26 IO5H
281483 -
281484 - [...below medical chart #1 reports possible ear infection
281485 - causing "hollow head" symptom; presents no link to dental
281486 - issues. ref SDS 0 534L
281488 - ..
281489 - 7. No remedial care was performed nor recommended; issues noted
281490 - during examination will be reviewed again in next April.
281491 -
281492 - [...below medical chart #8 and 9 find "OH fair, and "Gen
281493 - mod calculus, plaque..." indicating effective oral hygeine.
281494 - ref SDS 0 6Z5R
281496 - ..
281497 - Mark will submit medical chart to cross check understandings from
281498 - work today.
281499 -
281500 - [On 110929 2028 received medical chart, ref SDS 27 VT5I,
281501 - and entered in this record on patient history, shown below.
281502 - ref SDS 0 534L
281503 -
281504 -
281505 -
281507 - ..
2816 -
2817 -
2818 - 1504
2819 -
281901 - Quality Care Survey Applies Efficiencies Electronic Communications
281902 -
281903 -
281904 - Received letter from Graham Dental Offices....
281905 -
281906 - 1. Subject: How was your experience at David and Mark Graham, DDS?
281907 - Date: Wed, 28 Sep 2011 12:55:04 -0700 (PDT)
281911 - ..
281912 - Problems reading this email? Please visit
281913 -
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281916 - ..
281917 - This email is provided as a service by David and Mark Graham,
281918 - DDS. To remove yourself from future mailings, you may
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281922 -
281929 -
281930 - http://www.demandforce.com
281931 -
281932 - http://www.demandforce.com/dentist/160000773
281934 - ..
281935 - Demandforce.com presents a professional set of useful communication
281936 - tools that facilitate marketing.
281938 - ..
281939 - Letter from Graham Dental Office continues...
281940 -
281941 - Need Directions? Map It!
281942 -
281943 - http://www.google.com/maps?f=d&daddr=520 La Gonda Way, Suite 102,Danville,CA 94526&saddr=1158 St. Matthew Pl. - No. 103,Concord,CA 94518>
281945 - ..
281946 - Map is excellent marketing aid.
281947 -
281949 - ..
281950 - Letter from Graham Dental Office continues...
281955 - ..
281956 - 2. Thank you for visiting us at *David and Mark Graham, DDS*. We
281957 - appreciate your business and value you as a customer. To help
281958 - us continue our high quality of service, we invite you to click
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281970 - ..
281971 - Clicked on above link in Graham Dental's letter. This opened an
281972 - Internet address for only the first part of the demandforced3.com url.
281973 - As a result, could not perform the survey and provide feedback.
281975 - ..
281976 - Letter from Graham Dental Office continues...
281977 -
281978 - We look forward to seeing you at your next appointment.
281980 - ..
281981 - Sincerely,
281982 -
281991 -
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282057 - ...on behalf of
282058 -
282064 -
282066 - ..
2821 -
2822 -
2823 - 1945
2824 -
282401 - Commend Graham Dental Request Medical Chart Align Understandings Patient History
282402 -
282403 -
282404 - Letter to Graham Dental Offices...
282405 -
282406 - 1. Subject: Re: How was your experience at David and Mark Graham, DDS?
282407 - Date: Wed, 28 Sep 2011 19:51:53 -0700
282414 - ..
282415 - 2. Great work today [...responding to Graham Dental's letter,
282416 - earlier today, shown above. ref SDS 0 QF6L Initial analysis is
282417 - pending completion [...shown in the record, above, ref SDS 0
282418 - 8659...] upon receipt of the medical chart.
282419 -
282420 - [On 110929 1734 received letter from Graham Dental Offices,
282421 - ref SDS 27 VT5I, transmitting medical chart and periodontal
282422 - findings. ref SDS 27 HS3O
282424 - ..
282425 - [On 110930 2252 letter to Graham Dental requests again
282426 - medical chart, ref SDS 28 V25Q, and transmits patient
282427 - history, ref SDS 28 V25O, with questions/action items for
282428 - meeting at Graham Dental on 110928 0800. ref SDS 0 004T
282430 - ..
282431 - 3. Please include date and time for the next meeting, as you did
282432 - for the medical chart on 110202. Lynn indicated this morning
282433 - it would be next April. [...shown in the record for work today,
282434 - above. ref SDS 0 DP59...]
282435 -
282436 - [...below medical chart #12 schedules next meeting on
282437 - 120404 0800. ref SDS 0 6Z6Q
282439 - ..
282440 - [On 110919 2024 received letter from Mark advising next
282441 - meeting on 120404 0800. ref SDS 25 5W3T
282442 -
282449 -
282450 -
282451 -
282452 -
282453 -
282454 -
282455 -
282456 -
2825 -
SUBJECTS
Dental Periodontal Examination Chart Bleeding Gums 0 Pockets Inside
5703 -
570401 - ..
570402 - Medical Chart Received from Graham Dental Offices
570403 -
570404 - Follow up ref SDS 23 534L.
570405 -
570406 - Medical chart pending...
570407 -
570408 - [...above letter to Graham Dental requests medical chart to
570409 - complete analysis of work today. ref SDS 0 TN5F
570411 - ..
570412 - [On 110929 1734 received letter from Graham Dental Offices,
570413 - ref SDS 27 VT5I, transmitting medical chart and periodontal
570414 - findings. ref SDS 27 HS3O
570416 - ..
570417 - [On 110930 2252 letter to Graham Dental requests again
570418 - medical chart, ref SDS 28 V25Q, and transmits patient
570419 - history, ref SDS 28 V25O, with questions/action items for
570420 - meeting at Graham Dental on 110928 0800. ref SDS 0 004T
570422 - ..
570423 - Medical chart received the next day.
570425 - ..
570426 - This document is one paragraph of single spaced text, similar to 2nd
570427 - opinion prepared by Doctor Benz received from UCSF on 041117 1015.
570428 - ref SDS 3 6L9O, and which comprised 7 pages of single spaced text
570429 - without paragraphs. ref SDS 3 4P6G
570431 - ..
570432 - Accordingly, as with the UCSF report, segmented Graham Dental medical
570433 - chart into paragraphs for contextual framing...
570435 - ..
570436 - Graham Dental Medical Chart for work on 110928 shows...
570437 -
570438 - 1. No change in MHX but may have L ear infection as head feels
570439 - "hollow."
570441 - ..
570442 - Research on Internet indicates "MHX" refers to "medical history."
570443 -
570444 - [...above aligns with patient history on dental examination
570445 - today. ref SDS 0 GN6F
570447 - ..
570448 - 2. No CC/OCS: moderate geographic tongue possibly more
570449 - pronounced due to whitening TP, white film inside of cheeks
570450 - and on gums likely due to whitening formula TP-pt. almost done
570451 - with tube and will not buy again/TMJ:
570453 - ..
570454 - Need clarification on "CC/OCS"??
570455 -
570456 - [...above aligns with patient history for meeting today.
570457 - ref SDS 0 AW4O
570459 - ..
570460 - Progress Notes continue...
570461 -
570462 - 3. WNL/Perio: Loc moderate chronic periodontitis/No new caries,
570463 -
570464 - Perio Chart
570466 - Date................................... 110928 1855
570469 - Exam Date.............................. 110928
570471 - ..
570472 - Tooth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
570473 - MOB
570474 - PD 3 2 3 3 2 3 3 2 3 3 2 3 2 2 2 2 2 2 3 2 2 2 2 2 3 2 3 3 2 3 3 2 3 3 2 4 4 2 3
570475 - ..
570476 - GM 2 1 1 2 0 2 1 2 1 1
570477 - ..
570478 - CAL 3 4 3 3 3 3 3 3 3 3 4 3 2 2 2 2 2 2 3 2 2 2 2 2 3 4 3 3 3 3 3 4 3 3 3 4 4 3 3
570479 - MGJ
570480 - ..
570481 - BCI 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000
570482 - +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+
570483 - |\ /| |\ /| |\ /| | | | | | | | | | | | | | | | | | | | | | | | | |\ /| |\ /| |\ /|
570484 - FG | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
570485 - | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
570486 - +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+
570487 - Ling 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000
570488 - ..
570489 - MOB
570490 - PD 3 2 5 4 2 4 3 2 2 3 2 2 2 2 2 2 2 3 3 2 2 2 2 3 2 2 3 3 2 3 2 2 3 3 2 4 5 2 3
570491 - GM
570492 - CAL 3 2 5 4 2 4 3 2 2 3 2 2 2 2 2 2 2 3 3 2 2 2 2 3 2 2 3 3 2 3 2 2 3 3 2 4 5 2 3
570493 - MGJ
570494 - ..
570495 - Tooth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
570497 - ..
570498 - Notes.....
570499 -
570500 - 1. Columns #1, 2, and 16 are red in color.
570501 - 2. some 4s and 5s are red in color and others are not.
570502 - 3. Teeth numbering layout right to left aligns with
570503 - prior record working with Graham Dental on 090302
570504 - 0815. ref SDS 9 0336
570505 -
570507 - ..
570508 - Tooth 32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
570509 - MOB
570510 - PD 3 2 4 4 2 3 3 2 3 3 2 3 3 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 2 3 3 2 3 3 3 4 3 3 3
570511 - ..
570512 - GM 1 1 2 2 1 2 2 2
570513 - ..
570514 - CAL 3 2 4 4 3 3 3 3 3 3 4 3 3 2 3 2 4 2 2 2 2 2 3 2 2 2 2 2 4 3 3 4 3 3 4 3 3 3 4 3 3 3
570515 - MGJ
570516 - ..
570517 - BCI 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000
570518 - +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+
570519 - | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |\ /| |\ /| |\ /|
570520 - FG |---| |---| |---| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
570521 - | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
570522 - +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+
570523 - Ling 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000
570525 - ..
570526 - MOB
570527 - PD 4 2 3 4 2 3 3 2 2 2 2 2 2 2 3 3 2 2 2 2 3 3 2 3 3 2 3 2 2 3 3 2 3 3 2 3 3 2 3 4 2 4
570528 - GM
570529 - ..
570530 - CAL 4 2 3 4 2 3 3 2 2 2 2 2 2 2 3 3 2 2 2 2 3 3 2 3 3 2 3 2 2 3 3 2 3 3 2 3 3 2 3 4 2 4
570531 - MGJ
570532 - Tooth 32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
570534 - ..
570535 - Notes.....
570536 -
570537 - 1. Column #32, and 17 are red in color.
570538 - 2. some 4s and 5s are red in color and others are not.
570540 - ..
570541 - Why are some 4s and 5s red and others are not???
570543 - ..
570544 - What do markings signify in the tooth symbols, per above?
570545 - ref SDS 0 OV62
570546 -
570547 - [On 120404 0800 Mark advised that he did not receive letter
570548 - on 111026 (today) with questions about dental services
570549 - performed on 110928. ref SDS 31 KT6H
570551 - ..
570552 - PERIO Chart continues...
570553 -
570554 - Summary Information
570555 -
570556 - 1. Date........................................ 110928
570557 - 2. Bleeding
570558 - Teeth....................................... 0
570559 - Sites....................................... 0
570561 - ..
570562 - Periodontal examination finding "Bleeding teeth" and "sites" = 0
570563 - aligns with report today that bleeding gums caused by cleaning teeth
570564 - with metal dental pick does not occur from routine daily activity,
570565 - including eating and vigorous brushing for past 15 years, per above.
570566 - ref SDS 0 KU68
570567 -
570568 - [...below medical chart finding #9 reports mod+ gum
570569 - bleeding. ref SDS 0 H55L
570571 - ..
570572 - PERIO Chart Summary continues...
570573 -
570574 - 3. Suppuration
570575 - Teeth....................................... 0
570576 - Sites....................................... 0
570578 - ..
570579 - 4. Furcation
570580 - Teeth....................................... 0
570581 - Sites....................................... 0
570583 - ..
570584 - 5. Mobility
570585 - Teeth....................................... 0
570587 - ..
570588 - 6. PD > Alert
570589 - Teeth....................................... 2
570590 - Sites....................................... 2
570592 - ..
570593 - 7. CAL < 0
570594 - Teeth....................................... 0
570595 - Sites....................................... 0
570597 - ..
570598 - 8. CAL 1-3
570599 - Teeth....................................... 27
570600 - Sites....................................... 139
570602 - ..
570603 - 9. CAL 4-5
570604 - Teeth....................................... 16
570605 - Sites....................................... 23
570607 - ..
570608 - 10. CAL 6+
570609 - Teeth....................................... 0
570610 - Sites....................................... 0
570612 - ..
570613 - Mathematics of findings unclear...
570614 -
570615 - Nominally CAL 4 - 5 = 16 seems like half the teeth
570616 - yet measurements are far less than half.
570617 -
570618 - Standard total teeth....................... 32
570619 - Missing upper 3 and lower 2................ 5
570620 - Actual total teeth......................... 27
570621 - Gums both sides............................ 54
570623 - ..
570624 - How are 16 teeth and 23 sites calculated from the chart, i.e., which
570625 - teeth are counted?
570626 -
570627 - [On 120404 0800 Mark advised that he did not receive letter
570628 - on 111026 (today) with questions about dental services
570629 - performed on 110928. ref SDS 31 KT6H
570631 - ..
570632 - Progress Notes continue...
570633 -
570634 - 4. continue to monitor #29 D
570636 - ..
570637 - Monitoring #29 D, unclear; may relate to discussion about possible
570638 - decay beginning in lower right tooth between front and back, per
570639 - above. ref SDS 0 DQ90
570640 -
570641 - [On 120404 0800 Mark advised that he did not receive letter
570642 - on 111026 (today) with questions about dental services
570643 - performed on 110928. ref SDS 31 KT6H
570645 - ..
570646 - Progress Notes continue...
570647 -
570648 - 5. and gave coupon for daily use of ACT to remineralize
570649 - lesion/#25 small L enamel chip not bothersome to pt.,
570651 - ..
570652 - Not sure about coupon for ACT to remineralize #25?
570654 - ..
570655 - Cannot find a coupon, and do not recall discussion on tooth #25,
570656 - though likely it occurred and need follow up.
570657 -
570658 - [On 120404 0800 Mark advised that he did not receive letter
570659 - on 111026 (today) with questions about dental services
570660 - performed on 110928. ref SDS 31 KT6H
570662 - ..
570663 - Progress Notes continue...
570664 -
570665 - 6. #31 L half of veneering porcelain missing from PFM and almost
570666 - involving M proximal contact but currently not trapping food,
570668 - ..
570669 - 7. #30 O and #13 O wear through porcelain to metal
570670 - substructure-all to monitor for now.
570671 -
570672 - [...above aligns with patient history of examination
570673 - findings. ref SDS 0 F53J
570674 -
570675 - [On 120404 0800 Doctor Mark Graham explained finding cavity
570676 - beginning to form on tooth #13; there is no mention of
570677 - tooth 29D, ref SDS 31 DQ90, cited for monitoring in medical
570678 - chart on 110928, ref SDS 0 5L5I, and which was described
570679 - during the meeting as a lower right side between front and
570680 - back teeth. ref SDS 0 DQ90
570682 - ..
570683 - [On 131016 0800 follow up examination found no evidence of
570684 - decay for tooth #13, and so no treatment is required.
570685 - ref SDS 32 ES7M
570687 - ..
570688 - 8. OH fair, still not flossing.
570690 - ..
570691 - 9. Gen mod calculus, plaque, and mod+ bleeding-shown to pt. on
570692 - gauze.
570694 - ..
570695 - "OH" likely conveys "oral hygeine"
570697 - ..
570698 - "Gen mod calculus, plaque..." may mean "generally moderate calculus,
570699 - plaque,..." which nominally indicates effective oral hygeine, and
570700 - aligns with determination today that no immediate intervention
570701 - recommended, discussed during the meeting, per above. ref SDS 0 DY4N
570703 - ..
570704 - Bleeding was discussed during the meeting, reported in patient
570705 - history, above. ref SDS 0 8659
570706 -
570707 - [...above medical chart finding #3 Perio chart summary
570708 - lists bleeding teeth and sites = 0; aligns with patient
570709 - history of no bleeding gums during daily brushing for 25
570710 - years. ref SDS 0 XO5H
570712 - ..
570713 - Progress Notes continue...
570714 -
570715 - 10. HS/POL/Floss.
570717 - ..
570718 - Next Dental Meeting April 4, 2012 0800
570719 -
570720 - 11. Reviewed OHI. NV: Prophy and 4 BWX on 4/4/12 at 8 am. Eval
570721 - for 4 MRC based on inflammation and pockets and build-up.
570723 - ..
570724 - Not clear what "OHI" NV, Prophy "4 MRC"???
570726 - ..
570727 - OHI may convey "oral hygeine improvement" - perhaps on...
570728 -
570729 - bleeding gums................ ref SDS 0 8659
570730 - flossing..................... ref SDS 0 KU63
570731 - tooth paste issue............ ref SDS 0 AW4O
570733 - ..
570734 - Research on Internet indicates MRC may refer to...
570735 -
570736 - medical readiness catagories
570738 - ..
570739 - This construction may therefore present action items on 4 issues,
570740 - cited in the medical chart for monitoring...
570741 -
570742 - 29........................... ref SDS 0 5L5I
570743 - 31........................... ref SDS 0 H54U
570744 - 30........................... ref SDS 0 6Z49
570745 - 13........................... ref SDS 0 6Z49
570747 - ..
570748 - Mark entered date and time of next meeting, discussed with Lynn this
570749 - morning, per above, ref SDS 0 DP59, and requested in the letter to the
570750 - team earlier today, also above. ref SDS 0 637J
570751 -
570752 - [On 110919 2024 received letter from Mark advising next
570753 - meeting on 120404 0800. ref SDS 25 5W3T
570754 -
570755 -
570756 -
570757 -
570758 -
570759 -
570760 -
570761 -
570762 -
570763 -
570764 -
5708 -