Configuring & Creating Failure Categories
Failure Categories are attached to those services for which a failure is used for clinical audits. The Failure Categories can be viewed and edited via any of the screens on which services are listed, such as the Service List tab in the Patient Chart (right-click a service and select “edit”), or you can access services directly from the Configure > Services menu item, double click to open the edit service window.
The Failure Category is displayed on the Service Details tab:
To add a Failure Category or change the existing one, click in the Failure Category field, then use the arrows or lined/selector button to select the required category.
The Failure Categories shown are those that shipped with EXACT, and are all BACD categories.
To create your own categories, click the “+1” button
To edit a Failure Category, or view the Failure Modes for the category, click the Edit Details [ED]
button, which will display the Edit Failure Category Details window.
When you have finished in the View Failure Categories window, click the OK button to save any changes you may have made, or the Cancel button to exit without saving.
Failure Category Name | Click in the field and enter a name for the new Failure Category; this must be unique to distinguish it from other Category codes. |
[ ] BACD Category | If (and only if) this Failure category is an official BACD category, click the checkbox. Do NOT delete the tick on BACD codes unless instructed to do so by the BACD. |
Failure Modes | This field is used to select the Failure Modes for this Category. Click in the field, and click the  button to insert a Failure Mode into the list, or click on an existing Failure Mode code and use the  button to remove it from the list. |
Explanation of Failure Categories and Failure Modes
Standard (BACD) Failure Modes
Failure | Any complications that lead the patient to return to you. |
Aesthetic failure | A failure that the patient has made the provider aware of and wants correcting. |
Whitening | If the patient had unrealistic expectations and there is a visible colour change (3 or more Classic vita shade guide shift) one week post whitening then do not record as failure. |
Direct anterior bonding | Involves any composite material placed within the smile zone on the front six anterior teeth (upper or lower). |
Endodontic treatment | Unplanned endo that is carried out after the definitive restoration is fitted. It is recorded in the calendar year it is started irrespective of when the restoration was placed. |
Standard (BACD) Failure Categories
Direct anterior bonding | Upper and lower front 6 teeth, e.g. UL1, UL2, UL3, UR1, UR2, UR3, LL1, LL2, LL3, LR1, LR2, LR3. |
Posterior composite | Upper and lower for all teeth except anterior (see above). |
Crowns, inlays, onlays | Any crown, inlay or onlay which is not implant supported. |
Restored implant units | Implants that have been restored, i.e. definitive restorations fitted on the implants. |
Orthodontic cases | Number of patients who have had orthodontic treatment as part of their current treatment plan. |
Lingual orthodontic cases | Number of patients who have had lingual braces as part of their current treatment plan |
Labial orthodontic cases | Number of patients who have had labial braces as part of their current treatment plan. |
Please note: if a patient has lingual braces in one arch and labial in another count it as one case and use the brace in the UPPER arch. | |
Invisalign orthodontic cases | Number of patients who have had Invisalign as part of their current treatment plan. |
Removable orthodontic cases | Number of patients who have had a removable orthodontic appliance to MOVE the teeth as part of their treatment plan (do not count appliances that are used to stop teeth from moving). |
Failure Modes for Failure Category Codes
Failure Modes | Failure Categories |
Sensitivity leading to treatment discontinued. | Home Tray Whitening |
Sensitivity for more than 24 hours | Surgery Whitening |
Patient not happy with outcome | Home Tray Whitening Surgery Whitening |
Fracture | Porcelain Veneers Crowns, Inlays and Onlays |
Debond | Porcelain Veneers |
Sensitivity after one month | Porcelain Veneers |
Aesthetic failure | Porcelain Veneers Direct Anterior Bonding Posterior Composites Crowns, Inlays and Onlays Bridge Units Implants Placed Restored Implants |
Endo | Porcelain Veneers Posterior Composites Crowns, Inlays and Onlays Bridge Units |
Chip | Posterior Composites |
Sensitivity | Posterior Composites |
Recement | Crowns, Inlays and Onlays |
Porcelain fracture | Bridge Units |
Suprastructure fracture | Bridge Units |
Osseointegration failure | Implants Placed Restored Implants |
Restorative failure | Implants Placed Restored Implants Lingual Orthodontic Cases Labial Orthodontic Cases Invisalign Orthodontic Cases Removable Orthodontic Cases Gingival only Aesthetic Gum Recontouring Gingival and Bone Aesthetic Gum Recontouring |