Perio Charting Form

What Is Perio Charting Form?

A perio charting form template is a dental clinical document used to record and track the health of a patient’s gums and supporting tooth structures. It captures key periodontal measurements such as pocket depth, gingival recession, bleeding, plaque levels, and tooth mobility, helping dentists assess periodontal disease, plan treatment, and monitor progress over time.

Purpose Of The Perio Charting Form

The perio charting form PDF enables dental professionals to monitor gum and periodontal health accurately, track disease progression, and plan appropriate interventions. By maintaining these records, practitioners can communicate findings clearly with patients and ensure timely preventive or corrective care.

Integrating dental recall systems helps enhance patient engagement, schedule follow-ups, and provide reminders for periodontal maintenance. This structured documentation improves treatment outcomes, ensures regulatory compliance, and fosters trust and transparency between dentists and patients.

Key Components Of A Perio Charting Form

Understanding the key components of this editable perio charting form free is vital for accurate documentation and effective treatment planning. These fields help capture essential data about the patient’s oral health.

• Patient ID: Unique identifier for tracking the patient’s records.
• Date of Examination: The date when the periodontal assessment is conducted.
• Veterinary or Dentist Name: Name of the professional performing the assessment.
• Gingival Health: Assessment of gum health including signs of inflammation.
• Periodontal Pocket Depth: Measurement of gum pockets to evaluate disease severity.
• Mobility of Teeth: Evaluation of tooth stability and any mobility issues.
• Calculus Presence: Documentation of tartar accumulation on teeth.
• Plaque Score: Assessment of plaque levels on the teeth.
• Recommendations: Suggested treatments based on the findings.
• Owner’s Notes: Additional comments or concerns from the pet owner.

Digitize Your Medical Forms With Emitrr

Digitizing this free perio charting form template allows dental practices to replace traditional paper charts with accurate, real-time digital records. Digital charting improves documentation clarity, reduces manual entry errors, and ensures periodontal measurements are consistently captured across visits.

Emitrr enables dental practices to securely collect, store, and manage perio charting data using HIPAA-compliant forms via text. This makes clinical documentation more efficient while allowing providers to quickly access patient records during exams and patient follow-ups.

Centralized digital records improve care coordination, enhance treatment planning, and make it easier to track periodontal health trends over time. Providers can compare historical data, monitor treatment progress, and deliver more personalized care.

Digital workflows also reduce administrative burden, minimize lost or incomplete records, and improve overall practice efficiency. Practices can further streamline documentation by exploring Emitrr’s 100+ free medical forms available for standardized clinical and administrative use.

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