Odontogram
The odontogram area in the EHR usually displays in the upper pane of the EHR module. Important: When the odontogram displays as a tab in the EHR’s lower pane, it is called the Chart tab. Because this is easily confused with the Chart Add tab, we refer to it as the odontogram tab. Manage the Odontogram
Within the EHR, you can use the odontogram to perform a variety of tasks. View the Odontogram
The odontogram provides a visual representation of a patient’s mouth and displays planned, in process, and completed treatments, as well as conditions and findings, graphically on the teeth. In addition to displaying teeth, previously charted periodontal values can display above and below the odontogram, and a set of tabs displays on the side, providing information about medical alerts, problems, and other information related to the patient. Select Teeth and Surfaces
When working with the odontogram, you can select surface(s) on a tooth, multiple teeth, or even the entire mouth. This can save you time, allowing you to perform activities on multiple teeth at once. It can also allow you to filter activities based on your selection. Tooth numbers display as follows: Tooth surfaces are identified as follows:
To select teeth and surfaces:
Select Surface(s) On a Tooth
All selected surfaces display in blue.
Select the Root of a Tooth
Note: The root can only be selected when no other tooth surfaces are selected. If you attempt to select an additional surface, the root selection is removed.
Select Multiple Teeth and Surfaces
Select a Tooth
Note: If you click the tooth number, the tooth is selected but the surfaces do not display in blue.
Select All Teeth
Select Maxillary Arch
Select Mandibular Arch
Clear Selection
Specify Dentition
Dentition is the arrangement or condition of the teeth in a patient. This includes whether the patient has primary or permanent teeth, missing teeth, etc. When a new patient record is created, axiUm uses the patient’s age to determine whether to display primary or permanent teeth on the odontogram. Later, when you assess the patient’s mouth, you may need to modify the dentition to display a different tooth, as well as indicate missing teeth. To specify dentition:
Set All Teeth to Primary
Set Mixed Dentition
Set All Teeth to Permanent
Age Change Selected Teeth
Mark Teeth as Missing
Revert Missing Teeth
Note: This can only be performed on teeth previously marked as missing, and not on teeth that have been removed from the odontogram through an extraction procedure. Manage Tooth Notes/Conditions
When necessary, you can associate notes with specific teeth and record various conditions for teeth. If a condition is added, a symbol displays on the tooth to visually represent the condition. Note: Conditions can be associated with the tooth itself or with surfaces on a tooth. Examples: Tooth 8 is marked as Partially Erupted, and Tooth 9 is Rotated Distally.
Teeth 1 and 2 are marked with Slight Caries on the selected surfaces of the teeth.
Tip: The symbols used to represent conditions on the teeth/surfaces are configured by your institution and may vary from the configuration shown here. Tooth conditions can be entered from the odontogram or through the Chart Add tab. Tip: You can only add conditions on a single tooth from the odontogram. To add the same condition on multiple teeth or tooth sites, use the Chart Add tab. To manage tooth conditions from the odontogram:
Tip: If any primary or permanent teeth have an associated note, a tooth number displays under the Tooth column. Add Conditions
Note: You can also delete conditions or mark as resolved from this window by clicking the Delete Record () or Resolve Condition () icons respectively. Add Notes
Note: When you enter a note that pertains to a specific tooth, the tooth number displays with an N on the odontogram. Edit Notes
Delete Notes/Conditions
Resolve Conditions
The record now displays as struck out. Manage Tooth Details
When needed, you can display additional details for a tooth using the odontogram. This may include rotating the tooth or adding color to areas of a tooth. Note: These customizations must be done manually. Example: Indicating that a tooth is rotated distally using tooth conditions does not rotate the image of the tooth on the odontogram; you must physically rotate the tooth on the odontogram. To manage tooth details:
View Teeth
When necessary, you can view a tooth’s colors and position. Note: You cannot make changes from this window. Move/Rotate a Tooth on the Odontogram
Draw Color on a Tooth
Tips: Note: Moving the tooth in this window does not move the tooth on the odontogram. Manage Patient Medical Alerts
Patient medical alerts identify a patient's medical problems. If the selected patient has one or more medical alerts, problems, or allergies, the alert displays in the EHR module > odontogram > Alerts tab. From there, they can be viewed and managed. Tip: A red Alert indicator also displays on the status bar. To manage patient medical alerts:
Tip: If Carequality is enabled, any records that are reconciled from outside axiUm display a Reconciled () icon. If a record also has a note attached to it, the icons display side-by-side (). Note: If your institution uses Carequality, a Recon Date column displays the date of reconciliation and a Source column displays the source of the data for reconciled records. Note: This checkbox only displays if Carequality is enabled. Note: If the patient’s language is set to Spanish, the site displays in Spanish. Add Alerts
Add Allergies
Add Medical Problems
Edit Patient Medical Alerts
Delete Patient Medical Alerts
If necessary, you can delete patient alerts from the patient record. Tip: You can delete reconciled alerts that are inaccurate or no longer relevant. Preview/Print Report
Show Patient Alert History
Tip: A Clinical Reconciliation section displays Reconciliation Date and Source fields for institutions that use Carequality. If the record was reconciled into the EHR, the fields will be populated with the date of reconciliation and the source of the data. View Source C-CDA
When necessary, you can view the source C-CDA file for an alert that was reconciled into a patient record. Note: This is only applicable for institutions that use Carequality. The C-CDA file opens as an Export Summary in a new tab in your default browser. Review Allergies/Medical Problems
Note: If the patient has no allergies or medical problems, click Yes to confirm you reviewed the message. Manage Problems and Objectives
Problems are used to indicate general issues for the patient and their mouth. Objectives are used to describe the desired outcome. Both problems and objectives can be viewed and entered from the odontogram. Note: Both can also be entered from the Treatment Planning module. Manage Problems
Problems can be viewed in the Problems tab in the odontogram area of the EHR.
Add Problems
Edit Problems
Delete Problems
Approve Problems
Note: If no entries are selected, all items will be approved. Show Problem History
Tip: You can also right-click the problem in the Problems tab and select Show History to display the Problem History window. Manage Objectives
Objectives can be viewed in the Objectives tab in the odontogram area of the EHR.
Add Objectives
Edit Objectives
Delete Objectives
Show Objective History
Tip: You can also right-click the objective in the Objectives tab and select Show History to display the Objective History window. Manage Preventative Care
If used by your institution, Preventive Care is a way of managing patient recalls, especially when there are multiple recalls due at different times. It is most commonly used in faculty practices and perio resident practices where hygienists work. Preventive Care information can be displayed and managed in the Prev Care tab in the odontogram area of the EHR. To manage preventive care information:
The current details of the patient’s upcoming due dates for exams display.
Add/Update Preventative Care Details
Note: If preventive care information has already been entered for the patient, the Update Preventive Care window displays. Select the Edit Preventive Care Details radio button and click OK to display the Preventive Care Details window. Show Preventive Care Dates
Manage Patient Recalls
Manage Patient/Family Appointments
Complete Appointment Planning
Perform Other Odontogram Tasks
You can perform a variety of other tasks from the odontogram (Chart tab).
Clear Odontogram Selection
Add Treatment / Conditions
Add Clinical Notes
Add EPR Forms
View History
The View History window displays with the odontogram and treatment status as of the selected date. Print Odontogram
Manage Patient Exposures
Note: If the workstation is integrated to imaging software, this button is used to send orders. View EHR Station Options
Review Tooth History
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