CONTACTS
SUBJECTS
Dental Examination Cleaning Bleeding Gums Conflicts Patient History
5503 -
5503 - ..
5504 - Summary/Objective
5505 -
550501 - Follow up ref SDS 35 0000. ref SDS 33 0000.
550502 -
550503 -
550504 -
550505 -
550506 -
550508 - ..
5506 -
5507 -
5508 - Background
5509 -
550901 - On 101108, Lynn scheduled examination and cleaning for today, 110202,
550902 - confirmed in letter. ref SDS 21 HG6P, and following up prior cleaning
550903 - on 100325 0800. ref SDS 17 TL9F
550905 - ..
550906 - Background on prior work is listed on 100514 0730. ref SDS 19 VH5N
550908 - ..
550909 - On 110928 0800 dental examination, cleaning, ref SDS 27 8659, and
550910 - periodontal chart shows good oral hygeine has restored gum health.
550911 - ref SDS 27 6Z3V
550913 - ..
550914 - On 110929 2028 letter from Graham Dental received medical chart
550915 - progress notes, ref SDS 28 VT5I, for work on 110928. ref SDS 27 534L
550917 - ..
550918 - On 110930 2246 letter to Graham Dental submits questions on issues in
550919 - progress notes for work on 110928. ref SDS 29 VT5I
550921 - ..
550922 - On 111022 1923 received and paid invoice for dental services performed
550923 - today on 110928. ref SDS 30 004T
550925 - ..
550926 - On 111025 1928 letter from Lynn at Graham Dental reports medical chart
550927 - progress notes for meeting on 110928 were submitted previously on
550928 - 110929. ref SDS 31 VT5I
550930 - ..
550931 - On 111026 1022 submit letter to Lynn at Graham Dental with questions
550932 - and action items on medical chart and progress notes for meeting
550933 - performing dental examination 110928. ref SDS 32 VT5I
550935 - ..
550936 - On 120404 0800 dental examination, cleaning. ref SDS 33 004T
550938 - ..
550939 - On 120507 1015 paid invoice for dental services on 120404.
550940 - ref SDS 34 004T
550942 - ..
550943 - On 121010 0800 dental examination, cleaning and xrays showing no
550944 - evident progression of decay. ref SDS 35 O75H
550945 -
550947 - ..
5510 -
5511 -
5512 - Progress
5513 -
551301 - Dental Care Leverages Patient History with Medical Chart
551302 -
551303 - Follow up ref SDS 35 004T, ref SDS 33 004T.
551304 -
551305 - Agenda for meeting today was submitted yesterday, on 130416 0143.
551306 - ref SDS 36 BY5G
551308 - ..
551309 - Lynn scheduled the next meeting in October at 0800. This will be
551310 - entered in the medical chart and submitted to the patient by email, as
551311 - Mark did for the pior meeting, reported on 110202 0800. ref SDS 23
551312 - IA5M
551314 - ..
551315 - [On 131002 0850 received notice of next meeting on 131016
551316 - 0800. ref SDS 37 B77J
551318 - ..
551319 - Sonia did the cleaning today. Excellent work.
551321 - ..
551322 - Xrays were considered today, as set out in the agenda, reported on
551323 - 130416 0143. ref SDS 36 4Z8F Decided again not to take xrays, because
551324 - xrays were taken during the prior meeting on 121010 0800. ref SDS 35
551325 - SY5L also, did not want to spend the money because well over budget
551326 - already for this month.
551328 - ..
551329 - Sonia used a hand dentist pick, instead of the ultrasonic scaler.
551330 - This change avoided severe pain, experienced previously on 050518
551331 - 1100, ref SDS 4 FB6L, and following Tanya's work cleaning teeth for
551332 - the prior meeting on 110202 0800. ref SDS 23 865J Mark had used a
551333 - conventional dental pick on request for the initial cleaning on 100325
551334 - 0800. ref SDS 17 SW86
551336 - ..
551337 - After the meeting on 110928, considered trying the ultrasonic scaler
551338 - for the work today, which is faster and so more economical, and
551339 - perhaps more thorough. Tanya tried the ultrasonic scaler for part of
551340 - the work on 110202, and this was easily tolerated. 110202 0800.
551341 - ref SDS 23 QH6F Possibly gums are better able now for using this high
551342 - end technology. Ultimately, however, did not make this suggestion
551343 - today, due to continuing concern about avoiding pain. Will consider
551344 - this again in October.
551346 - ..
551347 - As a result, the Ultasonic scaler was not used to remove plaque, and
551348 - so numbing agent was not needed, discussed in the record on 110202
551349 - 0800. ref SDS 23 QH6F Hopefully, will remember to ask about trying
551350 - numbing agent with ultrasonic scaler for work on next visit in
551351 - October.
551352 -
551353 -
551355 - ..
551356 - Findings No Remedial Work Performed Nor Recommended
551357 -
551358 - Follow up ref SDS 35 8659, ref SDS 33 8659.
551359 -
551360 - Sonia reported finding...
551361 -
551362 - 1. Moderate to severe gum bleeding still occuring from back teeth
551363 - on both left and right sides occurring when cleaning the teeth
551364 - with a dental pick. Mark showed gauze blotted with blood on
551365 - the right side. Could also taste blood from the cleaning
551366 - process. Exact location was not clear during the meeting
551367 - though Mark said back teeth on both sides are involved. Mark
551368 - will list affected areas in the medical chart. Report today of
551369 - moderate to severe bleeding gums during teeth cleaning aligns
551370 - with Tanya's finding during the prior meeting on 110202 0800.
551371 - ref SDS 23 8659 Mark further stated that the medical chart
551372 - for his work on 100325, also, shows findings of moderate to
551373 - severe gum bleeding. There is nothing in the record on 100325
551374 - indicating examination found bleeding gums at that time.
551375 - ref SDS 17 SW86
551376 -
551377 - [...below letter to Graham Dental requests medical chart to
551378 - complete analysis of work today. ref SDS 27 TN5F
551380 - ..
551381 - Sonia advised that flossing can improve gum health to avoid
551382 - bleeding, also, noted by Tanya on 110202 0800. ref SDS 23 UD4O
551383 -
551384 - [...below medical chart finding #10 says HS/POL/Floss
551385 - possible reference to guidance on flossing. ref SDS 27 H560
551387 - ..
551388 - Explained finding moderate and severe bleeding gums today
551389 - during cleaning with sharp metal dental pick aligns with
551390 - patient history the past 25 years, showing no evidence of
551391 - bleeding gums (by taste nor observation) from routine daily
551392 - activity, including eating and brushing, previously reported on
551393 - 110202 0800. ref SDS 23 UD5J
551394 -
551395 - [...below medical chart finding #9 reports mod+ gum
551396 - bleeding. ref SDS 27 H55L
551398 - ..
551399 - [...below medical chart finding #3 Perio chart summary
551400 - lists bleeding teeth and sites = 0. ref SDS 27 XO5H
551402 - ..
551403 - 2. Tissue fraying from the inside the mouth was not found today,
551404 - which Tana previously attributed to tooth paste with
551405 - ingredients harmful to some people, and reported during the
551406 - prior meeting on 110202 0800. ref SDS 23 AW4O
551408 - ..
551409 - This aligns with recent change to toothpaste without whitening
551410 - agent, recommended on 110202 0800. ref SDS 23 AW4O
551411 -
551412 - [...below medical chart finding #2 reports finding evidence
551413 - of injury using harmful toothpaste, and work plan for
551414 - switching to another brand. ref SDS 27 6Z3F
551416 - ..
551417 - 3. Cavity forming on tooth #13, follow up from meeting on 121010
551418 - 0800, ref SDS 35 DQ90, and previously in the meeting at Graham
551419 - Dental on 120404 0800. ref SDS 33 DQ90
551420 -
551421 - [On 131016 0800 follow up examination found no evidence of
551422 - decay for tooth #13, and so no treatment is required.
551423 - ref SDS 38 ES7M
551425 - ..
551426 - 4. Cavity on tooth #9 identified for repair.
551427 -
551428 - Follows up medical chart #4 lists tooth 29 D for monitoring,
551429 - but does not identify scope of condition, reported 110928 0800,
551430 - ref SDS 27 H54U
551432 - ..
551433 - 5. Mark quoted repair for these 2 teeth will be performed for
551434 - price of $100 per tooth, $200 total.
551436 - ..
551437 - Today, decided to defer repairs until next meeting in 6 months.
551438 - Can perform xrays to evaluate rate of decay progression on #13
551439 - and #9.
551440 -
551441 - [On 131016 0800 Graham Dental revised the price to repair
551442 - tooth #9 to $40. ref SDS 38 ES7M
551444 - ..
551445 - 6. Several teeth identified today show procelain beginning to
551446 - fail. Mark will list in medical chart for continued
551447 - monitoring.
551448 -
551449 - [...below medical chart #5, 6 & 7 lists tooth 25 needs
551450 - mineralize lesion; 31, 30 and 13 for monitoring diminshed
551451 - porcelain. ref SDS 27 PD8O
551453 - ..
551454 - 7. No remedial care was performed nor recommended; issues noted
551455 - during examination will be reviewed again in next April.
551456 -
551457 - [...below medical chart #8 and 9 find "OH fair, and "Gen
551458 - mod calculus, plaque..." indicating effective oral hygeine.
551459 - ref SDS 27 6Z5R
551461 - ..
551462 - Mark will submit medical chart to cross check understandings from
551463 - work today.
551464 -
551465 - [On 110929 2028 received medical chart, ref SDS 28 VT5I,
551466 - and entered in this record on patient history, shown below.
551467 - ref SDS 27 534L
551468 -
551469 -
551470 -
551471 -
551472 -
551473 -
551474 -
551475 -
551476 -
551477 -
5515 -