AAPD Reference Manual 2022-2023

RESOURCES: RECORD TRANSFER

Record Transfer

To: __________________________________

Date: _________________________

__________________________________ __________________________________ Re: Patient: ___________________________________________ Nickname: _____________________ DOB: _________________ Gender: ____________ Parent/Legal guardian: ___________________________________________________________________ Special health care needs: ‰ No ‰ Yes ____________________________________________________ First encounter: ______________ Chief complaint: ______________________________________________ Last examination: _____________ Planned treatment: ‰ Completed ‰ Deferred ‰ Ongoing Oral hygiene: ‰ Excellent ‰ Good ‰ Fair ‰ Poor ‰ Non-existent Remarkable clinical findings: Radiographic history/date: ‰ Developmental anomalies ‰ Bitewings ________________________________ ‰ Soft tissue pathology ‰ Panoramic _______________________________ ‰ Fluorosis ‰ Full mouth _______________________________ ‰ Caries ( ‰ noncavitated ‰ cavitated) ‰ Single tooth ______________________________ ‰ Malocclusion ‰ Cephalogram _____________________________ ‰ Traumatic injury ‰ Other ___________________________________ ‰ Other (e.g., habits) __________________________ Comments _____________________________________________________________________________ ______________________________________________________________________________________ Professional preventive care: Management of developing occlusion: ‰ Fluoride (last treatment _____________) ‰ Monitored eruption/growth ‰ Sealants _________________________ ‰ Appliances __________________________________ ‰ Prescription fluoride/chlorhexidine ‰ Retention __________________________________ ‰ Dietary counseling ‰ Treatment completed __________________________ Comments _____________________________________________________________________________ ______________________________________________________________________________________ History of caries: ‰ None ‰ Minimal ‰ Moderate ‰ Severe Therapeutic/surgical interventions: ‰ Silver diamine fluoride ‰ Resin infiltration ‰ Pulp therapy ‰ Interim therapeutic restoration ‰ Other restoration ( ‰ resin ‰ amalgam ‰ crown ‰ __________) ‰ Extraction ‰ Other ________________________ Comments ______________________________________________________________________________ ______________________________________________________________________________________ History of trauma: ‰ No ‰ Yes (date:______________) Comments _______________________________ _______________________________________________________________________________________ Behavior: ‰ Cooperative ‰ Previous difficulties ‰ Ongoing considerations Adjunctive techniques: ‰ Nitrous oxide ‰ Sedation ‰ General anesthesia ‰ Other _______________ Referral for specialty care: ‰ No ‰ Yes _______________________________________________________ Additional considerations: ____________________________________________________________________ _______________________________________________________________________________________ Assessed caries risk: ‰ Low ‰ Moderate ‰ High Assessed periodontal risk: ‰ Low ‰ Moderate ‰ High Recall frequency: _________________________ Patient due for recall: ________________________ For additional information, please contact (_______) ___________________ __________________________________________ __________________________________________ Signature of person completing form Signature of attending dentist

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