Table 6. Items to Include in the Dental Chart and/or Medical Record

 Signalment

 Medical and dental history, including diet, chewing habits and home care

 Physical examination, medical and dental history findings

 Oral examination findings

 Anesthesia and surgery monitoring log and surgical findings

 Any dental, oral, or other diseases currently present in the animal

 Abnormal probing depths - tooth by tooth

 Dentition chart - note specific abnormalities, e.g., discolored, worn, missing, malpositioned or fractured teeth; supernumerary teeth; soft tissue masses

 Current and future treatment plan - addressing all abnormalities found, initial decisions and changes based on subsequent findings

 Any recommendations given, accepted or declined by the client

 Prognosis

NOTE: Tables 4, 5 and 6 were excerpted from the AAHA Dental Care Guidelines for Dogs and Cats.

Table of Contents
The Smile Book V
The Oral Assessment, Treatment and Prevention Visit
(2005)
Jan Bellows, D.V.M. Diplomate, American Veterinary Dental College
Introduction
Getting Ready
Anesthesia
Oral Assessment, Treatment and Prevention
Tables
 
Table 1. Definitions
 
Table 2. Materials
 
Table 3. Instruments
 
Table 4. Equipment
 
Table 5. Minimum Protective Devices
 
Table 6. Items to Include
References

Check out the entire
Smile Book Series

 



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Jan Bellows, DVM
All Pets Dental Clinic
17100 Arvida Parkway
Weston, FL 33326
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