You can edit a perio exam with Dentrix Ascend Voice Perio if the exam 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 and use voice commands
How to get there
If the correct patient is not already selected, use the Patient Search box to access the patient's record.
Note: 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 menu, click (or tap) Edit.
The Edit Perio Exam dialog box appears.
Set up the main options as needed:
Date - You cannot change the date of the exam.
Provider - If necessary, select a different provider. Only providers who have access to the current location are available. The exception to this is when a provider is associated with the exam and no longer has access to the current location; that provider is available in the list unless you select a different provider and then save the change.
Script - Select the sequence of movement between teeth and arches that you want to use to enter perio measurements.
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Skip conditions - Select the conditions that will cause teeth with those conditions to be skipped automatically. A tooth is considered to have one of the selected conditions if an applicable charting symbol is associated with an existing or a completed procedure that was posted for that tooth. However, if Missing is selected, but Implant or Implant & Crown is not selected, a tooth that was replaced with an implant or with an implant and a crown will not be skipped.
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Tooth navigation script - Select whether you want to enter primarily pocket depths, primarily gingival margins, or the pocket depth and then the gingival margin at each measurement site. A selection frame will appear next to the applicable measure (PD or GM) during the exam.
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Enter BOP and Sup - Specify if you want to delay the marking of bleeding and suppuration:
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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 1-4) unless you click (or tap) a different area of the exam than where the script starts. Also, as you follow the script to continue charting, the BOP/Sup selection frame trails behind the current tooth by the specified number of teeth (as with our example of four, if the current position is tooth 10, the BOP/Sup selection frame is on tooth 6).
Zero indicates that you can start entering bleeding and suppuration immediately upon starting the exam.
Important note for Voice Perio:
Use zero (0) if you want the flexibility to use voice commands to chart bleeding and suppuration on any tooth regardless of which tooth has the BOP/Sup selection frame.
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Use a number greater than zero if you will use voice commands to chart bleeding and suppuration only for the tooth that has the BOP/Sup selection frame. If you attempt to use a voice command to apply bleeding or suppuration on a different tooth, Voice Perio will apply it to the wrong tooth.
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Set up the following Bola Configuration options:
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Detect Missed Pocket Depths - With this check box selected, Voice Perio will automatically insert a zero (0) for any missing pocket depths it detects. This helps ensure that the rest of your chart is accurate and allows you to go back and correct the value after the charting is complete.
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Read Back to Me - With this check box selected, while you are charting pocket depths or gingival margins continuously, a voice repeats back to you what Voice Perio has heard and entered. This may help you stay on track.
Note: These options are available only if the Bola AI browser extension is installed and registered on the computer.
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Click (or tap) Edit Exam.
The options for editing the perio exam become available.
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To start voice recognition, click (or tap) the blue Voice Perio icon
(in the lower-right corner). This icon is available only if the Bola AI browser extension is installed and registered on the computer. If the Chrome browser prompts you to grant permission for the website to use your microphone, click (or tap) Allow.
Dictate additions and changes to the exam with voice commands, and use your mouse and keyboard as needed to chart conditions that are not supported by Voice Perio.
As you chart, the positions of the Tooth selection frame, the PD and GM selection frames, and the BOP/Sup selection frame change according to the exam options (from the Edit Perio Exam dialog box).
The following examples illustrate where the selection frames are as you chart pocket depths, gingival margins, and bleeding and suppuration according to both the tooth navigation script and the delay for charting bleeding and suppuration:
Tooth navigation script = Pocket Depth:
Enter BOP and Sup = 0 (no delay):
On the current tooth, the PD selection frame is at the first position, and the BOP/Sup selection frame is available.
On the current tooth, the PD selection frame is at the third position, and the BOP/Sup selection frame is available.
The PD selection frame and the BOP/Sup selection frame stay inside the Tooth selection frame.
Notes for Voice Perio:
You can use a voice command to mark bleeding or suppuration on the current tooth without having to specify a tooth number, but you must do so before you specify the third pocket depth value, upon which the Tooth selection frame advances to the next tooth automatically.
You can use a voice command to mark bleeding or suppuration on any tooth that does not have the BOP/Sup selection frame, but you must specify a tooth number as part of the command.
Enter BOP and Sup = 1 (one-tooth delay):
On the current tooth, the PD selection frame is at the first position.
On the previous tooth, the BOP/Sup selection frame is available.
The PD selection frame stays inside the Tooth selection frame. The BOP/Sup selection frame advances with the Tooth selection frame but stays one tooth behind, so you cannot mark bleeding or suppuration while the first tooth is selected.
Notes for Voice Perio:
You can use a voice command to mark bleeding or suppuration on the previous tooth without having to specify a tooth number, but you must do so before you specify the third pocket depth value on the current tooth, upon which the Tooth selection frame and the BOP/Sup selection frame advance to the next applicable teeth automatically.
Do not use a voice command to mark bleeding or suppuration on any tooth that that does not have the BOP/Sup selection frame.
Tooth navigation script = Gingival Margin:
Enter BOP and Sup = 0 (no delay):
On the current tooth, the GM selection frame is at the first position, and the BOP/Sup selection frame is available.
On the current tooth, the GM selection frame is at the third position, and the BOP/Sup selection frame is available.
The GM selection frame and the BOP/Sup selection frame stay inside the Tooth selection frame.
Notes for Voice Perio:
You can use a voice command to mark bleeding or suppuration on the current tooth without having to specify a tooth number, but you must do so before you specify the third gingival margin value, upon which the Tooth selection frame advances to the next tooth automatically.
You can use a voice command to mark bleeding or suppuration on any tooth that that does not have the BOP/Sup selection frame, but you must specify the tooth number as part of the command.
Enter BOP and Sup = 1 (one-tooth delay):
On the current tooth, the GM selection frame is at the first position.
On the previous tooth, the BOP/Sup selection frame is available.
The GM selection frame stays inside the Tooth selection frame. The BOP/Sup selection frame advances with the Tooth selection frame but stays one tooth behind, so you cannot mark bleeding or suppuration while the first tooth is selected.
Notes for Voice Perio:
You can use a voice command to mark bleeding or suppuration on the previous tooth without having to specify a tooth number, but you must do so before you specify the third gingival margin value on the current tooth, upon which the Tooth selection frame and the BOP/Sup selection frame advance to the next applicable teeth automatically.
Do not use a voice command to mark bleeding or suppuration on any tooth that that does not have the BOP/Sup selection frame.
Tooth navigation script = Pocket Depth and Gingival Margin:
Enter BOP and Sup = 0 (no delay):
On the current tooth, the PD selection frame is at the first position, and the BOP/Sup selection frame is available.
On the current tooth, the GM selection frame is at the first position, and the BOP/Sup selection frame is available.
On the current tooth, the GM selection frame is at the third position, and the BOP/Sup selection frame is available.
The PD and GM selection frames, and the BOP/Sup selection frame stay inside the Tooth selection frame.
Notes for Voice Perio:
You can use a voice command to mark bleeding or suppuration on the current tooth without having to specify a tooth number, but you must do so before you specify the third gingival margin value, upon which the Tooth selection frame advances to the next tooth automatically.
You can use a voice command to mark bleeding or suppuration on any tooth that that does not have the BOP/Sup selection frame, but you must specify the tooth number as part of the command.
Enter BOP and Sup = 1 (one-tooth delay):
On the current tooth, the PD selection frame is at the first position.
On the current tooth, the GM selection frame is at the first position.
On the previous tooth, the BOP/Sup selection frame is available.
The PD and GM selection frames stay inside the Tooth selection frame. The BOP/Sup selection frame advances with the Tooth selection frame but stays one tooth behind, so you cannot mark bleeding or suppuration while the first tooth is selected.
Notes for Voice Perio:
You can use a voice command to mark bleeding or suppuration on the previous tooth without having to specify a tooth number, but you must do so before you specify the third gingival margin value on the current tooth, upon which the Tooth selection frame and the BOP/Sup selection frame advance to the next applicable teeth automatically.
Do not use a voice command to mark bleeding or suppuration on any tooth that that does not have the BOP/Sup selection frame.
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To pause or stop voice recognition at any time, click (or tap) the red Voice Perio icon
(in the lower-right corner). When you have finished editing the exam, click (or tap) Finish Exam.
If the Bola AI: Periodontal Index dialog box appears, to print the summary, click (or tap) Print. Then, click (or tap) Close.
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