We go by the 20/20/20 rule when running out recare patient appointments
20 minutes for assessment
20 minutes for the cleaning
20 minutes for OHI, fluoride, etc.
Ensure patient is comfortable.
Show massage chair, offer nitrous, numbing agents, blanket/pillow.
Verify date of birth
Review updated health history, allergies, and medications
Take blood pressure at the beginning of every appt
K&A standard is that blood pressure is taken for all appointments
Take x-rays as needed
All potential crowns should have a PA and a intra-oral image
Any teeth that are hurting should have a PA
Take itero scan as needed
We take an itero at every new patient appointment and once a year on all patients
Make sure you review the scan with the patient. Pointing out areas of heavy occlusion, recession and change from the prior scan.
Perform oral cancer screening at every recall appointment
Update restorative and periodontal charting as needed
Cavitron, Scale, polish, and floss
OHI
Doctor exam as needed
Make follow up appointment or take to front desk
It is the responsibility of the hygienist to make the hygiene recall appointment.
Offer relevant treatments: Fluoride, Cervitec Plus, Cervitec F, LBR, MI Paste, etc.
Write up chart
Clean and set up room
K&A Hygiene Standards
Pano take every 5 years starting at age 6* 4 Bitewings + 6 pa take 1 time per year*
Starting at age 13 all patients will have a CT taken. This will be repeated every 2 years until the teeth are ready for extraction. This replaces a pano that is due.
iTero scan take 1 time per year starting at age 13* Periodontal charting update each visit, one time a year every patient will need full charting starting at age 18* Doctor exam 2 times per year*
**Standard is for patient who do not present with additional symptoms that require additional diagnostics or an exam.**