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A periodontal chart template used by dentists to track and record the condition of a patient\'s gums and teeth. It helps in diagnosing and treating gum diseases like periodontitis and gingivitis. The template provides a visual representation of the mouth to document measurements of gum pockets, gum recession, plaque buildup, and other relevant information.

How to fill out perio chart form

How to fill out perio chart form

1. Gather patient information: Collect the patient's name, date of birth, and any relevant medical history.
2. Record the date of examination: Note when the periodontal assessment is taking place.
3. Assess pocket depths: Use a periodontal probe to measure the depth of the gum pockets around each tooth and enter the measurements into the chart.
4. Note gum recession: Measure any recession of the gums and record this information next to the corresponding tooth.
5. Evaluate bleeding: Check for gingival bleeding on probing and mark any affected areas on the chart.
6. Document tooth mobility: Assess and record the mobility of each tooth if applicable.
7. Include furcation involvement: Note any furcation involvement for multi-rooted teeth.
8. Summarize findings: Review the collected data and summarize the periodontal status as needed.
9. Plan treatment: Discuss treatment options based on the findings, if applicable.

Who needs perio chart form?

1. Dentists and dental hygienists who perform periodontal evaluations.
2. Patients who are undergoing periodontal treatment or management.
3. Insurance providers needing documentation for claims related to periodontal care.
4. Dental schools and training programs for educational purposes.

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What is perio chart form?

The perio chart form is a document used to record and assess the periodontal health of a patient's teeth and gums, identifying any signs of gum disease and providing a baseline for treatment.

Who is required to file perio chart form?

Dental professionals, including dentists and hygienists, are required to file the perio chart form as part of their patient assessment and treatment documentation.

How to fill out perio chart form?

To fill out the perio chart form, a dental professional should examine the patient's gums, measure pocket depths, record any areas of recession, and note any bleeding or inflammation, inputting this information into the chart according to the designated fields.

What is the purpose of perio chart form?

The purpose of the perio chart form is to provide a systematic way of documenting periodontal health, allowing for monitoring of changes over time and aiding in the formulation of treatment plans.

What information must be reported on perio chart form?

The information that must be reported includes probing depths, bleeding on probing, gingival recession, clinical attachment levels, and any periodontal disease classification.