[Pedfac] Charting arrested decay

[Hammersmith, Kimberly]

Fac + Res -

Now with SDF-arrested lesions along with naturally arrested lesions found upon clinical exams, I propose (thanks to Beth Noel's idea), that we begin charting as such.

Active decay - needing treatment before next exam - is charted as red.
Arrested decay - not needing treatment before next exam, i.e. to be "watched" - is charted as black.

White spots, incipient decay - if not treated with SDF or arrested -- would still be charted as "W" for "watch"

Obviously, these indications may change over time - a kid with an active (red) lesion may come back 2 years later with an arrested lesion (then to be charted as black), or a kid with an arrested lesion (maybe due to SDF) may come back for a future exam with an enlarged and soft lesion causing spontaneous pain, needing an extraction, which would then be charted as red. Just an example.

I have ordered more SDF using grant funds. I would love to have SDF in all hygiene rooms in the LAC but I think that's excessive (and expensive) for now - BUT soon there will be enough to house SDF permanently in both baby rooms as well in the hygiene bay. Please remember the current guidelines are to re-apply SDF every 6-12 months until the lesion is restored or the tooth exfoliates. We should be starting to see some of our early SDF patients in hygiene soon, if not already.

Before this recommendation is "final" and I send to staff, please advise if you have suggestions, comments, etc.
Thanks -
Kim

Kim Hammersmith, DDS, MPH, MS
Pediatric Dentist - Outreach Coordinator
Nationwide Children's Hospital
700 Children's Drive, Columbus, OH 43205
(ph) 614.722.1561  (f) 614.722.5671
kimberly.hammersmith at nationwidechildrens.org<mailto:kimberly.hammersmith at nationwidechildrens.org>

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