Oral Health Assessment Form

Preview

What is an Oral Health Assessment form?

An Oral Health Assessment form is a document used to analyze and record an individual’s oral health condition. The form allows the overall assessment of various aspects of a patient’s oral health and documents the findings for future reference or treatment planning.

What are the components of the Oral Health Assessment form?

The Oral Health Assessment form includes the following components:

  1. Personal Information
    Individual’s name, date of birth, address details and contact information.
  2. Medical History
    Individual’s general health status, including any medical conditions, medications, allergies, or previous dental procedures that may impact oral health.
  3. Dental History
    The dental medical history section asks about the individual’s past dental treatments, oral hygiene practices, and frequency of dental visits.
  4. Treatment Plan or Recommendations
    Based on the oral examination findings, the dental professional may outline a treatment plan, recommend specific interventions, or provide oral hygiene instructions.
  5. Informed Consent
    Statement that the patient has been informed about the treatment options, risks, benefits, and has given consent for the proposed treatment.
  6. Oral Examination
    This is the main section of the form where the dental professional records their findings from the oral examination. It typically includes:
  • Teeth and Gum Condition: The status of individual teeth, noting any decay, missing teeth, or restorations like fillings or crowns. Also, the health of the gums and signs of gum disease are assessed.
  • Oral Soft Tissues: Examination of the tongue, palate, cheeks, lips, and floor of the mouth to check for any abnormalities or lesions.
  • Occlusion: Assessment of the patient’s bite and alignment of their teeth.
  • Radiographic Findings: The results of dental X-rays or radiographs, if applicable.

Why you should digitize this Oral Health Assessment form?

Easy Compliance and Data Security: The form is designed to be HIPAA-compliant, with rigorous security mechanisms in place to ensure that you securely contact your patients with end-to-end encryption.

Integration with EHR/EMR/PMS: Emitrr automatically syncs the form responses — including patient medical and dental history — to your health record system, reducing manual data entry. It also makes it easier for you to access the relevant data, resulting in informed decision-making.

Improve Operational Efficiency: Emitrr’s patient engagement solution is simple, user-friendly, and lets your clinical support staff save 3-4 Hrs daily by eliminating the need for manual paperwork, allowing for more efficient workflows.

Cost Savings: By transitioning to digital forms, your organization can significantly cut costs associated with paper, printing, and storage. Additionally, staff employees may better manage their time by focusing on patient care and other value-added duties rather than paperwork.

Enhanced Accuracy: With our digital form, you can be certain of error-free submissions and gain access to precise and reliable patient data.

What are some of the best practices to consider while using the Oral Health Assessment form?

Some of the things to keep in mind while creating and dealing with a oral health assessment form are:

  • Ensure HIPAA-compliance
  • Avoid using any complex terms or medical jargons
  • Ensure that the forms are concise, clear and user-friendly
  • Ensure that you document all relevant details like the patient’s medical history, dental history, oral examination etc.
  • Obtain the patient’s explicit consent and ensure they are aware of the form’s usage
  • Integrate the digital form with your healthcare facility’s EHR system for easy access and future reference
  • Keep reviewing and updating the form as per latest advancements and guidelines
  • Make sure you actively involve the patient too in the assessment process and engage them in discussions about preventive measures

What is the purpose of an Oral Health Assessment form?

The purpose of an Oral Health Assessment form is to collect comprehensive information about an individual’s oral health status for evaluation, diagnosis, dental treatment planning, record keeping, and communication purposes.

Maintaining comprehensive records facilitates continuity of care, allows tracking of progress over time, and supports effective communication amongst dental professionals and referrals to specialists, if necessary.