Patient Tooth Chart

You can open the tooth chart from several places in the patient folder, view both current and past tooth chart data, switch the numbering system, and toggle full screen mode. Your tooth chart will display several different icons, depending on the conditions, procedures and notes that have been applied to it.

Tooth Chart Settings - Use your Tooth Chart user options, Tooth Chart editor, Treatment Chart Style editor, Dental Conditions editor and Dental Procedures editor to manage how your tooth chart looks and works for you.

Open the Tooth Chart - You can open the tooth chart from either the patient's Treatment Hub, or the Findings page of the patient folder.

Select Record to View - Tooth chart data is saved by date, with the most current data appearing when you first open the tooth chart. You can use the drop down field to choose a different date to view. When you link an image to a tooth chart (described below), that image is the same for all tooth chart records.

Numbering Method - Use the Tooth Numbering section of the Patient ribbon bar to temporarily change the tooth numbering system to display. When you exit and reload a patient's folder, your default tooth numbering system will be used. (See "Tooth Chart Options" for details about selecting the default numbering method.)

Multi-Chart Mode - Click the Multi-Chart Toggle icon from the Tooth Chart section of the Patient ribbon bar to switch a tooth chart to display either a single chart with all teeth combined, or a split chart showing adult and child teeth separately. Be sure you select the appropriate multi-chart mode before making changes to the tooth chart: Toggling the multi-chart mode for a saved tooth chart may result in data loss.

Full Screen / Header Modes - Click the Full Screen icon in the upper right corner of the tooth chart to toggle viewing the chart in full screen mode. You can also click Header in the Treatment Chart section of the Patient ribbon bar (or press F8 on your keyboard) to remove the tooth chart and other patient header information from the treatment chart window, allowing full screen access to treatment chart records.

Tooth Chart Icons - Your tooth chart will display several different icons, depending on the conditions, procedures and notes that have been applied to it. You can find more information about each icon in the additional sections of this article, below.

Tooth History - Right-click a tooth, then select Tooth History (at the very bottom of the list) to pop up a window that lists the conditions applied to that tooth, along with the date and time the changes were made. Click the red X at the upper-right corner of the window to close the history. Tooth identification depends upon the currently selected numbering method.

You can apply a pre-determined dentition template to all teeth at once, as well as select the dentition stage of individual teeth, and include supernumerary teeth on the tooth chart.

Apply Dentition Template - Select a template from the Default Dentition section of the Patient ribbon bar to apply that template to the tooth chart. Any individual tooth dentition you have applied will be overwritten by the template.

Toggle Individual Tooth Dentition - To toggle the dentition of an individual tooth, enable the Tooth Type option from the Tooth Action section of the Patient ribbon bar, then click the tooth you want to work with. Or right-click the tooth to select the Deciduous or Permanent stage.

Supernumary Teeth - Right-click the position of the tooth, and select either Deciduous Supernumerary or Permanent Supernumerary. An icon and tooth number, followed by the letter "s" will appear in that position in the tooth chart.

You can apply, edit, and delete dental conditions, such as caries and missing teeth, from the patient's tooth chart.

Right-click the tooth you want to work with in the tooth chart to open the dental conditions and procedures menu, and select the condition to apply or remove from that tooth. (The list includes the conditions in your Dental Conditions editor.) If you are applying a dental condition or procedure to an area other than a specific tooth, such as the entire mouth or an arch, you can right-click any tooth, choose the Mouth option, and select from the resulting menu.

Once applied, the draw style you have set up in your Dental Conditions editor will appear in the tooth chart for conditions applied to individual teeth. You can right-click a tooth to view the applied conditions, and review the tooth history, as well. To view conditions applied to the whole mouth or other areas, hover over or click the "M" in the upper left corner of the tooth chart. If your treatment chart filter is set to display dental conditions, the condition will appear among the patient's treatment chart records, in its chronological order. Conditions are assumed to be "existing", so they are color-coded green. To view and edit the details about the condition, double-click the entry in the treatment chart. You can also right-click the treatment chart item to edit, audit or delete the condition from the tooth chart.

You can add and manage dental procedures directly from the tooth chart, or while scheduling patient appointments.

Choose the dental procedure mode (planned, existing, or completed) to use from the ribbon bar, if available. Then, right-click the tooth you want to work with in the tooth chart to open the dental conditions and procedures menu, and select the procedure to apply to the tooth. (The list includes the procedures in your Dental Procedures editor.) If you are applying a dental condition or procedure to an area other than a specific tooth, such as the entire mouth or an arch, you can right-click any tooth, choose the Mouth option, and select from the resulting menu.

Once applied the draw style you have set up in your Dental Procedures editor will appear in the tooth chart. You can also view the procedure by hovering or clicking the "M" in the upper-left corner of the tooth chart.

To view and edit dental procedure details, double-click the entry in the treatment chart, or click the "M" in the upper-left corner of the tooth chart and select the procedure. You can also right-click the treatment chart item to access additional procedure actions. Once a dental procedure is flagged as "completed", you can edit it only for the next 24 hours. After that, the record becomes permanent.

Right-click to apply extraction requests and completed extractions to your patients' tooth charts. Requests can be automatically added to mail merge letters for quick referral correspondence.

Apply / Remove Extraction Request - Right-click the tooth to work with and select the ExtractionRequest option. The procedure will be added as a "referred" procedure in your tooth chart, along with the visual indicator you have set up in your Dental Procedures editor. If your treatment chart filter is set to display dental procedures, the procedure will appear among the patient's treatment chart records, in it's chronological order. To edit the procedure details, including changing the status, assigning a doctor, and entering notes, double-click the entry in the treatment chart.

Apply Extraction Completed - Right-click the tooth, and select the Extracted condition as needed. Or, right-click or double-click the entry in the treatment chart to edit the details.

Add TAD (temporary anchorage device) placements and requests to a patient's tooth chart. You can also add TADs to elastics templates so they are added whenever that template is applied to the patient's tooth chart. The TAD icon appears at the base of the tooth wherever the device has been applied.

Apply / Remove TAD - You can either right-click the TAD circle and choose the TAD placement, TAD request, or extraction request to apply. Or, click the circle at the base of a tooth repeatedly to apply common TAD options.

Visual Indictors - TAD not present, Buccal TAD, Buccal + Lingual TAD, Lingual TAD. TAD requests show the same graphics, but with gray backgrounds.

Elastics Library Option - You can include TAD placements and requests, and extraction requests in your elastics libraries for quick application in your patient tooth charts. See "Tooth Chart Editor" for details.

Update Records - Remember to return to a patient's tooth chart to change the TAD status from a request to a placement when you receive confirmation that the procedure has taken place.

Click between teeth to add / remove spacers. You can then right-click the spacer to identify the type that was placed.

Right-click to add details.

You can bond / debond individual teeth as needed, or select to bond / debond all teeth at once. The Bonded icon indicates teeth that are currently bonded. You can apply and remove the banding option to individual teeth as needed. The Banded icon indicates teeth that are currently banded.

Bond / Debond Individual Teeth - To apply or remove bonds for individual teeth, you can either enable Bond mode from the Tooth Action section of the Patient ribbon bar, selecting the bond color you wish to use, then click the tooth to work with. Or, right-click a tooth and select the Bonded option in the appropriate color.

Bond / Debond All Teeth - Select Bond All Toggle from the Tooth Chart section of the Patient ribbon bar to add or remove the bonds from all teeth.

Band / Deband Teeth - To apply or remove bands, you can either enable Band mode from the Tooth Action section of the Patient ribbon bar, then click the tooth to work with. Or, right-click a tooth and select the Banded option.

You can draw individual elastics onto the tooth chart as needed, or apply an entire elastics template to a tooth chart.

Choose Elastics Type - (Optional.)Select the elastics type to use from the Elastics section of the Patient ribbon bar.

Apply Elastic Template - Select A from the Elastics section of the Patient ribbon bar. Then select the template to apply. The template is added to any elastics already in the patient's tooth chart. After applying a template, you can draw additional elastics as needed, described below.

Draw Individual Elastics - In the tooth chart, click and hold the first tooth you want to work with. Drag your cursor to the last tooth you want included in the group and release your mouse button. You can continue adding elastics to the tooth chart, selecting different elastic types whenever needed.

Remove Individual Elastic - Right-click the elastics line you want to work with and select Remove.

Remove All Elastics - Select X from the Elastics section of the Patient ribbon bar to clear all elastics from a patient's tooth chart.

Remove Right / Left Elastics - Select R or L from the Elastics section of the Patient ribbon bar to clear all elastics from the right or left side of a patient's tooth chart, respectively.

Visual Indicator - Elastics appear as lines on the tooth chart, color-coded according to the name / color you selected.