Single Screen Perio Charting

EXACT has 2 different Perio functionalities. The https://soeidental.atlassian.net/wiki/spaces/PHS/pages/302186934 and the advanced Single Screen Perio Charting.
Information on how to enable Single Screen Perio can be found here - https://soeidental.atlassian.net/wiki/spaces/PHS/pages/892502665

Single Screen Perio shows the tooth chart (ondontagram) and allows the user to fill all the Perion data in on 1 screen including:

  • Pockets

  • Recession

  • Bleeding

  • Mobility

  • Plaque

  • Suppuration

  • Furcation.

Using the Pocket Depth and recession it will automatically work out the attachment score and highlight if over a certain figure. Finally, the clinician can add diagnosis and treatment plan information for a detailed perio report.

Colour coding
Some Status fields are coloured to represent different values.
For example, attachment over a certain value can trigger colouring the field red. Note how different values have associated colours in these fields.

Element comment field
Each Element has an optional comment field of up to 10 characters.
(Note that depending on the character chosen not all may be visible.

Diagnosis and Treatment comment fields
The Perio Chart has comments fields for diagnosis and treatment plan:

 

Configuring Single Screen Perio
This can be customised per provider login, or providers can simply use the default settings.

Parameters that can be customised:

  • Attachment level threshold

  • How recession data is entered (either after each pocket depth, after each quadrant, or after all pocket depths)

  • Whether or not to include the eights in the progression around the mouth

  • The order of progression through all pieces of the dental arch: four quadrants, each with outside and inside

  • The direction of progression for each piece of the dental arch.


To open the Configure Perio Chart window
Click the Configure button  in either the background (read-only) chart, or in the Add/Edit Perio Chart window:

The Configure Perio Chart screen (default values shown)
The chart includes instructions:

Attachment Level Threshold When pocket depth and recession are recorded, EXACT calculates an attachment figure and automatically populates this field.
4 and over will highlight with a red colour (the threshold has been breached).

Enter recession data This refers to the point at which EXACT automatically tabs over to recession.
Default is after each pocket depth is recorded.

Tab Order selectors
Set the dropdown selectors to specify the order in which you want to proceed around the mouth.
As you select a position for a quadrant, the quadrant that already has that position will swap over with the one you that chose.

Direction
Click the blue arrows to toggle their direction.

Skip the 8s 
EXACT offers an option to remove the 8s from the tab order. 
If you do not routinely take the data for 8s, check the box to Skip the 8s. When the cursor comes to the 8, whether the tooth is present or not, the cursor will move to the next tooth.
You can manually click on an 8 to record data if you wish, even with this option in the field. If the Skip the 8s check box is selected, the blue arrows will shorten to indicate that the 8's are not included.

Notice that the blue line indicating the order of data entry no longer includes the 8s. If you enter data, 8s are not included in the series.

 

To view a Single Screen Perio Chart

On the patient desktop, select a patient and click on the Perio tab:

The main screen of Perio is displayed. The most recent perio chart is automatically displayed. The grid will be blank if the patient does not yet have any charts recorded. The view is read-only. 

You can view older charts by clicking on their date in the left-hand panel. From the Perio workplace you can also add a new chart, or edit, print, email, or delete existing charts.

Note: Charts captured in the older multi-tab format will be shown in the new single screen format. The multi tab format can also show charts captured in single screen format. You can change back and forth at will by ticking an unticking the ‘Use single screen perio’ option. The only thing to remember is that the single screen perio can capture more data than the multi-tab version, so not all data will be shown.


To Add a Perio Chart
1. Click the Add button in the Perio workspace area:

2. The Add Perio Chart window will display, overlaid on the Perio tab area:

3. Type a name for the chart.
4. Press the Tab key to tab to the 1st section, as defined in the tab order in the Configure Perio Chart Screen
5. Complete it as required and click OK to save.

The chart name will then be listed in the Perio workspace area:

From here you can

  • Select it to view the read only chart at right

  • Edit, Print or Delete it

Perio data entry

Press the Tab key to tab to the pocket depth of the 1st section (section order is as defined in the tab order in the Configure Perio Chart Screen).
Enter the data with procedures indicated below:

To enter a number on the Perio chart and move the cursor to the next box
Press a number key to enter a value (from 0-9) in the current box. This also moves the cursor on to the next box.
For Pocket depth holding the number down will cycle between the number and the number +10. Release the number key when the correct value is shown
For Recession holding the number down will cycle between the number, the number +10 and – the number then back to the number again. Eg 6, 16 , -6. Release the number key when the correct value is shown


To move cursor focus to the previous / next box without entering a number on the Perio chart
Left arrow key or NMLK+4 moves the cursor to the previous box without adding an entry in the current box.
Right arrow key or NMLK+6 moves the cursor to the next box without adding an entry in the current box.


To move cursor focus to the Recession or Pocket Depth field above or below the currently focussed one
Up arrow key or NMLK+8 moves the cursor to the Recession or Pocket Depth field above the one that currently has focus.
Down arrow key or NMLK+2 moves the cursor to the Recession or Pocket Depth field below the one that currently has focus.


To record plaque on or off at the current position
Left-click in the Plaque field to cycle: plaque on > plaque off at that position. OR - Press '-' to cycle: plaque on > plaque off.


To record pus (suppuration) on or off at the current position
Press "/" to cycle: pus on > pus off at the current position.


To record bleeding at the current position
Press "*" to cycle point bleeding > full bleeding > no bleeding at the current position.


To record tooth prognosis state
Press '.' to cycle the tooth through the prognosis states: blank > positive > negative > neutral.


To record the Mobility at the current position
Left-click in the Mobility field to cycle: blank > 0 > 1 > 2 > 3 and then back to blank
OR NMLK+5 cycles the Mobility field at the current position: blank > 0 > 1 > 2 > 3 and then back to blank.
NOTE: Blank is unrecorded, zero is 'No Mobility'


To record Furcation at the current position
Left-click in the Furcation field to cycle: blank > I > II > III
OR Press '+' to cycle the Furcation field at the current position: blank > I > II > III.
NOTE: On teeth where there are two furcation positions, if the cursor is in a 'middle' position, the key will cycle the leftmost field.


To delete the entry at the current cursor position, and keep the cursor in that position
Press NMLK+'.' to delete the entry in the current field and revert it to blank. The cursor will not move.



To Edit or delete a Perio Chart
To Edit Perio charting select a chart in the Perio workspace area and then click the Edit button or double click the entry. This opens the existing chart with data, Complete it as required and click OK to save it.

Use the Delete button to mark a selected perio chart as deleted

Print or e-mail a completed Perio Chart

Use the Print button to print or email a perio chart:

The print dialog appears allowing you to optionally Edit the Layout, Preview, Email or Print the chart.

Note: you can still print the old style graphical perio printout for patients by choosing the ‘Basic’ print button.