AAPD Reference Manual 2022-2023

RESOURCES: ACUTE INJURIES

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‰ 1R ‰ Yes /RRVH EURNHQ RU PLVVLQJ DSSOLDQFH" ‰ 1R ‰ Yes This sample form, developed by the American Academy of Pediatric Dentistry, is provided as a practice tool for pediatric dentists and other dentists treating children. It was developed by experts in pediatric dentistry, and offered to facilitate excellence in practice. However, this form does not establish or evidence a standard of care. In issuing this form, the American Academy of Pediatric Dentistry is not engaged in rendering legal or other professional advice. If such services are required, competent legal or other professional counsel should be sought. INSTRUCTIONS AND DISPOSITION TREATMENT RADIOGRAPHS DENTAL ASSESSMENT √ SUMMARY 3KRWRJUDSKV REWDLQHG" ‰ 1R ‰ Yes ‰ 1R ‰ Yes 6XVSHFWHG RU FRQILUPHG DEXVH" CHECK IF PERFORMED ‰ 6RIW WLVVXH PDQDJHPHQW ‰ $QHVWKHVLD PHGLFDWLRQ ‰ 5HSRVLWLRQLQJ UHLPSODQWDWLRQ ‰ 6WDELOL]DWLRQ ‰ 3XOS WKHUDS\ ‰ 5HVWRUDWLRQ ‰ ([WUDFWLRQ ‰ 3UHVFULSWLRQ ‰ 2WKHU BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB CHECK IF DISCUSSED ‰ Diet ‰ +\JLHQH ‰ 3DLQ SDLQ FRQWURO ‰ 6ZHOOLQJ ‰ ,QIHFWLRQ ‰ 3UHVFULSWLRQ ‰ 3RVVLEOH FRPSOLFDWLRQV ‰ 'DPDJH WR GHYHORSLQJ WHHWK ‰ $EQRUPDO SRVLWLRQ DQN\ORVLV ‰ 7RRWK ORVV ‰ 3XOS GDPDJH WR LQMXUHG RU DGMDFHQW WHHWK ‰ 2WKHU BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB ‰ 1HHG IRU WHWDQXV ERRVWHU ‰ ,QMXU\ SUHYHQWLRQ H J PRXWKJXDUG ‰ )ROORZ XS ‰ 5HIHUUDO BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB ‰ 2WKHU BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB

THE REFERENCE MANUAL OF PEDIATRIC DENTISTRY

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