You can edit a perio exam that was performed in the past 48 hours. You cannot edit a perio exam that was done more than 48 hours in the past.
To edit a perio exam
How to get there
Use the Patient Search box to access a patient's record.
If the last patient record you accessed since you last logged on is the correct patient's record, you do not need to re-enter the patient's name in the Patient Search box.
You can include inactive patients in the search results by setting the Include inactive patients switch to On.
On the Patient menu, under Clinical, click (or tap) Perio.
The patient's clinical record opens with the Perio tab selected.
On the Perio tab of a patient's clinical record, select an exam.
From the Manage button menu, click (or tap) Edit.
The Edit Perio Exam dialog box appears.
Change any of the options, such as the date or provider, as needed.
Set up the following options:
Date - You cannot change the date of the exam.
Provider - If necessary, select a different provider.
Tooth navigation script - Select whether you want enter primarily pocket depths or gingival margin. A selection frame will appear next to the specified measure (PD or GM) during the exam by default, but you can toggle between pocket depth to gingival margin as needed.
Script - Select the method that you will use to move around the patient's mouth to take perio measurements.
Skip conditions - Specify if any teeth will not get examined. Teeth with any of the selected conditions will be skipped automatically.
Enter Bld and Sup [#] teeth after measurement sites - Enter the number of teeth that you must measure before you can start entering bleeding and suppuration (for example, if you enter four, you must enter measurements for Distal, Center, and Mesial on the Facial side of teeth one through four) unless you click (or tap) a different area of the exam than where the script starts. Zero indicates that you can start entering bleeding and suppuration immediately upon starting the exam. Also, as you follow the script to continue charting, the selection frame for BOP and Sup trails behind the current position by the specified number of teeth (as with our example of four, if the current position is tooth 10, the selection frame for BOP and Sup is on tooth six).
Click (or tap) Edit Exam.
The options for editing the perio exam become available.
For each tooth, enter probing depths. As you type probing depths, the exam advances to each site and tooth automatically. You can also enter other periodontal measurements, such as gingival margin, bleeding, and suppuration.
PD - Enter probing depths (0 to 19).
Note: For measurements that are four or greater, a red box appears around the number on the chart.
GM - Enter gingival margins (-19 to 19) in the M, C, and/or D boxes.
BOP - If bleeding is present for any sites, click (or tap) the M, C, and/or D circles. To quickly add bleeding to multiple sites at once, click (or tap) the shortcut button or press the B key. Clicking (or tapping) the shortcut button or pressing the B key changes the applied bleeding and toggles between the bleeding options for that button: the empty circle removes the bleeding from M, C, and D, if any; the two half circles adds bleeding to M and D; the filled circle with an A adds bleeding to M,C, and D.
SUP - If suppuration is present for any sites, click (or tap) the M, C, and/or D circles. To quickly add suppuration to multiple sites at once, click (or tap) the shortcut button or press the S key. Clicking (or tapping) the shortcut button or pressing the S key changes the applied suppuration and toggles between the suppuration options for that button: the empty circle removes the suppuration from M, C, and D, if any; the two half circles adds suppuration to M and D; the filled circle with an A adds suppuration to M,C, and D.
Furc - Select furcation grades (F0 to F4). Furcation is not applicable to all tooth sites, so some sites do not have this option available.
Bloss - Select amounts of bone loss (None to Severe).
Mob - Select levels of mobility (None to Class III).
For pocket depths, gingival margins, and the other measurements, you can click (or tap) the left and right arrow buttons to rewind and advance the script for the exam. Click (or tap) an area on the graph to go directly to that part of the script for the exam. You can use the left and right arrow keys to move the selection frame for PD or GM left and right between the M C, and D sites. You can use the up and down arrow keys to move the selection frame for PD or GM up and down. With a site selected for PD or GM, to remove the value that you have entered, press the Delete key. After using the keyboard keys to stray from the script, to get back on script, click (or tap) the left or right arrow button.
You can enter bleeding and suppuration separately from the script for the exam. Click (or tap) the left and right arrow buttons to go backward and forward sequentially between areas in the mouth.
To enter bleeding and suppuration for an entire sextant at once, click (or tap) Mark Bleeding and Suppuration. By default, the tab of the sextant that corresponds to the tooth that is currently selected, but you can enter bleeding and suppuration on any tab as needed. In a sextant, you can quickly specify bleeding and suppuration for all sites, for the same site on all teeth on the buccal or lingual sides, or on a tooth by tooth basis. When you are finished entering bleeding and suppuration, click (or tap) Save.
You can use the number buttons or keyboard keys to enter probing depths and gingival margins.
You can zoom in and out at any time during the exam either by holding down the Ctrl key and scrolling or by moving the Zoom slider between Full, Quad, and Tooth. The Full option is available only if the resolution of your computer's (or device's) display is high enough.
To switch between hiding and showing the perio exam controls for entering data, click (or tap) the Hide and Show button .
To view an explanation of all the abbreviations and symbols that are used for perio exams, click (or tap) the Legend button .
When you have finished editing the exam, click (or tap) Finish Exam.