1.
Prophylaxis/Maintenance: (# of procedures) This refers to any
standard professional tooth cleaning or oral exam.
2. Sealants: (# of teeth) Applied to
adult or juvenile patients to prevent pit-and-fissure caries. Any sealant
(clear or shaded plastic material, acid-etched resin, etc) applied to
the chewing surfaces of premolars and molars to prevent caries on these
surfaces.
3. Topical fluoride: (# of procedures)
This includes only in-office, professionally applied treatments (in
the form of gel in trays or liquid brushed onto the teeth). This does
not include: fluoridated water, fluoride supplements,
toothpaste, self-applied products at home, prescription or over-the-counter
oral rinses that do not contain fluoride.
4.
Oral hygiene instruction: (# of times) This is the number of
times the patient received instructions about their oral hygiene. This
requires a specific time used to instruct and demonstrate how to use
the recommended tools like manual and electric toothbrushes, floss,
and interproximal brushes for good oral hygiene, in addition to explaining
the frequency for this behavior and why it is important. The mere dispensing
of oral hygiene products does not qualify as “instruction”.
5.
Therapeutic Oral Rinse: (# of weeks): Indicate the
number of weeks for which the patient was instructed to use the rinse.
This refers to oral rinses available only by prescription
and containing an ingredient that has antibacterial activity. Over-the-counter
mouthwashes, salt water, and hydrogen peroxide are examples of commonly
used rinses that are not considered a therapeutic oral
rinse to be reported here. This does not mean that these rinses have
no beneficial effect, but merely that their use is not being tabulated
at this time.
6.
Nutritional counseling/referral: (# of times) Indicate
the number of times the patient was referred to a specialist or received
nutritional counseling (e.g. a patient with diabetes, oral cancer, various
forms of malnutrition or an eating disorder). Examples of referral sources
include dietician and nutritionist.
7.
Tobacco counseling/referral: (# of times) Indicate the number
of times patient was referred to a specialist or received instruction
and education regarding the impact of tobacco use on oral health and/or
assistance in changing habits.
8.
Medical condition referral: (# of times) The number of times
a patient was referred for diagnosis and treatment for non-dental oral
conditions like oral cancer, oral lichen planus, or other dermatologic
(skin) diseases, and gingival proliferation due to disease or medications
(e.g. dilantin, cyclosporine). This also includes referral to a physician
for management of a systemic health condition, especially if it relates
to dental treatment.
Examples
include diabetes, cardiac conditions, and cancer. Not
to be included in this category is referral to a dental specialist like
an endodontist, oral surgeon, orthodontist, or periodontist. This application
considers that TMJ syndrome is a dental, not medical, condition.
9.
Oral habit instruction: (# of times) This includes instruction
about all oral habits, including: chewing on fingernails or foreign
objects, chewing ice, opening bottles with teeth, and thumb sucking.
10.
Occlusal adjustment: (# of procedures) This is the number of
treatment procedures performed, without regard to the number of teeth
involved in each. Only one occlusal adjustment (adjustment of the biting
relationships of the cusps of opposing teeth) can be done at a single
appointment.
11.
Bite guard: (# of procedures) Indicate the
number of bite guards made. This may also be termed a "night guard".
