Dental Hygiene Treatment Notes Template: Complete Guide With Template (2024)

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Hygiene Treatment

Complaints: .....
Medical History: Checked, no changes, see attached sheet.
Assessments:
Risk Factors:
BPE:
Oral Hygiene Routine:

Discussion:
Gingivitis explained – inflamed gums and is reversible with improved oral hygiene. May progress to periodontitis if not managed.Risks of treatment explained: bleeding, sensitivity , recession, temporary increases in tooth mobility, elongation of the teeth, root caries, black triangles.

Procedure:
Local Anaesthetic:
......
Full mouth supraginigval and subgingival scale
Carried out using ultrasonic and hand scaler
Full mouth polish with prophy paste
Airflow used to remove staining.
Tailored OHI given including: ….. colour tepe brushes, shown how to use and advised sizes to ensure snug fit, use of toothbrushing technique, use of floss
Explained the importance of maintaining good oral hygiene to achieve the best possible results of periodontal treatment.
Pt given opportunity to ask questions. Pt happy.

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Accurate and well-organized patient notes are a cornerstone of effective hygiene treatment in dental practices. As treatments advance, so does the necessity for a standard method of documenting care. This guide, complete with a template for 2024, provides a structured approach to creating dental hygiene treatment notes.

Dental Hygiene Treatment Notes: Importance and Best Practices

Documenting a patient's hygiene treatment is essential for:

Legal documentation and protection
Patient care continuity
Treatment planning and assessment
Communication with other dental team members

Best practices include:

Document assessments, treatments, and patient education clearly
Utilize templates for consistency and to save time
Update notes promptly after treatments
Highlight any changes in medical history
Ensure notes are legible and comprehensive