Dentaltown July 2016 - (Page 56)
general practice
column
YOU
BE THE
JUDGE
Referral Slips vs. Progress Notes
by Jeffrey J. Tonner, JD
Jeffrey J. Tonner is
a full-time dentalmalpractice defense
attorney in Phoenix who
lectures nationally on
dental risk management
and record keeping. Tonner created
Ideal Charting for General Dentists, a
prophylactic system that provides more
robust templates, consent forms and
update and alert bulletins to help dentists
prevent malpractice action before they
are filed. For more information, go to
thedentaladvocate.com.
56
APRIL 2016 // dentaltown.com
This article is the latest in a series in which
readers get the facts behind a real-life dental-board
or civil malpractice case, and then compare
the verdict they would have delivered with the
actual outcome. In consideration of privacy, the
names and dates of all involved in this case have
been changed.
The case history
"Rose," a 23-year-old patient, exercised
extremely poor dental care. She smoked
two packs a day, rarely flossed and only
occasionally brushed. Her previous dentist
restored 14 teeth before she turned age 21.
Three years later she presented to "Dr.
Johnson" (the defendant). Many of her
previous restorations had accelerated to more
advanced conditions because of recurrent
carries from her ongoing dental neglect. A
treatment plan was developed to extract
two teeth and crown 13 others.
Endodontic conditions
In January 2015, three RCTs simultaneously were begun on teeth 13, 14 and
15. Johnson could not fully access the
mesial canal of 15 and completed a referral
slip, stating "15 refer to endo; calcified
canal." The patient never scheduled with
the specialist.
The next month, teeth 2 and 3 showed
radiographic decay into the pulp. Both
teeth were diagnosed with irreversible
pulpitis. A second endodontic referral slip
was prepared after the X-rays and read, "2
ext? 3 calcified canals." Because of time and
money constraints, Rose wanted Johnson,
not a specialist, to complete the treatment.
He agreed.
Two-step RCTs were begun with an
open-and-medicate. Seventeen days later,
Johnson completed the endodontics. As
anticipated, he could not fully access the
http://www.thedentaladvocate.com
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown July 2016
On Dentaltown.com
HOWARD SPEAKS: On Trust and Telephones
PROFESSIONAL COURTESY: Make Dentistry Great Again
Continuing Education Update
Industry News
Dental Assistant Bonuses
Guided Implantology Docs … You Just Saved $30,000
Curious Curing: How do you know if you’re getting the right output from your LCU?
You Be the Judge: Referral Slips vs. Progress Notes
MB2 Access Pics
Creating the (Sigh) Dream Team
The Truth About Digital X-Ray Sensors
New Products
The Poet Laureate of Dentistry
Townie Choice Awards Preview
Ad Index
Poll
Practice Solutions: LSK121
CONTINUING EDUCATION: Understanding Exceptional- Needs Patients
Dentally Incorrect
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