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Do you have to do perio charting on adult patients?

I work in the state of Texas. I always have done perio charting on patients age 18 and up because I was taught in school that perio charting was very important to make the proper assessment on each patient. Recently at the clinic that I work at I was asked not to perio chart unless the doctor gave me orders to. I am upset because I count on the perio charting in order to determine what type of cleaning each patient needs. It’s an important piece to my big picture and if it’s missing I don’t feel right. Isn’t there a law that perio charting needs to be completed on every new patient whether the doctor orders for it or not? Why wouldn’t a doctor want perio charting done? I’m very confused and was asked to find it in writing if in fact perio charting needed to be done.



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6 Answers

Absolutely, perio charting must be done. Time to find a new dental home.

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So, as far as legally…what it comes down to is standard of care. It is suggested that FM perio charting be done every year, even if the patient is a typical adult prophy. If PC is not done, then there can be perio issues missed, leading to managed/unmanaged neglect. Say the patient loses a tooth and says “but I was never told there was a problem”…if there is no perio charting history, they have a great case against you.
I have no idea why this doctor does not want to do the full and recommended treatment to EVERY patient in this practice…I am appalled.

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It’s your license……I would not let some non-educated business person tell me how to do my job or state what I will and will not do as a dental hygienist.

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Hi there! I’m in TX too (San Antonio) and agree with previous posts, it’s your license, it’s standard of care, and could ultimately be a case against you and the doctor. How and when does the doctor ask for perio charting? Is this a time issue? If so then maybe others in the office could be shown how to chart to assist you. Would the doctor not take X-rays except on certain patients? I actually chart every perio main appointment and at LEAST once a year on all patients.

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I’m with Sue on this one; ultimately it’s your license. Look for a new job,

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I’m assuming they asked you not to chart to save time but it is your license on the line. I would recommend probing and at least charting 4mm and over it really doesn’t take all that long and perhaps you can make up time elsewhere in the appointment. BTW I perio chart all 4mm and over EVERY pro even if its just a 3 month recall.

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