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Order of patient care

What order do you find is most efficient for patient care? I usually do intraoral photos, cleaning, X-rays and exam. I am finding that it slows down doing treatment like periochip or sealants following the exam. my next patient is ready for me at this point. I am given an hour for all recall appts. Any tips or suggestions? My doctor is big on me selling treatment so it’s hard to do if I haven’t done the cleaning yet. That time is nice to be able to chat more about what I am seeing. I’ve been thinking of doing a quick spot probe/check for sealants after photos and before exam.



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1 Answer

It sounds to me that it’s not your order slowing you down, but the doctor exam slowing you down. Is the doctor coming to do the exam in a timely manner? If the doctor expects you to do sealants on the same day, he/she needs to leave you with time to do so. Otherwise, sealants should be scheduled for a different appointment. One thing I do is perio chart and take radiographs at alternating appointments (based on need of course). In other words, I try to make sure that my patients don’t need radiographs and perio charting on the same day. The ADHA did a breakdown of time for a perio maint. appointment that you may want to check out to see if you are spending too much time on a certain aspect of the appointment (like intraoral photos for instance): see table V: http://jdh.adha.org/content/88/2/87.full.pdf+html

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