Table Of Contents:

part one Business/Front Office Communication

Practice Administration 3(33)

Patient Contact

New Patient Intake Form 6(1)

New Patient Registration 7(1)

Initial Patient Visit Record 8(1)

Patient Discussion Checklist 9(1)

Patient Education Documents 10(3)

Patient Preferences 13(1)

Patient Preferences: Child 14(1)

Patient Preferences: Young Adult 15(1)

Treatment Plan 16(1)

Patient Chart Forms

Endodontic Therapy: Estimated Lengths 17(1)

Endodontic Therapy: Informed Consent 18(1)

Extraction: Informed Consent 19(1)

Communications

Interoffice Communications 20(4)

Daily Chart Completion 20(1)

Dental Hygiene Treatment Directives 21(1)

Dental Procedure Codes (complete CDT-4) 22(1)

Routing Slips 23(1)

Laboratory Communications 24(2)

Laboratory Cases in Progress 24(1)

Laboratory Work Order 25(1)

Marketing Your Practice 26(2)

Marketing Tips 26(1)

Press Release Guide 27(1)

Telephone Lists and Forms 28(4)

Miscellaneous Calls to be Completed 28(1)

Patients Who Need to be Rescheduled 29(1)

Priority Rescheduling 30(1)

Professionals Requesting Patient Information 31(1)

HIPAA

Health Insurance Portability and Accountability Act (HIPAA) of 1996 32(2)

HIPAA--Business Associates Contract 34(1)

HIPAA--Staff Training Registry 35(1)

Patient Letters and Forms 36(31)

Welcome/Thank You

Evaluation of Our Services 39(1)

Pleasure Meeting You 40(1)

Thanks for Your Referral 41(1)

Welcome to the Neighborhood 42(1)

Welcome to Our Practice 43(1)

Office Policy

Cancellation and No-Show Policy 44(1)

Dental Emergencies 45(1)

How the Health Insurance Portability and Accountability Act (HIPAA) Will Affect Your Next Dental Visit 46(2)

Insurance

Dental Insurance Coverage 48(1)

Dental Insurance: Points to Consider 49(1)

Determination of Insurance Benefits 50(1)

Information Request 51(1)

Financial

Consent to Payment 52(1)

Estimate of Fees 53(1)

Estimate of Fees (brief form) 54(1)

Financial Arrangements 55(1)

Preauthorization of Payment 56(1)

Schedule of Payment 57(1)

Treatment

Declination of Treatment 58(1)

Dental Cosmetic Evaluation 59(2)

Dental Hygiene Services: Dental Prophylaxis Visit 61(1)

Examination/Consultation Overview 62(1)

Medical History Update 63(1)

Next Appointment Procedure 64(1)

Patient Education Request 65(1)

Treatment Goals 66(1)

Insurance Narratives 67(30)

Endodontics

Apicoectomy 69(1)

Nonvital Tooth Whitening 70(1)

Re-treatment of Endodontics 71(1)

Preventive/Periodontics

Bruxism: Full Arch Appliance 72(1)

Bruxism: Tension Suppression System 73(1)

Desensitization: Entire Dentition 74(1)

Desensitization: Site-Specific 75(1)

Dental Hygiene Appointment 76(1)

Periodontal Diagnosis 77(1)

Periodontal Prognosis 78(1)

Scaling/Root Planing 79(1)

Site-Specific Therapy 80(1)

Splinting 81(1)

Subgingival Irrigation 82(1)

Topical Fluoride Treatment in the Presence of Active Caries 83(1)

Restorative

Crown Lengthening 84(1)

Inlay/Onlay: Metallic 85(1)

Inlay/Onlay: Porcelain 86(1)

Inlay/Onlay: Resin 87(1)

Sealants 88(1)

Veneers: Indirect 89(1)

Veneers: Placed to Correct Discoloration 90(1)

Problem Resolution

Changed Benefit Coding 91(1)

Complaint to Insurance Commissioner 92(1)

Information Narrative 93(1)

Predetermination of Benefits 94(1)

Radiograph Request Response 95(1)

Request for Insurance Recoding 96(1)

Referral Letters and Forms 97(12)

Referral/Consultation Letters

Medical Consultation Request 99(1)

Patient Referral to Dental Specialist 100(1)

Specialty Referrals

Endodontic Referral 101(1)

Oral Surgery Referral 102(1)

Orthodontic Referral 103(1)

Periodontal Referral 104(1)

Requests

Radiograph and Records Request 105(1)

Send per Patient Request 106(3)

part two Patient Education

Cosmetic Dentistry 109(26)

Congenital Conditions

Altered Passive Eruption: Soft Tissue 112(1)

Altered Passive Eruption: Hard Tissue 113(1)

Congenitally Missing Teeth 114(1)

Diastemas: Closing Spaces Between Teeth 115(1)

Fluorosis, Mottled Enamel, and White Spots 116(1)

Peg Laterals 117(1)

Cosmetic Procedures

Bonded Resin Restorations: Tooth-Colored Fillings for Posterior Teeth 118(1)

Cosmetic Dentistry 119(1)

Cosmetic Tissue Recontouring 120(1)

Enamel Recontouring 121(1)

Porcelain and Resin Veneers: Bonding 122(1)

Porcelain Inlays and Onlays 123(1)

Replacing Unesthetic Restorations 124(1)

The Perfect Smile 125(1)

Whitening

General Information

Tooth Whitening: Overview and Options 126(1)

You Can Have Whiter Teeth! 127(1)

Specific Procedures

At-Home Tooth Whitening Options 128(1)

At-Home Tray System: Tooth Whitening Instructions 129(1)

In-Office Power Whitening Technique without Light Activation 130(1)

In-Office Power Whitening Technique with Light Activation 131(1)

In-Office Tooth Whitening Postoperative Instructions 132(1)

Nonvital Tooth Whitening Options 133(1)

Tetracycline-Discolored Teeth: Options for Cosmetic Improvement 134(1)

Endodontics 135(8)

Apicoectomy 137(1)

Endodontic-Periodontic Syndrome 138(1)

Endodontic Therapy: An Overview 139(1)

Endodontic Therapy: Procedure 140(1)

Re-treatment of Root Canals 141(1)

Root Hemisections and Root Amputations 142(1)

General Dentistry 143(51)

General

Before Treatment Begins 147(1)

Dental and Oral Anatomy 148(1)

Have the Dentistry You Need, Want, and Deserve 149(1)

Infection Control Procedures 150(1)

Initial Oral Examination 151(1)

Prescription Medication 152(1)

Sample Patient Handout 153(2)

Prophylactic Antibiotics for Premedication 155(2)

Smile (Lip) Line 157(1)

Staying Well: How to Keep Your Mouth Healthy 158(1)

Treating the Adult Patient 159(1)

Prevention

For a Lifetime of Great Oral Health 160(1)

How to Brush! How to Floss! 161(1)

Junk Drink Alert 162(1)

Prevention of Decay 163(1)

When Radiographs Are Necessary 164(1)

Reversing Decay 165(1)

Sealants and Fluoride: Benefit to Adult Patients 166(1)

Topical Fluoride: At Home and in the Dental Office 167(1)

Problems: Causes and Cures

Abfraction: A New Dental Term 168(1)

Acid Reflux (Gastroesophageal Reflux Disease) 169(1)

Attrition and Abrasion 170(1)

Bad Breath 171(1)

Cracked Tooth Syndrome (CTS) 172(1)

Cracked Tooth Syndrome (CTS): Postoperative Instructions 173(1)

Dentin Decay 174(1)

Enamel Dysplasia 175(1)

Excessive Wear 176(1)

Extraction 177(1)

Extraction: Postoperative Instructions 178(1)

Headaches: The Dental Connection 179(1)

How to Encourage Tooth Decay (Humor) 180(1)

Impacted Teeth 181(1)

Metal Filling-Induced Cracks in Enamel 182(1)

Metal Sensitivity 183(1)

Occlusal (Bite) Guards 184(1)

Pericoronitis 185(1)

Root Surface Caries 186(1)

Sensitive Teeth 187(1)

Temporomandibular Joint Dysfunction (TMD) Questionnaire 188(1)

Temporomandibular Joint Dysfunction (TMD) Syndrome 189(1)

Toothbrush Abrasion: Preventing Tooth Destruction 190(1)

Traumatic Occlusion: Occlusal Equilibration or Bite Adjustment 191(1)

Wisdom Teeth (Third Molars) 192(1)

Xerostomia: Dry Mouth Syndrome 193(1)

Orthodontics 194(7)

Care of Braces 196(1)

Congenitally Missing Teeth 197(1)

Fixed and Removable Orthodontics 198(1)

Orthodontics (Braces) 199(1)

Uprighting Tilted Molars 200(1)

Pediatric Dentistry 201(10)

A Child's First Visit to the Dentist 203(1)

Early Childhood Caries 204(1)

Eruption Patterns of Teeth 205(1)

Prevention of Dental Disease in Infants and Children 206(1)

Sealants 207(1)

Sealant Warranty 208(1)

Supplemental Fluoride 209(1)

Topical Fluoride: At Home and in the Dental Office 210(1)

Periodontics 211(36)

Evaluation and Diseases

Classification of Periodontal Disease 214(1)

Early Signs of Periodontal Disease 215(1)

Furcation Involvement 216(1)

Gingival Hyperplasia 217(1)

Gingivitis 218(1)

Insufficient Attached Gingiva 219(1)

Necrotizing Periodontal Disease 220(1)

Periodontal Disease 221(1)

Periodontal Disease and Systemic Health 222(1)

Periodontal Treatment Recommendations: Initial Therapy 223(1)

Pocket Depth Measurement 224(1)

Smoking and Adult Periodontitis 225(1)

Treatment Options

Cosmetic Elective Periodontal Plastic Surgery: Tissue Recontouring 226(1)

Electrosurgery 227(1)

Flap Procedures 228(1)

Gingival Grafts 229(1)

Gingivectomy and Gingivoplasty Procedures 230(1)

Gross Debridement 231(1)

Osseous Surgery 232(1)

Periodontal Surgery 233(1)

Prophylaxis 234(1)

Ridge Augmentation 235(1)

Root Hemisections and Root Amputations 236(1)

Scaling and Root Planing 237(1)

Scaling and Root Planing: Postprocedure Instructions 238(1)

Scaling and Root Planing: Revaluation 239(1)

Soft Tissue Management 240(1)

Splinting Teeth 241(1)

Chemotherapeutics

Chlorhexidine Gluconate Oral Rinse 0.12% 242(1)

Oral Rinse Protocol 243(1)

Periostat: Systemic Submicrobial Dose of Doxycycline 244(1)

Site-Specific Antibiotic Therapy 245(1)

Subgingival Irrigation 246(1)

Prosthodontics 247(36)

Have Missing Teeth Replaced 250(1)

Implants, Crowns, and Bridges vs. Natural Teeth 251(1)

Fixed Restorations

Crowns

Crowns: An Overview 252(1)

Crown Design 253(1)

Crowns and Bridges: Procedural Overview 254(1)

Crown and Bridge Fees 255(1)

Crown and Bridge Preoperative Instructions 256(1)

Materials Options

Materials Options: An Overview 257(1)

Cast Gold Restorations 258(1)

Cast Gold and Ceramic Restorations 259(1)

Cast Porcelain Fused to Metal Restorations 260(1)

Full Porcelain/Full Ceramic Restorations 261(1)

Bridges

Bridges: An Overview 262(1)

Full Ceramic and Porcelain Bridges 263(1)

Maryland Bridge (Bonded Resin Retainer) 264(1)

Ovate Pontic 265(1)

Partial Coverage Bonded Bridges 266(1)

Implants

Implants: Options 267(1)

Implants: Procedural Overview 268(1)

Procedures and Applications

Biologic Width 269(1)

Cementation: Postoperative Instructions 270(1)

Crown Lengthening Procedures 271(1)

Extraction Site Defect 272(1)

Ferrule 273(1)

Impressions 274(1)

Posts 275(1)

Posts, Core-Crown Buildups, and Crown Lengthening 276(1)

Provisional Crowns 277(1)

Provisional Crowns: Postoperative Instructions 278(1)

Study Models and Wax Ups 279(1)

Removable Prosthodontics

Full Dentures 280(1)

Immediate Dentures 281(1)

Partial Dentures 282(1)

Restorative Dentistry 283(16)

Restorations

Amalgam Restorations 285(1)

Amalgam and Bonded Resins: Postoperative Instructions 286(1)

Bonded Resin Restorations: Tooth-Colored Fillings for Posterior Teeth 287(1)

Microdentistry: Preventive Resin Restoration 288(1)

Partial Coverage Restorations 289(1)

Porcelain Inlays and Onlays 290(1)

Resin Inlays and Onlays 291(1)

The ``Permanent'' Filling 292(1)

Corrective Procedures

Defective Restorations 293(1)

Enamel Recontouring 294(1)

Sedative Restorations 295(1)

Safety and Warranty

Safety of Silver Amalgam and Base Metals 296(1)

Warranty for Restorative Materials 297(1)

Warranty for the Severely Compromised Tooth 298(1)

Patient Education Packets 299(10)

Welcome to Our Practice: Having the Smile You Want 301(1)

Welcome to the Neighborhood 42(1)

Welcome to Our Practice 43(1)

Cancellation and No-Show Policy 44(1)

Dental Emergencies 45(3)

Dental Insurance Coverage 48(1)

Dental Insurance: Points to Consider 49(102)

Initial Oral Examination 151

Have the Dentistry You Need, Want, and Deserve 149(11)

For a Lifetime of Great Oral Health 160(142)

Pediatric Dentistry Educational Packet: Children's Dentistry 302(1)

Prevention of Dental Disease in Infants and Children 206

Eruption Patterns of Teeth 205(2)

Early Childhood Caries 207(2)

Supplemental Fluoride 209

Sealants 207(1)

Sealant Warranty 208(95)

Periodontics Educational Packet: Diagnosis and Treatment of Beginning to Moderate Gum Disease 303(1)

Before Treatment Begins 147(71)

Gingivitis 218

Early Signs of Periodontal Disease 215

How to Brush! How to Floss! 161(73)

Prophylaxis 234

For a Lifetime of Great Oral Health 160(144)

Periodontics Educational Packet: Diagnosis and Treatment of Advanced Gum Disease 304(1)

Before Treatment Begins 147(74)

Periodontal Disease 221

Classification of Periodontal Disease 214(10)

Pocket Depth Measurement 224(16)

Soft Tissue Management 240

Scaling and Root Planing 237(2)

Scaling and Root Planing: Reevaluation 239(7)

Subgingival Irrigation 246

Periostat: Systemic Submicrobial Dose of Doxycycline 244

Chlorhexidine Gluconate Oral Rinse 0.12% 242(3)

Site-Specific Antibiotic Therapy 245(60)

Prosthodontics Educational Packet: Considerations in Tooth Replacement 305(1)

Before Treatment Begins 147(103)

Have Missing Teeth Replaced 250(4)

Crowns and Bridges: Procedural Overview 254(1)

Crown and Bridge Fees 255(2)

Materials Options: An Overview 257(3)

Cast Porcelain Fused to Metal Restorations 260(2)

Bridges: An Overview 262(1)

Full Ceramic and Porcelain Bridges 263(43)

Prosthodontics Educational Packet: Considerations in Advanced Tooth Replacement 306(1)

Before Treatment Begins 147(104)

Implants, Crowns, and Bridges vs. Natural Teeth 251(1)

Crowns: An Overview 252(3)

Crown and Bridge Fees 255

Crowns and Bridges: Procedural Overview 254(3)

Materials Options: An Overview 257(1)

Cast Gold Restorations 258(1)

Cast Gold and Ceramic Restorations 259(1)

Cast Porcelain Fused to Metal Restorations 260(1)

Full Porcelain/Full Ceramic Restorations 261(46)

Restorative Dentistry Educational Packet: Restoring Your Teeth 307(1)

Before Treatment Begins 147(138)

Amalgam Restorations 285(2)

Bonded Resin Restorations: Tooth-Colored Fillings for Posterior Teeth 287(6)

Defective Restorations 293(3)

Safety of Silver Amalgam and Base Metals 296(1)

Warranty for Restorative Materials 297(11)

How to Build Your Own Educational Packets 308(1)
Illustrations 309(14)
Educational Packet Cover Art 323