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Step-by-Step System for the Ultimate Hygiene Exam Health Articles | April 18, 2010

Do you know how to make sure your office has the Ultimate Hygiene Exam? Follow these step by step instructions so you have it every time.



Greet patient by name with a handshake


??"Hi, Ms. Jones. My name is Rachel and I will be taking care of you."


Escort patient to treatment room


Ask patient for any questionsconcerns they may have


??"Have you noticed any changes with anything in your mouth? Do you have any questions or concerns before we start today?"
??Address any specific concerns


Take Blood Pressure and record in chart


Review Medical History


??"Are you taking any medication Cheap Chris Conley Jersey , supplements or over-the-counter drugs? Are you taking aspirin daily? Have you had any surgery or new diagnoses since your last visit?"


Take radiographs if necessary


Review radiographs


??Observe bone level and compare to periodontal probe readings
??Observe decay visible on x-rays
??Observe margins of restorations
??Observe any lesions in the bone


Do extra-oral headneck oral cancer screening


??"Ms. Jones, I am going to be my exam by feeling for any unusual lumps or bumps on your face and neck. Is that ok? Have you noticed any lumps or bumps?"


Do intra-oral cancer screening


??Complete a visual exam
??Utilize technology for oral cancer screening-Velscope or Vizilite


Complete general intra-oral exam


??Observe restorations, teeth and gums
??Calculus detection
??Decay examination?
??Evaluation of existing restorations
??Cosmetic evaluation-shade guide analysis
??Breath Analysis
??Oral Hygiene Evaluation
??Occlusal Analysis


Complete 6-point periodontal examination


??"Ms. Jones Cheap Mitch Morse Jersey , I am now going to do a very thorough exam of your gums. This exam looks for signs of gum disease. I will be taking several measurements on each tooth and you will hear me call out lots of numbers. If you hear numbers that are 1-3 with no bleeding, that indicates that your gums are healthy and normal. Any numbers you hear that are 4 or higher or if you hear me say there are many areas of bleeding, that is a sign of gum infection. I will review all the numbers when the exam is finished"
??Using a periodontal probe Cheap Chris Jones Jersey , measure the depth of each pocket.
??Start on the upper right facial moving around the arch taking 3 measurements on per tooth. Then move to the lingual and take 3 measurements per tooth. Repeat on the lower arch.
??Say all perio numbers aloud from the upper right to the upper left facial. Then look back at upper facial areas and say aloud any points of bleeding, pus. Repeat on lingual and on lower arch.?
??Measure recession from the CEJ to the gingival margin. Say all numbers aloud with surfaces to be recorded on perio chart.
??Record mobility and furcation aloud and record on perio chart
??Read aloud the total number of bleeding sites and pockets over 4mm?
??Print perio chart in color.
??Highlight infected areas on periodontal chart (4mm or greater).


Determine patient's periodontal status: healthy, gingivitis Cheap Travis Kelce Jersey , periodontal disease


Share your observations with the patient


??Share with patient their periodontal status-healthy or infected
??Share with patients any teeth you are concerned about
??This is a good time to discuss whitening, fresh breath solutions


Take intra-oral photographs


??If patient has periodontal disease, take photos of inflamed Cheap Justin Houston Jersey , bleeding tissues andor visible calculus.
??If patient has healthy gums, it is now time to discuss their restorative needs. Take photos of next restorative priority (area of concern).


Create periodontal treatment plan or preliminary restorative plan for doctor approval


Call Doctor for exam (doctor may do exam any time after hygiene exam is complete)


??Doctor confirms all findings and makes final diagnosis
??Doctor reinforces need for perio therapy as first priority when there are no emergency restorative needs
??Doctor reinforces need for restorative treatment when patient's periodontal status is healthy
??This may occur immediately following hygiene exam or closer to the end of the appointment depending on doctor's schedule


Begin hygiene service


??Prophy for healthy patients
??Gingivitis therapy for gingivitis patients
??Initial scaling of heal. Cheap Jerseys From China Cheap Jerseys Free Shipping Cheap Jerseys From China Cheap Jerseys China Wholesale Cheap NFL Jerseys China Cheap NFL Jerseys China Cheap NFL Jerseys Cheap Soccer Shirts Cheap NHL Shirts Cheap Football Hats