The Lead Pipe v1.0

ASDA
– UCLA Chapter
Clinic & Lab Education Committee

The Lead Pipe
A Clinic Guide and Survival Manual

ASDA – UCLA Chapter

Feeling a bit lost while trying to treat your patients? Forget the difference between Fuji I and Fuji IX?
Can’t find someone around you to answer your questions? This document has been created to help out in
times like these by serving as a student generated guide to help you weave in and out of the UCLA Dental
Clinic. There are tons of instruction manuals, handbooks and documents floating around attempting to
answer questions you may have, but we are hoping to condense those that students have found most
useful into ONE ‘Clinic Guide’. As there are always changes and new protocols arising in the clinic, this
document is inherently an ongoing project. If you have any suggestions or corrections please submit
them! All contributions are welcome and students will appreciate and benefit from them for years to
come.
Nina Mendoza, c/o 2012

ASDA Clinic and Lab Education Coordinator
neenah789@gmail.com

~ 2 ~


Table of Contents

Anesthesia .............................................................................................................................................. 5
Antibiotic Protocol............................................................................................................................... 6
ATP: Advanced Treatment Planning ............................................................................................. 7
Basic Cubicle Setup............................................................................................................................13
Billing Office.........................................................................................................................................14
Block Schedules – Where? When? ................................................................................................15
Cashier Window..................................................................................................................................18
Chart Requests ....................................................................................................................................19
Chart Review – Recall vs Active Patient......................................................................................20
Consultations.......................................................................................................................................22
Clinic vs Block......................................................................................................................................26
Competencies ......................................................................................................................................27
Direct Procedures ..............................................................................................................................28
Endodontics .........................................................................................................................................31
Fixed Procedures ...............................................................................................................................33
Fuji What? .............................................................................................................................................36
Hygiene..................................................................................................................................................38
Implants ................................................................................................................................................39
Inactivating vs. Discharging Patients ..........................................................................................40
Initial Perio Therapy.........................................................................................................................41
Insurance ..............................................................................................................................................43
New Patient: Screening & Radiographs ......................................................................................44
Nitrous Oxide (N2O)..........................................................................................................................45
Oral Diagnosis .....................................................................................................................................46
Oral Facial Pain ...................................................................................................................................48
Patient Assignment............................................................................................................................49
Payment Plans.....................................................................................................................................51
Patient Requests.................................................................................................................................52
Pediatric Dentistry ............................................................................................................................53
Perio Clinic ...........................................................................................................................................56
Periodic exam......................................................................................................................................58
Preventive ............................................................................................................................................59
Prophy – Surviving Your First One!..............................................................................................60
Radiology ..............................................................................................................................................62
Recall Denture Exam.........................................................................................................................63
Restorative Primers: Hurriseal and Cavity Conditioner.......................................................64
Requirements......................................................................................................................................65
Rubber Dam .........................................................................................................................................68
Ryan White Policy ..............................................................................................................................69
Scheduling Appointments ...............................................................................................................70
Submitting a Treatment Plan .........................................................................................................72
Urgent Care ..........................................................................................................................................74
Quick Links...........................................................................................................................................76

~ 4 ~

Anesthesia

If this is the first time you are injecting a patient, just relax & work up your confidence…don’t be surprised if you’re
shaking!

- Topical anesthetic:
o I swear by topical anesthetic for everything but palatal injections
o Place it where you are going to inject & don’t let it get all over in the patient’s mouth
 Take one of those topical swabs & stick it all over in your mouth & see how much you like it
 Either use the saliva ejector or place a 2x2 just behind the swab to absorb excess
o Leave the topical there for awhile – maybe as long as 2 minutes
 You can fill the time getting things ready while it does its job

- Deliver slowly:
o Move the needle slowly & inject slowly
o Once you start, watch around the pt’s eyes for wincing…if the pt flinches, slow down
o You can take 2 minutes to inject, which feels like an eternity, but will be less irritating to the patient

- Tell the pt to breathe through their nose & use other forms of distraction
- Providing (near) painless, profound anesthesia is worth its weight in gold

- For IA blocks, if you are going to be working in the area for awhile, give 1.5-‐2 carpules
o This is lots better than having to inject through the rubber dam later in the appointment

- For the maxilla:
o You can almost always give local infiltration in the maxilla, as opposed to giving a PSA, MSA, or ASA block
o For infiltrations, remember to anesthetize the tooth that you plan to clamp, not just the one you will be
working on
o For the palate:
 You can always give a greater palatine injection, OR…
 You can use Dr. Hargis’ method: once you’ve completed the buccal infiltration & the buccal gingiva is
numb, you can inject through the papilla from the buccal, which will provide anesthetic to the lingual
– look for blanching
~ 5 ~


Antibiotic Protocol
Prophylaxis for Patients with Joint Replacement
Amoxicillin, Clindamycin, Cephalexin
Prophylaxis for Infective endocarditis
Amoxicillin, Clindamycin, Cephalexin, Azithromycin
Prescriptions (for 3 visits):
Rx:
Amoxicillin 500 mg
Disp: 12 tablets
Sig: 4 tablets (2 g) 30-‐60 minutes prior to dental visit and repeat at each
appointment
Rx:
Clindamycin 150 mg
Disp: 12 capsules
Sig: 4 capsules (600 mg) 30-‐60 minutes prior to dental visit and repeat at each
appointment
Rx:
Cephalexin 500 mg
Disp: 12 tablets
Sig: 4 tablets (2 g) 30-‐60 minutes prior to dental visit and repeat at each
appointment
Rx:
Azithromycin 500 mg
Disp: 3 tablets
Sig: 1 tablet 30-‐60 minutes prior to dental visit and repeat at each appointment
ATP: Advanced Treatment Planning

From start to finish

Who needs to go to ATP?
nd
Anything that’s not FastTrack. What’s FastTrack? See the handout from Dr. Woods’s 2 year spring course. I
can’t find it, and you might not be able to either, so here is the relevant portion:

Basically, ATP is anything where the treatment is not so obvious. Occasionally you may try to do a periodic exam
(regular consults) and have it “blow up” into ATP because at that appointment you find that too many things need
to be replaced.
rd
So basically, it’s ATP if you need extractions (other than 3 molars), more than 8 fixed restorations, replacing more
than one tooth, any RPDs. Replacing only one tooth can qualify as FastTrack. An “obvious” denture case where it’s
clear all teeth need to be extracted (i.e. there’s only one clear treatment pathway!), can also qualify for FastTrack.
ATP is where you go to decide how to replace missing teeth (debating between RPDs, implants, and bridges), or
doing large-‐scale restorations (more than 8 crowns, unreasonable occlusion, severe attrition).
~ 7 ~

What do I need to do before ATP?
You need to do a Pre-‐ATP appointment. Book it on GSD as such and you will get either perio or restorative faculty
coverage. It’s like regular perio/restorative consults, except you’re pretty much on your own (because the
instructor examinations will take place at ATP). Do your perio probings and have the covering periodontist lock
your perio chart (this is a new addition to the requirements before ATP; they want the probings and other
measurements to be accurate so they don’t have to question them at the ATP appt). The restorative exam is
completed as normal (but without a faculty consult). If you are trying to do this in the 1.5 hours after OD, you may
or may not have enough time.
You will also need mounted casts for the ATP appointment. So take upper and lower alginate impressions, pour in
yellow stone. (They will like it if your mounting and cast trimming is not horrid). You can try to capture the
vestibules if you are planning an RPD, but they’ll probably be fine if it’s not perfect (since it’s just a preliminary
study cast). You will probably need a facebow to mount the casts. Generally, you will want to hand-‐articulate the
casts (because this is most accurate), unless there are not enough teeth to do so. In which case, you will need
record bases and wax rims. (Not blue-‐mousse or compound or wax wafers or anything else). More on that
below…
If an RPD is a possible treatment option, you’ll want to get a pre-‐ATP design. The white forms for drawing the
nd
design are on 2 floor in front of the removable lab. Draw your proposed design, and go to a removable consult
nd
(the schedule for this is on 2 floor near Nancy’s desk). Bring the mounted casts, as well as the patient’s
radiographs.
The presentation: After you get your diagnostic info, prepare your treatment plan (if you’re wrong, that’s fine.
ATP is not evaluating you for correctness but just for thoughtfulness). Follow the order on this other handout from
Dr. Woods’ spring course. (next page) A few things to note: Make sure to know the patient’s snacking and dietary
habits, oral hygiene habits. Be sure to state plaque/marginal bleeding indices before perio probings. Know their
“type I/typeII/etc” preventive. And tell the “overall big picture” of treatment before going into it tooth-‐by-‐tooth.
There are probably many example presentations floating around. Below is one example. If you need others just ask
a classmate for their presentation. Following the example case presentation on the next page should cover most
questions you may be asked in ATP.
~ 8 ~


PATIENT INTRODUCTION
• Demographics:
• Age:
• Occupation:
• Financial Status/Insurance:
• Initial exam date:
• Why at UCLA:
• Chief Complaint:
• Originally came in because of pain in lower left quadrant, which is no longer occurring. Pt is
concerned about the esthetics and loss of function of her missing posterior teeth, and of #21 in
particular as it is visible to pt when she smiles.
• HPI:
• Pt lost restoration on #21 approximately 1 year ago and had pain in that area approximately 2
weeks prior to initial exam. Pt is unaware of the history of the other involved teeth, but reports
not having received dental care for about 10 years.
SYSTEMIC
• MHx, medications:
• Pt reports no active or significant past medical problems and is not currently taking any
medications.
• Last BP taken 11/22/2009 and was 128/82 / 80 bpm / regular rhythm
• Allergies: Seasonal allergies, NKDA
• DHx:
• Last dental visit was approximately 10 years ago.
• Patient reports dissatisfaction with previous dental care at a private dentist associated with
having the wrong tooth prepared and crowned and also due to difficulty achieving local
anesthesia.
• Pt reports a hx of dental phobia.
URGENT
• None

PREPARATORY
• Preventive
• MBI: 35.58%
• PI: 38.46%
• Type II
• High caries risk due to visible cavitations, exposed roots, and interproximal radiolucencies.
• At initial exam, pt reported hx of brushing 1x/day and occasional flossing.
• Tx plan:
• Diet analysis
• Recommend use of sugar-‐free xylitol gum after eating
• Recommend use of OTC 0.05% NaF rinse such as ACT 1x/day after brushing teeth in
morning
• Prescribe 1.1% NaF toothpaste such as Prevident 5000 to be used while brushing teeth
before sleeping
• OHI including Bass method and flossing instruction
• Recommend use of electric toothbrush
Periodontal:
•2-‐4mm generalized pocket depths on maxillary and mandibular teeth with 5-‐7 mm localized
pocket depths on maxillary posterior teeth.
• No furcation involvement or mobility.
• 3 mm recession on #3 lingual.
• Moderate generalized horizontal bone loss.
• Moderate generalized BOP and inflammation.
• Moderate generalized chronic adult gingivitis with localized moderate periodontitis in the
maxillary posterior.
• Tx plan: 2 appt Sc/RP. 4 week perio re-‐eval.
• Endo/Oral Surgery/Ortho/Orofacial Pain/Esthetic:
• Endo consult:
• Teeth: 19, 28 (re-‐treat)
• Oral surgery consult:
• Extract:
• Teeth: 13, 15, 21
• Roots: 30
• Implant consult:
• Depending on final tx plan, teeth: 13, 20, 21, and/or 30
RESTORATIVE
• Overall treatment approach:
• Maxilla: Extractions, operative and fixed to address active dental disease, and either:
• 12-‐13-‐14 FPD or
• single tooth implant to replace 13
• Mandible: Extractions, operative and fixed to address active dental disease, and either:
• single tooth implants to replace 20, 21 and 30 or
• single tooth implants to replace 20 and 21 and 29-‐30-‐31 FPD to replace 30 or
• mandibular tooth-‐borne RPD to replace 20, 21, and 30
~ 10 ~

• Tooth by tooth plan:

Tooth Description Problem Plan Fee
1 Missing
2 O amalgam Fractured M amalgam O composite $99
3 PFM 3 mm lingual recession, gingival

hyperplasia on M
4 PFM Gingival hyperplasia on D
5 DO amalgam M caries MOD composite $148
6
7 M caries ML composite $105
8 PFM Open F margin PFM $495
9 PFM/post/RCT Open F margin PFM $495
10 ML composite Recurrent M decay, D decay ML, DL composite $115
11
12 DO amalgam M caries MOD composite $148
13 Crown fracture/gross caries Ext $125
Replace with single implant (+ ?)

($2,000-‐$2,500) or 3-‐unit
bridge ($1,485)
14 OL amalgam M caries MOL composite $148
15 Crown fracture/gross caries Ext $125
16 etc…continue to #32
ELECTIVE
• None
MAINTENANCE
• Preventive
• Fluoride: topical fluoride recommended after Sc/Rp or prophy
• OHI at each recall prophy
• Periodontal
• Phase I interval: 3 mo perio recall
• Restorative (Monitor/Watch)
• 1 year recall for periodic exam and BWX
~ 11 ~

At ATP
If you do need to take a wax-‐rim bite registration due to insufficient teeth, you can try to book the patient for an
11am or 4pm ATP (for example), and bring them into the general clinic at 9am or 2pm. Do the wax-‐rims, then
finish mounting the mandibular cast.
Book an appointment under WW ATP AM (or PM) and specify whether you want 9am, 10am, or 11am. (Each
appointment is an hour). At the time of this writing, ATP takes place M/T afternoons and Thursday mornings (but
if you forget, you can always just check the GSD schedule for “New Room” and see when ATP is; the other times
are usually Esthetics clinic). Remember to confirm your ATP appt the day before! Otherwise it will be deleted and
you’ll be out of luck.
nd
Remember to bring the ATP grade sheet (pink). At the time of this writing, it can be found on 2 floor not with all
the rest of the papers, but around the back (close to ortho and the backside of sterilization).
Sit your patient down anywhere, have your computer out, mounted casts. It can be handy to have your
presentation notes on paper rather than computer, so the other 2 faculty can look at radiographs on XDR while
one is examining the patient.
At the end you will fill out PREVTX1-‐4, and write the ATP consult notes. Basically it should contain all the findings
& treatment you discussed.
What do I do after ATP?
If you try to ask Dr. Woods this, he will hand you the convenient handout (available at your ATP appointment) with
most everything spelled out. If RPD is part of your final treatment plan, you will need a post-‐ATP RPD design (by
attending removable consults). Drag stuff over on GSD (just like any treatment plan), fill out the yellow initial plans
form and problem list, put the pink grade sheet in, and simply submit the chart to the chart room (ask them to
“put it in Dr. Woods’ box”). To know when it’s done, simply check GSD to see if the treatment plan has been
approved (red stars becoming green). Then the chart will be available in the chart room again.
~ 12 ~

Basic Cubicle Setup

- From the central sterilization area, pick up a piece of wax paper
- From the central island’s back window area (or from your home cube), obtain the following:
o ***You can keep all this stuff on hand at your home cube
o 1 big bag for tray table (no longer required for operator chair)
o 1 plastic laptop bag
o Blue gown & facemask
o High & low speed suction tips, air/water syringe tip
o Patient bib
o Any cotton rolls & 2x2s you plan to use

Finding supplies
- Carts at the back window include such things as:

o Impression material (alginate, polyvinyl o Green stick compound
siloxane) & trays o Vaseline
o “Blue composite” o Matrix bands
o Packing cord of various sizes (although you o Clear mylar strips
should have your own cord in that o Bite sticks
hemostasis kit from UltraDent) o Tempbond
o Rope wax o Matrix buttons

- Cart in the removable clinic includes such things as:
o Pink compound o Disclosing wax
o Green compound o Denture cups
o Disposable mirrors o Impression material
o Tongue blades o Impression trays
o PIP o Indelible ink sticks

- Central sterilization will have:
o *Basically for everything that the clinic o Cavitron
doesn’t want you to steal* o Electrosurg thing – for electrocautery
o Student bags = bags you drop off with your o *Anything else that you can’t find in the
number written on top cabinets at the back windows OR anything
o Restorative, perio, rubber dam, exam, OD you haven’t heard of when the instructor
exam cassettes asks you “Do you have…?”
o Any instruments missing from any cassettes
(including rubber dam clamps)
o Fuji guns
o Integrity material
o GC Fuji Lining LC paste
o Endo testing supplies (Endo ice, EPT)
o Endo cubicle setup stuff – endo files, gutta
percha, etc.
o Scalpels & scalpel blades
o Ortho wires for treatment partials
o T-‐bar for removing old crowns
~ 13 ~


Billing Office
Billing holds (locked out of chart): your patient has an outstanding balance and needs to pay their balance before
you can access their chart. This includes scheduling appointments. Once they have paid their balance, go to the
billing office and ask them to unlock their chart.
Insurance: UCLA accepts direct payment from only Delta Dental. All other insurance companies reimburse the
patient afterwards.
Mail: You can also find the box to put any patient mail that needs to get sent out on the counter near the door.
Make sure the envelope is addressed correctly and that it has been stamped by your GPD. No postage required.
Ryan White Forms: Once the blue forms for your Ryan White patients have been filled out and signed by Dr
Younai, drop the forms off in the billing office. Once they are processed a note will appear in the top window
under the “Notes” tab in GSD.
Block Schedules – Where? When?

Throughout your time in clinic, you will also need to pay attention to your assigned block schedules. These are all
noted in the calendar that is updated and emailed to you each quarter. These calendars are also posted in the
clinic. The dates should also be blocked out on GSD so that you cannot accidentally schedule a patient. It is a good
idea to check these over at the beginning of the quarter to ensure your calendar matches with GSD.
Different blocks meet on different days and different times. Some may last the entire week and others only 20
minutes in the afternoon. The key for reading the Block schedule calendar is available online.
• Inglewood Children’s Dental Center (1 day/week for 1 quarter):

o Inglewood Block Rotation is one of your two Pediatric dental rotations at UCLA. The other
rotation occurs over the course of a week at the Westwood dental clinic. More often than not,
the Inglewood rotation will be your only opportunity to perform actual procedures on children
patient (as opposed to exams and prophys at the Westwood clinic). The block rotation occurs
over the course of 1 quarter on the same day every week during either the D3 or D4 year. Expect
to be there from 8:30 am until approximately 4:30 pm.
You may not be completely sure what to do when you show up on the first day of Week 1. If so, read this
short list to be prepared:
o Print your 3 competency and signature sheets. These are available on Angel. As much as we hate
it, you will be chasing the almighty signature for your competetencies and experiences at
Inglewood as well.
o Bring all supplies. Inglewood Clinic is very low on supplies due to a limited budget. Anything you
can bring is going to vastly improve your experience. Handpieces and bur blocks at a minimum;
but everything necessary for a composite restoration is a better recommendation.
o Show up at 8:30 am. The address is 300 Buckthorn St. Inglewood, CA 90301. There will be an
orientation during the morning of Day 1 in the Tooth Fairy Cottage (directly across the street
from the actual clinic) where the rest of the block will be explained to you.
o Briefly review Pedo topics. Just quickly review how to do a Class I, Class II, SSC, and pulpotomy.
Don’t spend too much time with these topics as you may not be too busy during your first week.
However, you may end up doing a stainless steel crown as your first pediatric experience (like I
did); and you’ll appreciate having briefly reviewed the topics.
• Oral Diagnosis Block
rd
o This block is completed three times; the first during summer of 3 year for one day, the second
time for a week, and the last time you are scheduled for two days in one week. For this block you
must show up at 9AM and 2PM in the OD clinic on the first floor. Bring everything with you that
you need to complete the exam (this includes: exam kit, gloves, gown, eye protection, masks, BP
cuff, Rx book, computer and the necessary cords).
• Oral Facial Pain Block
• Oral Med Block (at this time, this block has been eliminated)
• Oral Surgery Block (1 week)
~ 15 ~

o This block is only completed once. It covers every clinic session for one week. Before the first
th
session it may be a good idea to pick up the packet of information from the OS office on the 5
floor. This packet contains the page that requires signatures throughout the week and must be
turned in after the week is over. For the first morning, meet in the OS clinic on the A level at 9
am. You can bring your backpack and leave it in the conference room. Find Dr. Hargis in the main
clinic area. He prefers if you bring a pen with you as the first sessions include some note taking.
o The beginning of the week is mostly spent with Dr Hargis learning instruments and tying knots.
Refer to the schedule for specifics.
• Oral Surgery Block (3 weeks):
o This block consists of a 3-‐week rotation, which you have the option of choosing both time and
place (sort of). Your class will decide how to create a lottery system to enable a draft for picking
th
your top choice. You can choose from 4 different clinics and blocks of time throughout your 4
year. Some blocks also extend into the breaks to limit the amount of time you are out of the
general clinic. The clinics to choose from are: UCLA/Harbor, VA Sepulveda, West LA and MLK Care
Center.
• Ortho Block
rd th
o This block is completed 3 different times during the 3 /4 year. On the afternoon you are
nd
scheduled, meet in the ortho clinic on the 2 floor at 2pm. You will complete an ortho exam with
rd
a partner during the first two sessions. At your 3 time in the clinic, you will spend the time
observing the residents. This block can be completed very quickly and rarely are students still
working after 3PM.
• Pedo Block (3 days)
o This block occurs during Winter or Spring quarter of your third year. It occupies 6 clinic sessions
during one week. You must meet in the Pedo clinic starting 9AM on Monday morning. The block
continues thru Tuesday afternoon, Wednesday is optional, and finishes on Thursday. There are
several documents you should bring to get signed during this week to prove attendance and
competency. These are explained in more detail in the Pediatric section.
• Perio Block (4 sessions in one week)
o This block is only completed once. The block covers 4 clinic sessions: Monday AM and PM,
Tuesday PM and Thursday PM. The first morning meets at 9AM in a conference room across the
Perio clinic on the B level. There is an interactive lecture during this first session and the rest
consist of shadowing and assisting in the perio clinic. You must be present during the entire
sessions in the clinic. You will need to check in with Gwen at the front desk. Do NOT bring your
backpack with you; come to the clinic with a gown, masks and eye protection and that is it.
• Radiology Block
o This block is done once a quarter. It lasts the entire day, however you will likely finish early in
each session. The morning session begins at 9AM and the afternoon session at 2PM. You do not
need to bring anything with you. Meet in the radiology consult room across from the OD chairs.
• Special Patient Care Block (1 session + 1 early morning)
o This block is only completed once. It covers Wednesday AM and PM sessions the first week and is
from 8-‐9AM on the Wednesday of the following week. For the first session, meet in the
Weintraub center on the B level across from the Prosth office. You will spend the first hour
listening to the presentation given by the previous week’s group. You can leave your backpack in
this room and do not need to bring anything else with you. During the second session, you will
present a prepared PPT about a special care patient that you encountered during your first
~ 16 ~

session. Dr Sun may be present to ‘quiz’ you on some of the more important topics so do some
research.
• Urgent Care Block
• Venice Block (1 day/week for 1 quarter)
rd
o This block lasts an entire quarter and is either Winter or Spring of 3 year, or Summer or Fall of
th
4 year. Your specific day will be sometime Tues –Thurs. You must report for orientation at
7:50AM on your first day of block. Theoretically you only need to bring the equipment from your
cubicle that you need for the appointments you have scheduled, however you may always be
given an urgent care at the last minute and so you want to make sure your prepared. The clinic is
near the corner of Rose and Lincoln. The entrance to the clinic and the parking lot is on Rose.
~ 17 ~


Cashier Window
The cashier window is where you should ideally begin every appointment. It can be found to the right of the chart
room window on the main floor in the patient waiting area. Its always important to try and get your patient to pay
before treatment is started! This will save you a lot of headache down the road!
• Cashier hours are: Mon, Wed, Thurs, Fri from 8am-‐5pm and Tues frm 8am-‐8pm
• Cashier phone # is (310) 825-‐5253
• The walk-‐In address is 714 Tiverton Drive
When sending your patient to the window (or when accompanying them there) it is important to tell the cashier
the patients chart number (just hand them the chart) as well as the charge for the day. The patients can also do
this on their own on their way out at the end of the appointment as long as they have this information.
Acceptable forms of payment include cash, personal checks with pre printed name and address (this includes
money orders and cashier checks), and credit cards and ATM cards with the Visa, Mastercard, American Express or
Discover logos.
Patients can also call over the phone to complete a payment. They need to know:
• Chart number
• Amt to be paid
• Credit card number
• Expiration date
• Card-‐holders name
• Zip code
• Contact phone number
If you are unsure what your patient owes, check their records on GSD by clicking on the money symbol at the top
of the screen. If you have ay further questions, the Billing Office will answer any questions you have.

Chart Requests
Charts can be requested from the Chart Room, which is found, to the left of the Cashier Window on the main floor
of the clinic in the patient waiting area.
• Chartroom hours: M-‐F 7:30am-‐12pm and 1pm-‐5pm as well as Tues until 8pm
• Have chart number ready to enter on the request sheet along with patient initials and dental student #
and initials – They will check this off as they sign the chart out to you
• Rush hours are 8am-‐10am and 1pm-‐3pm
• Max 2 charts during rush hour and max 4 during normal hours
What if I need more than 4 charts?
• If you have a chart review and need more than 4 charts:

o Print your patient list from Academic System
o Highlight the charts you need
 Those with code 07 for recall chart review
 All other active patients for the regular chart review
 Write your name, student # and chart review date and time at the top of the paper
• Turn this in to the chart room 24hrs before your chart review and they will create a stack which you can
pick up the next day
• EXCEPTION! If your chart review is on a Monday, turn in the chart request list on Thursday
Where do I return the charts?
• Charts can be returned anytime during regular business hours through the window, but it is much easier
to simply drop them in the slots found directly to the left of the window
• After closing hours, charts should be returned only to the drop box
• If you have a large chart that does NOT fit into one of the slots, it has been said that you are allowed to
keep the chart overnight, HOWEVER you can usually side the windows open to the chart room window
and set the chart on the counter inside the window before closing them
What if my patient requests a copy of their records?
You can refer your patient to Aja Stanley who is custodian of records:
1st Floor Labby, Room 10-‐138, Window #5
ph # (310) 825-‐3195
fax # (310) 825-‐7620

Obtain the Authorization form and provide patient with this in person or by email, fax or snail mail. Inform your
patient that there is a $15 charge each for written/computerized and billing records or single sheet/page of xrays.
Requests will take up to 7 days from the time payment is collected.

Chart Review – Recall vs Active Patient

Every quarter (from summer to spring of your 3rd year) you must complete one Recall Chart Review and one
regular Chart Review. The recall chart review is conducted with your GPA and may be relatively short. The other
chart review is done with your GPD and is scheduled usually within the first few days of the quarter.
RECALL CHART REVIEW
This is conducted to ensure that recall patients are being taken care of. See your GPA some time at the beginning
of the quarter to schedule this appointment. Print your list of patients from Academic Report and highlight those
that are recall (should have a 07 code).
Before showing up to your chart review, you should look over the patients chart on GSD and enter some
information into the “Notes” section of their chart. Basically this should record when their next preventive and
consultation appointments should be done. An example note entry may be:
Recall Chart Review Due Dates:

PE: 7/19/11
Prophy: 8/8/11
BWX: 7/19/11
FMX: 7/19/13
OD: 1/24/14

If this is a denture recall patient (code 09), you only need to document the next exam and OD dates. If the new
entry notes will not reflect a change from the last recall chart review, you may enter:

Recall Chart Review:
Status unchanged see notes on (include date)

You can find this information in a number of places:
• The last set of consults can be found by first going to the Chart tab and clicking on “Problem
Lists/Consults” tab; then click the pencil or plus sign to see a list of completed consults with associated
date and notes (this is also where you should find the perio recall interval)
• The last cleaning may be found by first going to the Chart tab and clicking on the “H”; sort the list by date
and scroll until you find the last entry for: “1110B Prophylaxis Adult”. Determine the date for the next
prophy by adding the appropriate recall interval (3/4/6mos) to the date of the last prophy.
• To find the last OD you can look either on the Details tab in the box labeled Next OD Work Up or by
looking under the Chart tab and looking for the latest green OD tab to find the date of the last
appointment
• To find the last radiographs, look under the Chart tab and find the red Radiograph tab to find the xray tab
Complete this for every recall patient under your name, gather the charts from the chart room and take these with
you to meet with your GPA.

ACTIVE PATIENT CHART REVIEW

While this appointment can be more rigorous and stressful than the recall chart review the preparation is similar.
Before your scheduled time, make sure you have reviewed all your active patients. You should be looking for things
like:
• Medical issues and lab slips updated recently (and make sure you have a thorough understanding of the
issues involved when treatment this patient, if any)
• OD/PE current
• Radiographs current
• Treatment plans created within 10-‐11mos
• All signature on treatment plan present
• All consults signed for and completed
• All appointments charged out (you should not be getting any Daily Uncharged Summaries emails)
• No significant amount of money due on the patients account
Its always a good thing to meet up with your CPC team to go over patients to make sure everyone on the team is
familiar with current treatment plans. As long as you prepare things should go smoothly.

Consultations

Consults refer to one of four things generally:
1) Initial/periodic consultation for creating/updating treatment plans
2) Consultation with one of the specialties (endo, oral surgery, ortho, removable) during ongoing Tx
3) “Removable consults”, wherein you discuss RPD designs, denture setups, etc., with a removable professor
NOTE: you can have a ‘removable consult’ with you patient in the removable clinic, or a ‘removable
consult’ with just the faculty in an office setting
4) Implant consult

PRE ATP CONSULT
This is the appointment prior to the ATP appt that you will have on the second floor. This appointment does not
require faculty coverage explicitly, however you do need to have the perio chart locked by floor coverage. Consult
tabs should NOT be created as the consult is done officially in the ATP appt. SOAP notes should be written and
signed off. This is explained in further detail in the ATP section.

During the appointment you need to gather all the same information as is obtained in traditional restorative and
perio consults. However, in addition you must also obtain accurate impressions of your patient to create stone
models to mount and bring to ATP. These casts should be mounted accurately with a facebow record. They can be
hand articulated if the patient has enough remaining dentition to create solid occlusion. If this is not the case, wax
rims should be created and also brought to ATP.

If you need more guidance in regards to what information to obtain, follow the ATP presentaiont guideline or find
the green sheet behind central outlining the same information. If an obvious treatment plan isn’t presenting itself
to you during the appointment, you can always ask faculty if they will give some advice as to how to proceed.

FASTTRACK CONSULT

For FastTrack cases, you generally only need perio & restorative consults; additional specialty consults are
sometimes needed as well.
o If the pt needs 1+ extractions, you will need an oral surgery consult in the OS clinic following Tx plan
approval by your GPD

WHERE TO ENTER CONSULT NOTES:
o In your pt’s chart in GSD-‐ACADEMIC, go to the chart tab & click on the consults tab on in the lower right-‐
hand corner. Click ‘+’ or ‘pencil’, which opens a new window. Click on the Consultations tab & then click
‘+’ or ‘pencil’. Be sure you check the box to add consult without associated condition. There is a drop-‐
down box to select the subspecialty you are completing the consult for (e.g., ‘perio’).
o When you’ve done that, you’ll see a new line in the consultation tab window.
o Double-‐click the consult you want to do – this opens up a blank window.
o In the box, you need to enter the details of the consultation.
o When you’ve typed it all in there correctly, close the window & click ‘complete consult’.
o Once the faculty has signed it off, verify that the word ‘completed’ appears on the consult line.

PERIO CONSULT
o Complete perio charting: note any missing teeth, measure periodontal probing depths, BOP, recession,
attachment loss, presence & extent of plaque/calculus, health & appearance of tissues
o Look at bone levels radiographically – note any general & local bone loss & possible perio lesions
 Use bitewings, not PAs, to look at bone levels (BWX provide a more level view of bone height)
o Example consult notes (to be typed up before faculty comes over and approved by them after their
assessment):

Pt Information:
• Type of exam (initial vs. periodic)

• CC
• Significant Medical complications
• Last dental visit/cleaning
• Hx Perio/OS
• Restorative experience

Radiographic Findings
• Description of Calculus findings

• Description of Bone Loss (Gen vs Loc; mild (<25%) vs mod (<50%) vs severe (>50%); Location
• Other abnormalities

Clinical Findings
• Marginal bleeding index (MBI 15%) and plaque index (i.e. 45% plaque free)
• General probing depths (i.e. generalized probing depths of 2-‐5mm, with localized 6-‐7mm
pockets in lower molar region) and localized probing depths (if a few bad spots)
• Tissue description (erythemetous, inflammation, location)
• Description of plaque and calculus accumulation (i.e. moderate vs severe or localized vs
generalized)
• Mobility, furcatin involvement, mucogingival defects or recession?

Perio Diagnosis
• Description of gingivitis

• Mild: no bleeding with inflammation 30%
• Moderate: w/BOP 30% of sites
• Severe: spontaneous bleeding
• Description of periodontitis
o Mild: pocket about 5mm (about 1mm attachment loss)
o Moderate: severe pockets 5-‐7mm (2-‐3 mm AL)
o Severe: pockets 7+ (3mm AL)

Treatment Plan

• Phase 1: 2 apt Sc/RP + OHI with 4 week evaluation; appropriate recall interval (3,4,6mos)
• Possible/projected extractions, surgeries, abx etc

~ 23 ~


RESTORATIVE CONSULT
o The wise student will have already completed a radiographic analysis, so you should already be halfway
there (do radio consult before the appointment)
o Perform a tooth-‐by-‐tooth exam & note anything abnormal – caries, demineralization, discoloration,
chipped teeth, deep pits/fissures, current restorations, failing restorations, developmental stuff…anything
worth noting
o Use your best judgment to develop a plan for each tooth
 The instructor will help you decide on the best Tx
 If you disagree with the instructor, you can ask why they wouldn’t do what you thought you should
do
• They may actually say, “That would be another acceptable approach” OR they will explain why
your idea is not as great as their idea…either way you learn something
 In terms of restorative Tx, it is best to give you patient options (e.g., gold inlay vs. amalgam) with pros
& cons of each (cost, longevity, esthetics, etc)
assessment):

Pt Info:
• Type of Exam (initial vs. periodic)

• CC
• Restorative experience

Tooth by tooth Findings (in dec order)
• 1-‐32 radiographic and clinical findings (specify)

• i.e. #14 crown has radiographic open margin and clinical decay at margin
• #21 – incipient occlusal decay

Tooth by tooth Tx plan (in dec. Order)
• 1-‐32: mention all teeth in findings (including watch)

• i.e. #14 PFM Crown – inform pt of crown lengthening or endo possibility
• #21 – watch

Re-‐Eval:

• BWX every 12 mo, FMX every 3 years

SPECIALTY CONSULT
o These include, but may not be limited to: oral surgery, endo, removable, perio, restorative, orofacial pain
o During any given appointment, you may wish to have a consult with a professor from one of these
specialties
 Restorative, perio, & endo do not require a separate appointment
st
 Orofacial pain consults must be scheduled in the red book found at the end of the 1 row of cubicles
in the Oral Diagnosis/Radiology clinic
 Oral surgery consults are scheduled at the Oral surgery window on the A-‐level
• You may be able to be seen on a walk-‐in basis, depending on how busy the clinic is & what your
pt’s needs are
 Removable consults (clinical) are made by appointment in GSD-‐ACADEMIC

ENDO CONSULT
o If you are concerned with the vitality of a tooth, gather some information before presenting to endo
faculty:
 Test for palpation/percussion, cold test and EPT
o Bring this information along with the radiograph to the endo clinic and presnt
assessment):
assessment):
Pt Info:
• Type of Exam (initial vs. periodic)

• Chief complaint

Test Results:

• Palpation/percussion (+/-‐), cold test, EPT results

Radiographs taken:

Assessment of prognosis of the tooth

• Proposed tx plan
• Need for permanent restoration
• Need for further consults in general or grad endo clinic

REMOVABLE CONSULT
o When you are in the process of making a removable denture (complete or partial), you must have each
step signed off along the way…for both clinical work and labwork
o So, a consult consists of you, the removable instructor, your casts, the pt’s chart, articulators, blue/red
pencil, & surveyor
o The instructor inspects your lab work & provides the all-‐important signature

IMPLANT CONSULT
o This is a special consultation with either Dr. Shah (removable) or Dr. Hewlett (restorative)
o Here you present the case of any pt who would like implants
o Your pt is present & you get to discuss all the details of Tx planning an implant case
Clinic vs Block

Clinic:
General clinic times are as follows unless otherwise stated:
Monday Tuesday Wednesday Thursday Friday
9-‐12 9-‐12 9-‐12 9-‐12 9-‐12

2-‐5 2-‐5 2-‐5 2-‐5

6-‐9
There is no clinic on Friday afternoons; this is why there is Tuesday night clinic.
Block:
You are expected to attend all block rotations. Your appointment book on GSD-‐Academic will be blacked
out and you cannot schedule appointments to see your patients. Block rotations take precedence over class and
clinic. In the event you must switch a block, you will need to fill out a block switch form. You can get these from
your GPA. To fill it out you must indicate who you are switching with, what dates you two have block, you will also
need a signature from both students and the block director. Once all this is filled out, you will need to bring the
form back to your GPA and they will make the switch in GSD-‐Academic.
~ 26 ~

Competencies

UCLA is a competency based school. In order to graduate, you must indicate you are competent in a number of
different areas. “Competencies” are also known as “Skills Assessments.” These are basically tests of your technique
and can be completed with a number of different procedures. You get restorative “points” for these as well: 5
RVU’s for attempting the competency and additional RVU’s depending on your grade. If you receive a grade of 4,
you will receive 3 additional RVU’s. If you receive a grade of 5, you receive 5 additional RVU’s. You have to pass
with a 3, 4 or 5, just like in lab. So let’s give an example: you perform a MO composite Class II on #19. This is worth
6 RVU’s. You perform a competency for the procedure and receive a grade of 4. This gives you 5 RVU’s for
attempting the competency and 3 RVU’s for your grade of 4. Total points: 6 + 5 + 3 = 14 RVU’s.
You must complete the appropriate competencies before attempting to challenge the Restorative Dentistry
Comprehensive Competency Exam.
rd
The forms can be found in the restorative office on the 3 floor; if you are having a hard time finding a specific
one, ask Derrick for help. Inform the covering faculty that you wish to complete a competency at the beginning of
the appointment and confirm that your case is appropriate.
Required Competencies:
• Class II Amalgam (1 each)

o Conservative amalgam
o Large amalgam (at least 3 surfaces, may involve cusp coverage)
• Class III or V composite or Class V GI (2 total)
o Replacement or initial (requiring prep)
• Class II Composite (2 total)
• Cast Restoration (any 2 of the following)
o PFM
o Any bonded ceramic procedure
o Gold partial coverage (inlay/onlay)
o FGC
• Foundation Restoration (any 2 of the following)
o Cast dowel core
o Prefab post
o Core build up (amalgam only)
o Pin build up (amalgam or comp)
The newest addition to this list is the treatment-‐planning competency, which is completed with your GPD. You GPD
should inform you as to when you are to complete this (it may be taken care of during a chart review). The
materials for the presentation are obtained from your GPA. You will be given a set of radiographs as well as a short
pt history. You must create and be prepared to present a treatment plan with any helpful visual aids or typodont
examples of restorations.
~ 27 ~

Direct Procedures

Operative:
o Generally speaking, always be doing something:
 While the topical is taking effect, load the syringe
 While the local anesthetic is setting in, get your rubber dam ready to go
 While waiting for the instructor, type your SOAP notes
o Start check:
 You should be familiar with the following:
• Current medical Hx – look in the chart
• Treatment plan & your plan for the appointment
• Radiographs
• NOTE: the more prepared & confident you are, the better the faculty interaction. You will be
able to work more independently, yet get the help you need when you need it.
Preparation:
o Before you drill, verify you are on the correct tooth, doing the correct restoration, for the right reason
 Check the chart, the radiograph, then the pt’s mouth just to be sure
o Control the water
 You only have two hands – decide how you are going to see what you’re doing, do what you’re doing,
and keep the water out of the way
 Sometimes it’s best to use direct vision & hold the hi-‐volume suction
 Sometimes it’s best to just place the saliva ejector near the clamp so you can hold the mirror with
your free hand
 Sometimes the pt is willing & able to hold the suction where you want it
 Sometimes you could really use an assistant
o Be aggressive (but don’t drill for oil)
 Go ahead & step down on the pedal
• You will find that it beats preparing the tooth one enamel rod at a time
 Just be careful about your pulpal depth (in both pulpal & axial directions), especially with deep caries
• Remember the anatomy of the pulp chamber & check your radiographs
o Prep to ideal, then have the instructor take a look
 Tell them that you wanted them to take a look before you extend your prep
 The instructor will appreciate your ability to do a nice, ideal prep, even if the caries if going to change
all that
o Caries control
 Make any major design changes with the high speed
 Remove caries with a spoon or round bur on slowspeed
• Use as large a round bur as will fit comfortable in the area
o If you think about it, it makes the broadest cutting area – less chance of punching into the
pulp
• You can always use caries indicator (e.g., Snoop) to see if caries is still present
o Just apply w/ a microbrush, rinse/dry & inspect the tooth
• Look for caries on the axial wall, anywhere along the DEJ, and under the cusps in your proximal
extensions
Restoration:
o Bases & liners
 If the instructor says: “Use a little glass ionomer to line the prep”, s/he probably means using a little
Vitrebond or Fuji II LC to line a deep preparation
• Vitrebond is a powder & liquid mixture that you light cure
• Vitrebond may no longer be available, but many professors will refer to it
~ 28 ~

o The replacement is GC Fuji lining LC paste, which comes in a blue tube
 You each have your own metal dispenser
o Dispense the two liquids, mix with a spatula on a mixing pad, and apply with a small hand
instrument to just barely line the area of interest
o Light cure
 For a base, you would use a more substantial amount of Fuji II LC
• You also light cure the Fuji II LC
 After applying a base or liner, remove any excess (don’t let it touch the margin of your prep)
Amalgam:
o Complete the preparation & have it checked off
o Place any liners, as instructed by the covering faculty
o Place a matrix band for class II restorations – wedge interproximally to close the gingival margin
 Use the ball burnisher to burnish in the area of the planned contact
o Clean & dry the tooth – be sure there is no blood entering the prep from the gums
o Note: Some professors will have you etch, prime & bond prior to placing the amalgam
o Get all your amalgam instruments lined up
o Mix the amalgam (11-‐14 sec)
 From here on out, you need to work fairly quickly to prevent the amalgam from setting too quickly
o For class II restorations, place the amalgam in the box & condense into the ‘corners’ well
o Continue, just as you learned from Dr. Wong
o It’s okay (and often necessary) to mix more amalgam
o Condense quickly & firmly
o Condense the marginal ridges well, then finish condensing into the occlusal portion
 Remove occlusal flash & carve in some rough anatomy
 If the marginal ridges have set well, you will be less likely to fracturing the marginal ridge when you
remove the matrix band (trust me, it’s no fun to remove an otherwise great restoration & start over)
o Carefully remove the wedge(s) & matrix band
o Carve the marginal ridges to the correct height (usually to the height of the adjacent marginal ridge)
o Finish interproximally w/ an interproximal carver or explorer
o Finish occlusal anatomy
o Check the proximal contact with floss prior to removing the rubber dam
 No contact = start over
o Get it looked at by the professor before removing the rubber dam
o Remove the rubber dam & check the occlusion – have the patient tap lightly if you suspect the occlusion is
high
o Adjust with hand instruments, if possible (I told you to work quickly)
o When you see the patient next time, polish your beautiful restorations!!!
Composite:
o Be sure to select the appropriate shade before placing the rubber dam – write down the chosen shade
o Place a sectional matrix (kidney bean shaped matrix) with a plastic wedge & BiTine ring
 The BiTine ring will provide some separation of adjacent teeth, which aids in establishing proximal
contact
 Be sure to burnish the contact area well to ensure you develop a good contact
o Verify you have total moisture control prior to restoring
 Ensure the gingival margin is sealed
o Etch/rinse/dry, prime/air thin, bond/air thin, light cure
o Place a small amount of composite – work in increments
o For class II restorations
 Force composite into one ‘corner’, then light cure
 Repeat for the other ‘corner’
 Finally, fill the rest of the box & light cure – this improves your chances of making a good contact
o Incrementally complete the restoration
o General tips:
~ 29 ~

 Be careful not to overfill…it’s better to light cure it where you want it, not overfill & drill away excess
 Remember the shape of your prep…it’s easy to lose sight of where you are going
 You can dip your applicator (IPC, football burnisher, etc) in bonding agent to make the composite less
sticky
o Finishing
 One tip is to use a disposable #12 blade (the blade curves ‘inward’) to remove flash (generally from
the gingival & proximal extensions)
 Inspect the tooth for areas of flash…distinguish between tooth & composite…remove any & all flash
• Try a 7404 or 7901 on your highspeed drill
 Check the occlusion & make appropriate adjustments
Glass Ionomer (Fuji IX, Fuji II LC)
o This is usually used either as a permanent restoration for class V lesions or as a temporary fix
o GI works pretty well in areas where moisture control is an issue
o Sometimes in class V lesions, if you cannot place a 212 clamp, the professor will have you ‘retract’ the
gingiva by packing cord & using cotton rolls and an assistant, where possible
o The GI bonds directly to tooth structure, so you don’t etch/prime/bond
o Finish as you would a composite restoration

~ 30 ~


Endodontics

rd
1. Endo consults are obtained from the faculty in the endo clinic on the 3 floor. They do not need to be
scheduled in advanced; just walk up to the faculty and ask for a consult. Make sure to create a consult
note on GSD and get it signed off.
2. Appointments in the endo clinic are made on GSD and need to be confirmed by 8:00 AM on the day of the
appointment. To confirm: right-‐click on the scheduled appointment to edit appointment note and write
st
“Confirmed.” Appointments are scheduled by Linda and Lorraine at the 1 floor information desk, talk to
them concerning any issues you have.

ENDODONTIC REQUIREMENTS:
You will be required to purchase the Endo Clinic manual during your first clinical endo course. This manual goes
over the endo requirements in greater depth, but the overall endo graduation requirements are as follows.
• Minimum of 3 PATIENT Cases (1 anterior tooth, 1 premolar tooth, and 1 molar tooth)
• Minimum of 3 ANY-‐TYPE Cases (may be patient cases or substitutions listed below)
o 2 molar TYPODONT cases = 1 ANY-‐TYPE case
o 3 EMERGENCY cases = 1 ANY-‐TYPE case
• Minimum of 1 EMERGENCY case (pulpectomy/pulpotomy/other emergency procedure)
• Minimum of 2 RECALL evaluations of previously treated endo cases
• Portfolio Reflective Essay (500-‐1000 words) to be written after completion of all other requirements. The
essay should be a critique and reflection of all completed cases.

PAPERWORK AND DOCUMENTATION:
Documentation for patient cases, typodont cases, emergency cases, and grad endo referral forms can be found in
rd
the endo clinic on the 3 floor. After each case is completed, make photocopies of your documentation forms and
then turn in the manila envelope packet to Susan Lee in room A3-‐078.

ENDO APPOINTMENT CHECKLIST:
• Show up early! Cubicle preparation for endo procedures is more involved and time consuming than other
procedures. Don’t forget to place barriers on the x-‐ray machine head and endo microscope.
• Bring your handpieces, endo bur block, rubber dam punch, apex locator, glass slab, sealer, hanau torch,
and lighter. Finger spreaders and rotary instrumentation equipment may also be useful to bring.
• Obtain an endo patient tray (or endo typodont tray) from Central Services; it will contain the rest of the
equipment needed for your RCT procedure. Cavit, IRM, additional x-‐ray films, etc. are found in Central
Services, but not part the endo tray.
• Photos are located on the far wall of the clinic by the windows to assist you with cubicle set-‐up.

REFERRAL TO GRAD ENDO:

For difficult cases that need to be referred to Grad Endo for completion, fill out a Grad Endo Referral Form (found
in the endo clinic) and obtain the necessary signatures. Grad Endo appointments are scheduled with Walter on the
rd
3 floor in front of the endo clinic.
ENDO PILOT PROGRAM:
This program was designed for us to able to take more patients thru endo treatment in the clinic and also to allow
patients that may not normally be able to afford treatment at UCLA to be taken care of by avoiding extraction of
the tooth in question. Basically the patient must pay for the crown and post (or build up) BEFORE you begin the
root canal. If this is done and they are accepted into the pilot program then they will receive 50% off endo
treatment.
To begin the process you have to first find the pink fee reduction form and have it filled out by an endo faculty
member as well as by Dr. Goldstein (bring him receipt of payment for the crown and build-‐up as well).
You are allowed to take a max of 2 patients through this program.
**Make sure the pt understands that if the case becomes too complicated and has to be transferred to grad endo
than the pilot program fee reduction can no longer be honored.
~ 32 ~


Fixed Procedures

Start check & anesthesia:
o Follow the same protocol as for operative
Prep:
o There are many different preps you will do, each with its own special considerations during the
preparation, impression, & cementation. Dr. Morgan’s powerpoints provided very useful reviews of these
considerations & I just don’t get paid well enough to review all that in this document. I will give one
example of a single unit PFM prep.
 Here is also a brief note about bridges (‘fixed partial dentures’):
• For bridges, you may need 2-‐3 appts for preparation & impression taking. The you send the case
to the lab to get a metal framework. You will need to go through casting control then make an
appt for the framework try-‐in. If everything is good, you send it back & the lab will bake
porcelain onto the framework. You then go through casting control again & schedule an appt for
cementation.
o Supplies you’ll need:
 Basic cubicle setup
 High speed & Fixed bur block
 Slow speed w/ straight attachment & Acrylic bur block
 Rubber dam cassette
 Restorative cassette
 Packing cord
 Hemostatic agent (Hemogin or Viscostat)
 Impression guns, light & heavy body PVS
 Stent of appropriate quadrant
 Supplies for making a temporary crown
 Floss, articulating paper
 Emory tray
 TempBond, spatula & mixing pad
o Drilling
 Discuss the design before beginning. Does the patient prefer a porcelain margin on the buccal, is the
patient okay with a lingual metal margin?
 Select the shade: have the pt help decide between two shades – it gives them some ownership in the
final outcome
 Use a rubber dam, until you are ready to finish the margins & verify occlusal reduction
 Prepare the tooth with the final design in mind
• Most of us have a tendency to underreduce, especially on the axial wall on the buccal & the
occlusal reduction of the lingual cusps
• Don’t lose track of where you are going – follow the shape of the adjacent teeth & get your cusp
tips in line
• Reduce with confidence…use the high speed at full speed…just don’t reduce too much 
Impression
o Packing cord
 Cord is packed ~5-‐10 minutes prior to impression taking, and/or to give you a better view of the
margin for final refinement of your prep
 Tips
• Here is the best tip I can give: use even, firm pressure, rather than short, abrupt jabbing
movements
• Be patient & deliberate – bury the cord with authority – help the cord do its job!
• Dry around the tooth before packing cord – it seems to handle better if the field is dry
• You might want to soak the cord in Hemogin prior to packing (check it out from central) – this
prevents bleeding
o ‘Heme’ control = controlling blood
 Blood will ruin your impression
 Be sure blood is under control before mixing the impression materials
o Taking the impression
 Get you impression supplies ready
 Try in the Emory tray to ensure the pt can bit down comfortably
• Take note of where the habitual bite is…you’ll want the pt to repeat this position during the
impression
 Be sure to rinse & dry everything
 Place cotton rolls, where appropriate
 Depending on the retraction technique you used, remove the cord(s), if necessary
 Rinse/dry & check for blood
 If no bleeding, have your assistant fill the small syringe with light body while you keep the field
clean/dry
 Once the assistant hands you the light body, s/he fills the emory tray as you inject
• Inject into the sulcus all the way around the tooth
• Leave the tip in the material to avoid air entrapment
• Cover the whole tooth & the occlusal of adjacent teeth
 Take the tray from the assistant, position the tray & have the pt bite down slowly into the habitual
position
 Hold the jaw for 7-‐8 minutes while the impression sets up
 Have the pt open abruptly to release the impression
 Take care of the patient (rinse, suction, napkin, etc) prior to inspecting the impression
 Inspect the impression and look for the following:
• Can you see the prep’s margin all the way around the tooth?
• You have material extending beyond the margin…all the way around the tooth?
• Do you have blebs, bubbles, or areas where the light & heavy body did not flow together?
• Did blood get incorporated into the impression?
Temporization
o You should be prepared to make a temporary according to the discretion of the instructor. Although
using ‘Integrity’ is fairly common due to its favorable setup time, don’t forget how to temporize like you
did in lab
o Indirect method (Jet acrylic)
 You should all know how to do this
o Direct method (Integrity)
 The key here is to remove the stent before the temp sets up
 Inject Integrity into the stent & squish the whole thing onto the tooth
 After ~45 sec, remove the stent & place it on the tooth again (aka ‘pump’ the temporary)
 After another ~30-‐45 seconds, remove it again & see if it is setting up
 Wait for the material to setup more completely before trimming
 Trim as usual
o Direct method (Jet acrylic)
 Ask your professor…this takes a little more skill
o Note: be sure you adjust the pt’s occlusion to prevent loss of the temp between now & cementation
 Also, ensure you have good proximal contacts that will hold the space for a good fit of your final
crown
o Lab slip
o The lab slip should include clear instructions with regards to:
 Buccal & lingual margin design
 Shade
~ 34 ~

o Include your contact info (phone number) in case the lab has any questions
o Fill out the upper left box
o On the upper right, check the boxes indicating what you are submitting (in this case, just the double-‐bite
impression)
o Have the instructor sign the slip
o Don’t forget to have the instructor sign your restorative card as well
o Turn in the lab slip & double bite impression to Marissa in Dr. Goldstein’s office
 Be sure to get a billing signature prior to turning the case in
Casting Control
rd
o After you pick up the case from Marissa, sign up for a casting control appointment in the 3 floor lab
o Take a look at the crown on a die under magnification prior to casting control, so you are aware of any
potential issues
o You will look at the case simultaneously with the professor under a microscope
o After getting a signature, you’re ready to cement the crown!!!
Cementation appt
o What you’ll need:
 Fuji gun
 Fuji I or Fuji +
• Fuji + sets up faster, which can be good or bad
 High speed & Porcelain bur block
 Floss, articulating paper, shim stock
o After start check, remove the temp & clean off the cement
 If the pt can handle it, do not give anesthesia, because their ability to sense the occlusion can be very
valuable
o Place an open 2x2 at the back of the mouth…this prevents obvious complications
o Try-‐in:
 Try on the crown without applying pressure
 Look for areas that bind, preventing complete seating
 Proximal contacts are the most likely problem area
• Place one finger on the partially seated crown & floss through each contact, looking for
shredding of the floss
• If the floss snaps through, it is a good contact
 The intaglio surface is the next area of concern
• You can check out ‘Fit-‐checker’, which is a powder/liquid silicone mixture that shows areas that
need to be reduced from the metal underside of the PFM
 Once the crown seats perfectly & the margins are all closed, check the occlusion
• Make adjustments extraorally, as necessary
 After everything is ready & the instructor takes a peek, you can cement the PFM
o Rinse/dry the area
o Place cotton rolls, as needed
o Mix Fuji & apply to the underside of the PFM, just coating all surfaces (don’t simply ‘fill’ the whole crown
with Fuji)
o Place the crown & seat it down all the way…have a cotton roll ready for the pt to bite down on
o Have the pt bite down for several seconds
o Have the pt open & remove any gross excess…by now the material should be rubbery
o Hold the tooth down & floss through each contact with a piece of floss that you have tied a single knot in
 The knot helps force excess material out of the proximal area
 Pull the floss through the embrasure, not back through the contact occlusally
 Use an explorer to remove any remaining cement
o Re-‐check occlusion, polish as necessary
o Get your card signed
~ 35 ~

Fuji What?
Fuji Type Function Cure Mixing Setting Mftr Instructions
time time/
Finishing
time
Fuji I Radiopaque GI luting cement Self 10 s 2' 15"/ 1) loosen powder by tapping
4'30" 2) activate capsule by pushing
plunger flush with main body,
place in applier and click once
3) mix for 10s in amalgamator
(4000 rpm)
4) load in GC Capsule applier
5) 2 clicks to prime
6) extrude directly into
restoration
Fuji plus Radiopaque reinforced glass self 10 s Mftr: 1) Place cavity conditioner
ionomer luting cement 2' 0" / (polyacrylic acid) 10 sec, rinse
4' 15" and dry but do not dessicate.
(clinically 2) loosen powder by tapping
may be 3) activate capsule by pushing
less?) plunger flush with main body,
place in applier and click once
4) mix for 10s in amalgamator
(4000 rpm)
5) load in GC Capsule applier
6) 2 clicks to prime
7) extrude directly into
restoration
Fuji II: Radiopaque light cured LC 10 s 3' 15" 1) Prep: excessive mechanical
base or reinforced glass ionomer working retention not necessary (ionic
liner restorative as time bonding)
1. Restoration of Class III, V 2) Place cavity conditioner
and limited Class I cavities 20" curing (polyacrylic acid) 10 sec, rinse
with limited isolation time and dry but do not dessicate.
2. Restoration of primary 3) activate capsule by pushing
teeth. 1.8 mm plunger flush with main body,
3. Core build up. [we are curing place in applier and click once
taught that this is a no-‐no as depth 4) mix for 10s in amalgamator
it lacks the mechanical (4000 rpm)
characteristics needed to 5) extrude cement directly into
serve this purpose] preparation
4. Cases where a radiopaque 6) contour and shape
restoration is required. 7) light cure 20s with 470 nm
5. Geriatric applications. wavelength. Layer if deeper
6. As a base or liner (F-‐ than 1.8mm
release) 8) Finish under water spray with
superfine diamond, silicone
point, polishing strips.
~ 36 ~


Fuji IX Radiopaque light cured self 10s 2'00" 1) Prep: excessive mechanical
reinforced glass ionomer working retention not necessary (ionic
restorative time bonding)
1. Class I and II restorations in 2) Place cavity conditioner
deciduous teeth. 2'20" (polyacrylic acid) 10 sec, rinse
2. Non-‐load bearing Class I setting and dry but do not dessicate.
and Class II restorations in time 3) activate capsule by pushing
permanent teeth. plunger flush with main body,
3. Intermediate restorative 6'00" place in applier and click once
and base material for heavy finishing 4) mix for 10s in amalgamator
stress situation in time (4000 rpm)
Class I and Class II cavities 5) extrude cement directly into
using sandwich laminate preparation
technique. 6) contour and shape
4. Class V and root surface 7) finish 6 minutes after start of
restorations. mixing
5. Core build-‐up.
Fuji Liner Radiopaque, light Light 10s 2' 15" 1) Prep: standard. Deep preps
LC cured resin-‐modified glass (hand) working indicated for Fuji liner.
ionomer lining cement used time Remove surface moisture, do
as a base or liner in prepared not dessicate.
cavities. Do not use as pulp 20" curing 2) make sure piston is retracted
cap (CaOH instead). time into dispenser
3) Load "Paste Pak" cartridge
1.3mm into dispenser
depth of 4) slide release lever forward
cure until it stops
5) bleed pastes
6) depress lever to dispense
pastes onto mixing pad; level
and cut off extruded material
from tips by moving cartridge
to upright position on pad.
7) Mix thoroughly with lapping
strokes for 10 seconds using
plastic spatula
8) working time is 2' 15" (higher
temperatures = less working
time)
9) transfer cement to
preparation using syringe or
other placement instrument
covering dentine up to DEJ
10) Light cure with light as close
as possible to surface (20 s)
11) Prep to ideal, and proceed
with standard restorative
techniques.


Hygiene
1 Hygiene Students will email the Dental Students in their CPC Team

2 Hygiene Students will get names of patients from their Dental Students who are due for hygiene services.
Hygiene Student must obtain the following information on each patient from that Dental Student:
• Patient name
• Chart Number
• Patient’s Telephone Number
• Services due (quads, prophy, perio maintenace, etc.)

If Hygiene Student will not be at UCLA prior to the appointment, Dental Student must also furnish the
Hygiene Student with the following information:
• Date of last OD appt.
• Date of last Periodic Exam
• Date of last Hygiene Services, and type of service that was performed
• Special Information (pre-‐med, medical accommodations, etc.)

Note: Hygiene Students will be required to dismiss any patient that presents for hygiene services that is not up-‐to-‐
date on OD or Periodic Exam. GPAs will be notified if patients are referred to Hygiene Students who are not
up-‐to-‐date.

3 Hygiene Student will call Patient and offer available dates and times, and choose a date/time to appoint the
patient. Hygiene Student must let patient know that all hygiene appointments must be self-‐paid (cash,
check, credit card, etc.) prior to the start of the appointment, billing will occur later, and insurance will be
reimbursed according to UCLA’s billing policies. The only exception is a patient with Delta Dental who’s last
prophy was over 6 months ago.

Hygiene Student will advise patient of the following:
• Clearly communicate date and time of appointment with the patient
• Advise that the appointment will be for the full morning/afternoon
• Remind of pre-‐med (if applicable)
• Remind that appointment must be self-‐paid prior to start
• Ask patient to arrive 15 minutes prior to start (8:00am or 1:00pm)
• Advise patient to call the UCLA School of Dentistry, 310-‐206-‐3904 or the hygiene student directly if they
need to cancel.

4 The Hygiene Student will be responsible for scheduling the Hygiene appointment.

5 Once the GPA has confirmed that the appointment has been scheduled, Hygiene Student will contact the
Dental Student to let them know.

6 If a Dental Student encounters difficulty communicating with their assigned Hygiene Student, they should
contact WLAC Instructor Natasha Kerllenevich at kerllen@wlac.edu or 310-‐210-‐3294 (texting is okay). If a
Hygiene Student encounters difficulty communicating with their assigned Dental Student, they should
contact their CPC Team’s Group Practice Administrator.

West Los Angeles College, February 2011

Implants
All appointments involving implants are done Wednesday mornings in the removable clinic with Dr. Shah. When
you schedule the appointment, you must indicate in the notes section that you have an implant case and need to
work with Dr. Shah.
Need to have pano and Implant Info Sheet.
Implant consults:
Wednesday afternoon with Dr. Hewlett
Thursday afternoon with Dr. Shah
We need some help filling out this section! If you have anything to add please find your nearest ASDA cabinet
member to submit!
~ 39 ~

Inactivating vs. Discharging Patients

There are two ways you can remove a patient from active status (other than placing them on recall) depending on
whether the patient plans on returning to the clinic in the near future.
Inactivation: This is for patients that for some reason cannot come into clinic for a short amount of time. This can
be for various reasons such as being out of town for a month or more or perhaps the patient cannot pay for their
treatment until they save up. Write a note under the “Notes” tab in the patients file on GSD ad take the chart to
your GPA. Your GPA should have the letters appropriate to send to the patient to inform them of their status at the
clinic. Fill out the letters, address the envelopes and give the chart (with one copy of the letter to your GPA). The
original letter is then mailed to the patient. There are instructions for the patient to follow when they are able to
return to the clinic and continue with their treatment.
Discharge: This option is for patients that do not wish to return to the clinic. This may be a patient that was
recently assigned but never returned a student’s phone call or someone that decides that the clinic is not
appropriate for them. Students may also discharge patients that are being difficult but this requires more work on
the students end to document things that are said and the actions that are taken. A letter is drafted and m ailed out
with the help of your GPD. If these patients wish to return to the UCLA clinic they have to begin the process from
step #1 (screening). You must inform the patient that if discharged, they may not be accepted as a patient if they
wish to return later.
~ 40 ~

Initial Perio Therapy

1-‐appt perio therapy
o Aka: “cleaning” = “prophy” = “phase I, 1-‐appointment prophy”
o A multi-‐appointment cleaning is called scaling & root planing, and usually should involve anesthetizing
one or more quadrants to allow you to plane the roots. See below for more info.
o Things you should have:
 Basic cubicle setup (see below)
 Perio kit (yours or check one out from central)
 Slowspeed handpiece w/ straight attachment or prophy attachment
 Prophy cup & paste
o Tips:
 Use sharp instruments
• Sharpen before the patient arrives
• Don’t over sharpen – just a few strokes should do the trick
• Check for sharpness on the white suction tip – a sharp instrument will peel off plastic like peeling
a potato
 Only remove the calculus – save the root planing for patients who need root planing
 Move around as little as possible & trade instruments out as few times as possible:
• Follow a planned routine, such as: Max anteriors B then L, UR B & UL L, UR L & UL B, LR B, LL L, LR
L, LR B, Mand anteriors L then B
o By working on UR buccal & UL lingual, you can stay in the same position & use the same
instruments in the same orientation
• Also, follow a routine for each posterior quadrant, such as: all the midfacial or midlingual, then
all the mesial proximal surfaces, then all the distals
• Move the patient: “Look toward me” & “Look away from me” work great from the 8-‐9 o’clock
position
• Also, use the fewest number of instruments as possible – consider eliminating the use of the 11-‐
12, or slowly become comfortable with the Universal
 One big piece of advice: check out a Cavitron and use it! Ask someone how to set it up, and just let it
work its magic. It works kind of like a Universal that makes like a million tiny strokes a second. Things
go much more quickly with the Cavitron. You should always follow up with an explorer and/or hand
instruments to check for spots you missed.
o Administrative stuff:
 Start checks:
• Before getting a start check, review the previous perio charting, med Hx, date of last prophy or
ScRP, etc.
 Perio signature:
• Perio signatures can only be obtained from periodontists or hygienists. A perio signature may
come in 2 possible forms: electronic or hand-‐written. The hand-‐written signature is given on the
patient’s printed treatment plan form. Electronic perio signatures are dragged over and signed
off like any other procedure (find the code in the “Periodontal” section of procedures in GSD).
You must have a perio signature prior to beginning any Indirect restorative work with your
patient.
2-‐ or 4-‐appt perio therapy
o Aka: ScRP, S/RP, quad scaling, scaling and root planing, deep cleaning (don’t call it that)
o Differences between 1-‐appt & multi-‐appt cleanings
 ScRP requires a follow-‐up appt usually 3-‐6 weeks following Tx to reassess the tissue health
 You usually use anesthetic. If the patient can’t feel it, then you probably aren’t working hard enough
• You need to really get in there & remove all that subgingival calculus
 There’s a lot of blood, and that’s okay. Keep a bunch of 2x2s handy for ScRP.
~ 41 ~

 You generally won’t be able to finish all 4 quadrants in one session, especially when you are
anesthetizing
o Be sure you clean each quadrant thoroughly…if you don’t, the gums will not be healthy at the F/U appt
o If you have time, you can do the opposing quadrant on the same side. It’s usually no problem sending a
patient home with the whole left OR right side numb, but it’s generally NOT okay to send the patient
home with a whole arch numb.
o Use the perio probing and radiographs to your advantage. Often these patients have many 4s, 5s, or
deeper. Scale accordingly.
- Follow-‐up appointment
o After the appropriate healing time after ScRP, see the patient again to follow up on their perio health.
o This appt involves complete probings & re-‐eval of all perio tissues
 It is essentially like doing a new perio consult and you will complete a new consults in the “Consults”
section
o If the pt is in the clear, you can get a signature & move on
o If not, you may still get a signature after scaling in select areas or you may need you do more extensive
treatment (e.g. perio surgery) & have another follow up appt later on
Referring to hygiene:
o You can refer your patients to hygiene students by using following the directions outlined in the
“Hygeine” section of this manual.

~ 42 ~

Insurance
All insurance companies (except Delta Dental), patients must pay the full fee and the insurance company will
reimburse the patient. All fee schedules can be requested from the Chart Room.

DELTA DENTAL: UCLA only deals with Delta Dental directly. For patients that have Delta Dental, you can ask them
to pay only the portion of the procedure that Delta does not cover. For ALL other insurance plans, the patient must
pay up front and inform them that they will receive their refund directly from their insurance company in the mail
and not through UCLA.

MEDICAL/DENTICAL: Check MediCal/DentiCal eligibility at the billing office at the beginning of each
month. Patients with MediCal receive courtesy fees that existed with DentiCal. Only extractions are covered by
DentiCal due to a federal mandate. However, radiology is no longer covered for adults, nor do they receive a fee
reduction for radiographs. Furthermore, DentiCal coverage is only applied to children under the age of
21. DentiCal will cover radiographs for eligible children under the age of 21.

RYAN WHITE PATIENTS: Ryan White pts are allowed up to $1,500.00 to spend on dental treatment per year. Fee
reduction forms may be found in Marissa’s office (Dr. Goldstein’s assistant) and must be approved and signed by
Dr. Younai prior to the procedure. Once signed, take fee reduction to the billing office.

UCLA DENTAL STUDENTS: Most procedures are approximately 50% off.
~ 43 ~

New Patient: Screening & Radiographs

- Six patients are screened by a group practice director (GPD) Monday thru Thursday from ~7:45-‐9:00am or
~12:30-‐2:00pm
- The GPD looks at each pt for ~10 minutes to decide generally what the pt needs & explain the clinic process
briefly
o The purpose of the exam is to determine if the patient’s case is suitable for a dental student as well as to
make the pt aware of the policies we have at UCLA and our expectations of the patients to adhere to
them
- The overall possible Tx needs are noted on a white form that gets a blue form stapled on top of it
- If accepted, the patient will go to the cashier’s window to pay $110
o $70 for an FMX
o $40 for Initial OD and Periodic Exam
- This will then be delivered to a student in the rotating file on your GPA’s desk. An email will also be sent to
you.
~ 44 ~

Nitrous Oxide (N2O)

Follow these steps to complete an appointment for a patient that wishes to use nitrous:
1. A few days to a week before the apt, go to the back of central and tell them you want nitrous. They will
give you a reservation sheet to fill out. Fill it out and give it back to them to reserve the tank.
2. Email your class or ask your friends to be an assistant. Nitrous assistants can be difficult to find because
there is no reward for assisting a nitrous.
3. The day of the appointment, have the patient pay $40 at the billing office.
4. Grab the receipt from the patient and go to the back of central.
5. Show them the receipt and they will give you a tank of nitrous. They will not give you the tank without a
receipt.
6. You can then use the nitrous on your pt.
7. Make sure to have your nitrous sheet signed off by your covering faculty at end of the appointment for
nitrous credit.
8. Turn in the nitrous to the back of central after your appointment is over.
~ 45 ~

Oral Diagnosis

st
1. This is the 1 appointment you schedule for your patient after assignment
a. Be sure your pt understands what the OD exam is, because sometimes they confuse OD with the
brief screening exam done by the group directors at their very first visit
b. You can schedule the OD appt on GSD-‐ACADEMIC.
c. Appointment time options are: 9AM, 10:30AM, 2PM or 3:30PM
d. These appointments are expected to last ~1-‐1.5 hours
e. If you schedule at 9:00 or 2:00, you can usually make it upstairs in time to conduct one or more
consults
i. When scheduling consults after OD, make sure there will be enough faculty coverage for
what you want to do. For details regarding consults, see the “Consults” section of this
manual.
ii. If the pt has a complicated medical hx, you must schedule for 9 AM or 2 PM so there will
be enough time to complete the OD (this will be noted on the blue introductory form).
2. The actual OD exam is performed by a student on block
a. The patient’s assigned student should be there for the exam, so they will know what’s going on
3. Tips for speeding up the OD appt (regardless of whether you are doing the OD or if you are assisting the
block student):
a. Be sure you’ve reviewed the patient’s chart (i.e., the health questionnaire & radiographs)
b. Find a block student & let Susan know that your patient is present and that it appears that a
block student is available
c. When you seat the patient, have him/her sign the DMF form
i. Place the DMF form in the chart one page ahead of the salmon-‐colored Progress notes
d. The student NOT doing the exam should look up any meds while the block student is asking
questions
e. When the block student puts the gloves on, offer to type their findings into the computer
f. Spend time with the important stuff
i. Inquire well about past illnesses & current conditions – get all the info you need
ii. Use the medications the pt is taking as your guide
1. E.g., if they are taking Atenolol, you should be sure you ask about
Hypertension, even if they didn’t mention it
iii. Ask appropriate follow-‐up questions
g. Don’t spend extra time on the ‘easy stuff’
i. I am yet to have a patient fail the sensory nerve exam – you remember: “Is this soft or
sharp?”
1. So, don’t spend 5 minutes testing V1, V2, and V3
ii. Be brief with your examination of the teeth themselves (attrition, erosion, abfraction)
1. There will be plenty of time for a tooth-‐by-‐tooth exam upstairs
2. E.g., don’t worry if there is 2 or 2.5 mm recession on the MB aspect of #14
~ 46 ~


h. Be aware of the faculty & the other patients being examined
i. Case-‐in-‐point: if two other groups are waiting for the instructor & you are almost
finished, put your name on the list
1. By the time they are available, it’s your turn
2. At the same time, don’t start a list until you are ready…be reasonable &
considerate of your classmates
ii. Fill out everything before the instructor sees your patient
1. Complete the Specialty tab section in GSD-‐ACADEMIC
2. Do your SOAP notes for the session
3. Fill out the beige page of the patient chart (on the left under the HIPAA form)
4. At the end of the OD exam, you must get the chart cleared by Irene before leaving the OD clinic
a. Otherwise, you will not have access to the chart when you go upstairs for consults
b. Make sure the DMF form is in the right place…one page ahead of the salmon-‐colored Progress
notes
5. If a periodic exam is done in addition to the 3 yr OD, the total cost is only $25 and covers both the OD
exam and the periodic exam. They are NOT two separate charges.

When you are in OD, they have a specific format that most faculty members like to see in your SOAP Notes. It is
posted on the wall in most of the cubicles, so no need to memorize now.
S -‐-‐ year old m/f presents for initial exam and OD workup (or 3yr OD recall)
CC: whatever they complain of
Last dental visit:
O Reviewed medical history which was notable for…otherwise NSF and NKDA.
Allergies:
Meds:
BP = -‐-‐/-‐-‐, HR(reg/irreg), RR
EOE:
IOE:
Hard tissue:
Soft Tissue: Note any findings like lesions or sores on the mucosa, or bands of discoloration along teeth.
(-‐) EOE cancer screening
Oral hygiene: poor, moderate, good.
Mild, moderate, severe plaque.
A Healthy pt with minor dental precautions suitable for comprehensive dental care.
Pt can proceed to consults.
P Completed initial assessment/3 year OD recall exam including procuring the health hx, a review of systems,
obtaining the vital signs and an extra and intra oral exam. Oral cancer screening completd.
Discussed with patients what to expect when being treated here at UCLA. Pt left satisfied.
NV Perio and rest consults / Pre ATP

Oral Facial Pain

member to submit!
~ 48 ~

Patient Assignment

- You will receive patient assignments in one of three ways:
o 1) New patient assignment from you group director
o 2) Greenslip someone you know
o 3) Pt transfer for whatever reason
- For new pt assignments, you will get an email from your GPD or GPA (G.P. Administrator)
o You will also get the aforementioned blue form with white page stapled behind it
 Pick up the form at your GPA’s desk
 The blue page has the pt name, chart #, and phone #
 The white page describes the likely overall Tx needs (operative, fixed, endo, perio, etc)
• This page may indicate that your pt needs ATP
o You can also determine the patient’s needs in GSD-‐ACADEMIC under the ‘Patients’ tab
 Click on the chart tab, then find the gray Misc. tab next to the red Radiology tab
 The Misc. tab has a series of notes from the initial pt screening, indicating the overall probable needs
of your pt
o Use the two above sources of info to determine if your patient needs ATP
o Your GPD may also add notes to this blue page indicating whether the patient is to be shared with
another member of your CPC team as well as whether the patient may require ATP.
o Once you are given notice you must attempt to call your patient within 48 hours.
o Radiology consultation should be done prior to perio/restorative consults.
- ATP vs. Fast track
o ATP = Advanced Treatment Planning
 This is a session wherein you meet with a restorative instructor, a perio instructor, and a removable
instructor
 By having input from all three areas, you can, in theory, create a better treatment plan
 Prior to the ATP appt, you need properly mounted casts, and have completed your own ‘pre-‐ATP
workup’
• Pre-‐ATP refers to the gathering of info you would use for consults (tooth-‐by-‐tooth exam, perio
charting, proposed RPD designs, if applicable) + impressions & records (facebow, interocclusal
record)
 ATP cases do not require any consults other than the ATP consult itself
 More detail is found below in the section for Consultations
o Fast track:
 These pts have more straightforward cases, so they do not require ATP
 Following OD, you obtain any necessary consultations (restorative, perio, endo, etc.) prior to
submitting the treatment plan to be approved by your GPD.
o Follow Dr. Woods’ guidelines for what constitutes an ATP vs. Fast track patient
 This info is found on a pink Tx planning form at the back windows in the clinic behind central
sterilization or in the Student Lounge
 The Fast track criteria are as follows:
rd
• Simple to intermediate perio needs (no anticipated extractions, other than 3 molars)
• Eight or fewer fixed units (“simple” 3-‐unit bridge O.K.)
• No partial dentures
• Reasonable occlusion
• No TM disorder or significant attrition
- You are expected to call the pt within 48 hours of receiving notification of pt assignment
~ 49 ~

o As soon as you can, check out the pt’s chart & look at the radiographs, so you know what you’re dealing
with
o Speak with your group director about doing a radiographic consult as soon as you get the chart
st
- Contact the pt & introduce yourself, indicating that you’d like to schedule their 1 appt as soon as possible
o Plan ahead so you can offer the pt two or three available times for the OD appt (don’t call it OD)
 See next section: ‘Scheduling Appointments’ for more info
o Patients are usually not fully aware of how the clinic works
 It may help to explain that there is a Tx planning phase of up to 3 appts before beginning actual Tx,
and that this phase is important to determine all of the pt’s needs so we can give them the best Tx
possible (help them see that it is in their own best interest)
 Tell them that the first exam is a review of their overall health & medications, and includes an oral
cancer screening
• Explain that the exam lasts about 1-‐1.5 hours
 If you can schedule a 9:00 or 2:00 OD appt (see below), then tell them that following the first exam,
you plan to go into the clinic to examine their teeth & gums and take impressions of their teeth, if
necessary.
• Caution when attempting this as it depends a lot on how busy OD is as many appoints can extend
further than 1.5hrs.
 If the pt needs ATP, consider informing them that there will be another exam, wherein you will meet
with three instructors from different specialties to determine their needs & plan their case

~ 50 ~

Payment Plans
Patient’s eligibility for Monthly Payment Plan
• The patient’s account must be current and in good standing
• The total cost of treatment must be at least $500.00
• The patient or guarantor must be able to provide a valid US Driver’s License or picture ID and Credit Card

Requirements
• The patient’s treatment plan must be signed by the student, patient and the group director
• Payment plan is for the General Clinic Only. For other clinics such as:
• Implant center
• Oral Surgery
• Pedo
• Endo
• OFP
• AEGD
**Please contact their respective coordinators
• Procedures can’t begin until a payment plan has been arranged

• Subsidies and discounts cannot be used for payment plans
• The student will choose the treatment for which the payment plan will be needed and discuss with the
patient
• The student must bring the patient’s complete treatment plan to Payment coordinator few days in
advance
• Breakdown of the payment plan will be given to the student. Student is responsible to contact the
patient:
• Discuss the breakdown and the 25% down payment
• Discuss the requirements
• Set an appointment with patient
• Notify and set an appointment with coordinator
• Patient/Guarantor is required to fill out and sign the payment plan form.

Appointment day
• Patient/Guarantor needs to bring valid US Driver’s License or picture ID, and credit card.
• 25 % initial down payment of the total cost of the treatment upon signing the payment plan form. Down
payment can be paid with: cash, check, credit card or ATM Card
• The remaining balance will be divided into:
• 3 months Minimum – total cost is $1,500 or less
• 6 months Maximum – total cost is more than $1,500
th th
• Monthly installments will be automatically processed every 15 of the each month. If the 15 falls on a
weekend or holiday, payment will be processed 2 days prior or after the due date.
• Any declined Credit Cards will automatically be suspended and remove from the monthly installment
plan. Guarantor must notify the clinic as soon as possible if there are changes on the account (i.e. credit
card has been reported lost/stolen).
• For other questions and/or concerns please see: Anet Haratunian
First floor lobby room 10-‐139
Contact # (310) 825-‐7363
Email aharatunian@dentistry.ucla.edu
Hours: Mon-‐ Fri from 7:30am-‐ 4pm
~ 51 ~

Patient Requests
Requests for new patients must be made through your GPD. Group A is the only group that should still be using
patient request forms, which can be obtained from the GPA in group A. If you feel you have the time for an
additional patient, mention this to your GPD and the appropriate action will be taken.
If you are in group C, the GPD is aware of the procedures that you still need to graduate and so will help to find a
patient that will specifically fill those needs.
~ 52 ~


Pediatric Dentistry

PEDIATRIC DENTISTRY COMPETENCIES:
• That all graduates be competent in the management of the behavior of the child patient
• That all graduates demonstrate competence in the major procedures performed in the care of the child
patient

MINIMUM PEDIATRIC REQUIREMENTS:
The minimum requirements in order to be cleared for graduation from the Section of Pediatric Dentistry are:
1. A minimum of 14 full days participating in the clinical care of children
2. Demonstration of competency in eight (8) major clinical procedures common to care of the child patient

PARTICIPATION IN THE CLINICAL CARE OF CHILDREN
Opportunities for the fulfillment of the majority of your required number of days of clinical experience have been
created for you through your block assignments.

Third Year UCLA Pediatric Dentistry Block Assignment
During the Fall quarter of your third year, you are expected to attend two separate clinic sessions to observe and
assist in the clinical care of children. The main focus of this rotation is on behavioral management and Diagnosis
and Treatment Planning. You will mainly be observing and assisting. You may work with the pediatric dental
residents in the UCLA Children’s Dental Center or at the Venice Dental Center. You are responsible for scheduling
your observation/assisting times. See Lorena de la Torre to sign up for sessions in the UCLA CDC or call the Venice
Dental Center to schedule times there.

Third Year UCLA Pediatric Dentistry Block Assignment
During the Winter and Spring of the third year, you have been assigned to work with the pediatric dental residents
in the UCLA Children’s Dental Center. The main focus of this rotation is on diagnosis and treatment planning. You
may be observing, assisting, or serving as the primary operator. Attendance in the clinic is mandatory on Monday,
Tuesday, and Thursday (accounting for 3 days of clinical care). If there are additional clinic sessions on Wednesday
and Friday, you may participate to be credited with additional clinic time. You may also sign up for additional days
of participation Summer of 4th year. See Lorena de la Torre to sign up.

Third/Fourth Year Inglewood Children’s Dental Center Block Assignment
You will be assigned to one quarter of a weekly full-‐day assignment at the Children’s Dental Center in Inglewood
beginning in Spring quarter of the Third year, either Tuesday, Wednesday, or Thursday. The main focus of this
rotation is comprehensive care for the child patient. You will serve as the primary operators for the patients.
Most students will gain between 9-‐10 days of experience in the care of children.

Additional Days of Clinical Care
You will be responsible to schedule yourself for the balance of your requirement in the participation in the clinical
care of children, usually 2 days. Experiences that may be credited toward your minimum requirements include:
• Staying on Wednesday afternoons or Fridays (when available) during your assigned Third Year UCLA Pedo
Block Assignment
• Signing up to participate at the UCLA CDC during the third year and the summer at the beginning of fourth
year (see Lorena de la Torre, the assistant responsible for checking in students to rotations to sign up)
• Signing up for clinical experiences working with the residents at the Venice Dental Center
• The USC/UCLA Mobile Dental Clinic

DEMONSTRATION OF CLINICAL COMPETENCY
In addition to setting minimum time requirements in the clinical care of children, the Section of Pediatric Dentistry
~ 53 ~

has identified a number of clinical skills in which each student must demonstrate clinical competency to
demonstrate potential for the responsible care for children after graduation. These skills are:
1. Diagnosis and Treatment Planning
2. Prophylaxis, Fluoride Treatment, and Oral Hygiene Instruction
3. Bite-‐wing X-‐rays
4. Local Anesthesia
5. Class I Composite or Amalgam
6. Class II Composite or Amalgam
7. Pulpotomy
8. Stainless Steel Crown

The first 3 competency exams (Dx/TxPlan, Pro/Fl/OHI, BWX) must be completed by the end of the summer quarter
of the beginning of 4th year. They should ideally be completed during your Third Year UCLA Pediatric Dentistry
Block Assignment (Wtr or Spr). For each clinical procedure, you will be expected to exceed a minimum criterion to
be considered competent. The standards are described in the Log Sheet for that Block. You may choose any or
several of the procedures listed for competency testing. When you feel ready to be evaluated on a procedure(s),
you must approach the resident and indicate the specific procedure(s) you wish to have qualified before you start
the procedure. After an appropriate starting check, perform the procedures as you normally would, but with
minimal assistance from the instructor. Responding appropriately to the instructor’s questions is a part of the
qualifying procedure. You will hand in the signed competency log along with your attendance and preventive
experiences logs upon completion of the third year block assignments (or at the end of the next summer quarter).

The last 5 procedures – Local Anesthesia, Class I, Class II, Pulpotomy, and SSC – will be graded each time you
complete the procedures on your Restorative Experience log sheets during your rotation to the Children's Dental
Center in Inglewod. You will fill out one log sheet per restorative patient, allowing for assessment of patient
management, local anesthesia, and any pertinent restorative procedures for each encounter. Thus, you will
complete multiple copies of the appropriate log sheets.

RECORD-‐KEEPING
Each student will be responsible for recording their own progress through the log sheets. YOU ARE RESPONSIBLE
FOR LOGGING YOUR CLINICAL EXPERIENCE AND THE COMPLETION OF ESSENTIAL CLINICAL EXPERIENCES.

Log Sheets are to be turned in to Pat Stafford in CHS 23-‐022 by the dates listed in the footer section of each page.
Your grades are dependent upon the receipt of this information.

GRADING
No grades will be entered for the third year. However, negative EPRs will be issued for unprofessional behavior. In
the event of a missed assignment, you are responsible to make sure you can fulfill 14 days of approved clinical
experiences on your own initiative.

Summer Quarter of 4th year
• To receive a passing grade, a student should have completed:
• 5 days of clinical participation at UCLA and extramural sites, exclusive of the assigned rotation to the
Children’s Dental Center in Inglewood
• Diagnosis and Treatment planning,
• Prophylaxis, fluoride, and oral hygiene instructions, and
• Bite wing X-‐rays.
• Failure to achieve this standard will result in a “CD” grade and its accompanying negative EPR
• Failure to submit log sheets may result in a “NP” grade

Fall Quarter of 4th year
• No grades will be submitted
~ 54 ~


Winter Quarter of 4th year
• The assigned rotation to the Children’s Dental Center in Inglewood, a minimum of 9 days
• Competency exams in Local Anesthesia and the Class I restoration
• Failure to achieve this standard will result in a “CD” grade and its accompanying negative EPR

Spring Quarter of 4th year and Graduation Clearance
• As many approved clinical experiences with children to complete the equivalent of 14 total days
• All 8 competency exams
• Failure to achieve this standard will result in a withholding of graduation clearance

ADDITIONAL PEDIATRIC DENTISTRY EXPERIENCE
For those students interested in seeking additional exposure to pediatric dentistry, there are various organizations
within the School of Dentistry that help provide these opportunities. Some of which include:
• School Visits – Planned by various organizations within the school, usually on weekday afternoons
• Provide OHI to children at elementary schools
• Boys & Girls Club Visits – Planned by various organizations within the school, usually on weekday
afternoons
• Provide OHI, demonstrations, and interactive dental activities to children at local Boys & Girls
Clubs
• Health Fairs – Planned by various organizations within the school, usually on weekend mornings
• Provide OHI, screenings, fluoride varnish, and sealants to children in underserved communities
• Give Kids a Smile Day – Planned by the SCAAPD (Pediatric Dentistry Club), ASDA, and Inglewood Clinic
Groups – An annual national event devoted to increasing oral health awareness and providing dental care
for children in underserved populations
• Provide clinical care to pediatric patients, including examinations, restorative treatment,
prophylaxis, fluoride treatment, and OHI
• Inglewood Clinic Sessions – Planned by the Inglewood Clinic Groups, usually on the first Tuesday night of
every month
• Provide clinical care to pediatric patients, including examinations, restorative treatment,
prophylaxis, fluoride treatment, and OHI
• Infant Oral Health Program – Special elective block organized by Dr. Ramos-‐Gomez, usually on Wednesday
mornings
• Provide examinations, diagnosis, and treatment for very young children, as well as deliver special
peri-‐natal and infant/toddler oral health education to mothers, and expecting mothers
• Inyo County/Bishop Sealant Trip – Planned by the SCAAPD (Pediatric Dentistry Club) in conjunction with
Dr. Reifel, usually a 2-‐day overnight trip during one of the two summer breaks (June or September)
• Provide OHI, screenings, fluoride varnish, and sealants to children in the underserved
communities of Inyo County/Bishop
~ 55 ~

Perio Clinic

1. Perio consults are obtained from the faculty in the general clinic at your home cube. When requesting an
appointment, inform your GPA you need perio coverage for an initial perio consult (new patient), periodic
exam (recall pt) or perio re-‐eval (after fase I)
2. During a perio consult you not only create a consult note with the diagnosis and proposed treatment plan, but
also fill out a perio chart which needs to be locked by the perio faculty in the end of the consult.
3. Consults can only be made with a perio faculty, however, when performing ScRP/prophy you can get coverage
from a hygienist (Ms Chambers or Susskind)

PERIODONTICS REQUIREMENTS:
Dr Camargo provides the students a manual in which you can obtain all the information regarding requirements in
details. Also note that a link to these requirements is found on ASDA website.

YEAR SUMMER FALL WINTER SPRING
4 Prophies/Perio 10 Prophies/Perio
2 1 Prophy
Maintenance Maintenance
1 Perio Block

4 Quadrants 20 Quadrants of SRP 4 Perio Surgery
3 2 Perio Surgery Assists
of SRP 10 RVU's Assists

2 Perio Surgeries 35 RVU’s 3 Perio Surgeries

Tx Planning Mock Board 1 Perio Surgery
4 20 RVU’s Competency Exam Reevaluation Competency Exam
Instrumentation Competency Exam Any Make-‐Up
Competency Exam Competency Exam

*One interesting detail that some students don’t know about the requirements is that SCRP 1-‐3 teeth counts the
same as one quadrant of SCRP.

PERIO SURGERY:
1. The need for perio surgery is usually decided during perio re-‐eval, after phase I therapy. Upon completing
your perio re-‐eval (which consists in creating a new perio chart and consult notes), if surgery is needed,
the student must fill out the Periodontal surgery prescription (blue) sheet. This form will specify the type
of surgery the patient needs and should be signed by a perio faculty.
2. Students are allowed to perform the following surgeries:
• Crown lengthening
• Pocket reduction
• Gingivectomy/Gingivoplasty
• Conventional soft tissue grafting to increase attached gingival (not involving root coverage)
~ 56 ~

3. Other surgeries such as root coverage, osseous regeneration, surgeries involving esthetics areas, root
resections and extensive osseous surgery cases should be referred to post doctoral students. The blue
form is still needed for that purpose.
4. You do not need to drag any procedure to the treatment plan nor get your GPD to approve a perio
surgery. It is all approved by the faculty on the floor during the re-‐eval and should be documented on your
consult notes and blue form. In case you forget to prepare the blue form you can always look for the same
faculty another day and show your notes and they will sign the form for you.
5. The need for crown lengthening is commonly decided during restorative procedures and not so much
during perio re-‐eval appointments. Simply write down a consult note explaining the need for the
procedure and get the perio faculty to sign the blue form during your restorative appointment.

PERIODONTAL SURGERY APPOINTMENTS

1. The schedule for periodontal surgery varies from quarter to quarter. Check with the Perio department.
Periodontal surgery form (blue) with the appropriate signature must be presented in order to set up a
surgery appointment.
2. Appointments are made in person at the Perio Surgery Clinic reception desk Monday through Friday
between the hours of 10:00 AM to 12:00 PM or 2:00 PM to 4:00 PM.
3. When making an appointment for a patient, bring the patient’s chart containing the signed blue surgery
prescription sheet. The patient should be informed that the fee is to be paid on the day of the surgery
appointment at the time of check-‐in. If the patient has dental insurance, the Perio Surgery Clinic needs to
be given the necessary information to be submitted to the insurance company (name of insurance
company, group number, etc.) on the day of the surgery.
4. Patients should be reminded that there is a $40.00 charge if an appointment is canceled less than 48
hours in advance. If it is necessary to cancel the appointment, the Perio Surgery Clinic should be informed
immediately so that someone else can use the surgery slot.
5. If a surgery is scheduled and both the patient and the assigned student do not show up, an EPR for poor
professional behavior will be automatically generated for that student.
6. Remember to secure an assistant. Email your class before, perio assists are normally easy to get since it is
one of our requirements.
7. Review the material before going to the surgery. You will be asked questions during the procedure.
8. Be at the Perio Surgery Clinic at 8:45 AM or at 1:45 PM on the day of the surgery. Bring the patient’s
chart, gown and protective eyewear. Avoid bringing personal belongings.
9. If you cannot perform a postoperative appointment after one week, it is your responsibility to make
arrangements for someone else to do it for you.
10. Always book a patient for a post operative appointment on the week after the surgery, preferably on the
same day of the week (7 days after surgery). Inform the front desk person of your patient’s name and
chart number. When your patient arrives, you will be assigned a cubicle and a post-‐operative kit. All post-‐
operative visits must be checked by an instructor before patient dismissal.

~ 57 ~

Periodic exam

- You probably have several patients in need of a periodic exam now or in the near future. What’s a
periodic exam?
o This is an exam that generally involves new perio & restorative consults, and any additional
consults, as necessary.
o Perio: just like for a new patient
o Rest: you usually will only need new BWX (and perhaps some select PAs) to re-‐evaluate the
teeth. You will do an intraoral tooth-‐by-‐tooth exam as well, and complete the consult as usual.
- If everything goes quickly, and the pt needs only a 1-‐appt prophy from the perio standpoint, you
may be able to do it during the appt as well.
- If the pt has new Tx needs, you should submit a new Tx plan (all on a new Tx plan tab).
o This is true even if the pt has ongoing Tx needs. Just include any unfinished, but still necessary,
treatment items in the new plan. Submit it & have it approved as you would a new Tx plan.
- Descriptions of the information that needs to be gathered and how to document this in the chart
can be found in the “Consults"

~ 58 ~

Preventive

The preventive section of the clinic is run by Dr. Spolsky and Ms. Solomon who you will see at least once a year
during first and second year during your oral hygiene review sections. There are a number of requirements that
need to be completed in this section once you begin your summer quarter in clinic of your third year.
Must be completed by SPRING QUARTER of THIRD YEAR:
• Complete 40 preventive points – 10 points per quarter should be achieved each quarter otherwise
student will receive CD until the requirements are met. If the requirement is not met by the end of Spring
quarter, student will receive a NP.
• OHI Competency – This must be completed on one of your patients. Once you know your patient will
come in for their clinic time, make an appointment with Ms Solomon on Mon/Thurs or Dr Spolsky Mon 2-‐
5PM. You should have prepared a patient hand mirror (NOT our clinical mouth mirrors), typodont or
other model and your “Chairside Instructor” book.
Must be completed by WINTER QUARTER of FOURTH YEAR:
• Complete 40 additional preventive points – These are on top of the 40 previously mentioned. Take note
that extra points from third year are NOT carried over into fourth year.
• Preventive Tx Plan Competency – This should ideally be done during an ATP appointment. This involves
dragging over the PREVTX1-‐4. PREVTX1-‐3 should be completed before coming to ATP or before approval
of Fast Track Tx Plan. PREVTX4 is completed AFTER getting rest/perio consults. The items checked off
should appear under the Preventive tab on the right side and should then be dragged into the Preparatory
section of your treatment plan. In ATP, Dr Spolsky will sign off the preventive tx plan and on the clinic
floor any restorative faculty member can sign this off.
What counts as preventive points?
• PREVTX1-‐4 – This can only be completed 1x/year for each patient so check to see when the last time it
was done
• OHI – This can be dragged over at every appointment as every appointment should end with a brief
review on the topics that apply to your patient
• Tobacco Counseling
• Nutritional Counseling
~ 59 ~


Prophy – Surviving Your First One!

There are several things to think about when completing your first prophy on a patient from your CPC team. Ideally
another member from your team should be present and can help you with any questions that you have. However,
if you want to prepare or perhaps are going solo on the appointment, this covers most everything you need to
know to have a successful appointment!

1. Make patients appointment
On SOE
This is described in great detail in the “Scheduling Appointment” section.
2. Get patient’s paper chart and also review their electronic chart on GSD, preferably the day before and check
the following:
a. OD/periodic exam status: MAKE SURE these are up to date
On SOE
Under “Details” tab on the right half, it should say ‘next OD work up’ and a date – make sure this isn’t
past due or the instructor will tell you you CANT do a cleaning and have to do an exam instead
b. Patient’s age, medical history, current meds, etc. Floor instructors will ask you this
a. I was asked preferred name, age, allergies, meds, current complaints, last time for exam as well
as the last time they had a cleaning
c. Patient’s account to determine if they have a credit or owe money
On SOE a
There is a small $ button to the right of the patients name, clicking here opens all recent transactions
and you can tell if they have a balance. You also need to figure out the charge for that days
treatment (for a prophy its $52)
3. Set up your assigned cube. Cube assignments are listed on GSD. Make sure the cube is set up BEFORE you
bring your patient up. Also get your student bags/cassettes/equipment from central
a. Make sure you sterilize both your instruments AND your slow speed for polishing
b. Put patients xrays up before instructor comes over
c. Plug in GSD cord BEFORE signing on to GSD or it gets all messed up
4. Greet patient in lobby and bring them up to cube. If the patient owes/will owe money take them to the
cashier and have them pay in advance
5. Speak with patient to determine chief complaints, changes in medical history/meds, etc. If this is their first
prophy, present their treatment plan and have them sign the treatment plan consent form
6. Check on the grid in back of GPDs desk to see what faculty you’re working with and get a start check
On SOE
Under the chart tab, find the colored TP tab that corresponds to the appt set up for that day. It
should have a GREEN star next to it.
Right click and find option for start check. Instructor comes by and swipes.
7. Begin scaling using the ultrasonic scaler and then finish with hand scaling.
8. Have an instructor check your scaling. It’s better to have it checked off before you start polishing
a. At this point they might ask questions again, so be prepared to tell them areas of plaque or calculus
or areas with excessive bleeding
b. You may also want to skip to step 10 and have your SOAP notes written up before the faculty comes
over. Hygiene coverage is in favor of this.
9. Polish, floss, OHI and dismiss patient
~ 60 ~

10. Type up SOAP notes and MAKE SURE to charge out ALL procedures that you completed. In this case, SOAP
notes, an adult prophy, and probably OHI would get charged out.
On SOE
Drag the prophy tx down to the bottom box. Also from the selections available on the right side, drag
over SOAP notes and OHI. Once a year per patient you can also drag over PREVI-‐IX which are
described in further detail in the preventive section.
Double click the SOAP notes part and type in your notes.

S Pt presents for phase I, 1 appt adult prophy (can also mention evaluation for teeth whitening if applicable).
CC:

O RMHx: No chanes, no contraindications, NKDA.

(Localized/Generalized) (mild/moderate/severe) (supra/subgingival) plaque (mention area if localized).
(Localized/Generalized) (mild/moderate/severe) calculus (mention area if localized).

Any BOP findings/pocket depth/gingival or mucosal findings/radiographic bone loss…
(Fair/moderate/excellent) oral hygiene/home care.
A (localized/generalized) (mild/moderate/severe) periodontitis
(localized/generalized) (mild/moderate/severe) gingivitis
Gingivitis determinants:
• Mild: no bleeding with inflammation 30%
• Moderate: w/BOP 30% of sites
• Severe: spontaneous bleeding
Periodontitis determinants:
• Mild: pocket about 5mm (about 1mm attachment loss)
• Moderate: severe pockets 5-‐7mm (2-‐3 mm AL)
• Severe: pockets 7+ (3mm AL)
Prognosis: Poor/Good/Excellent
P IOE/EOE. Cavitron ultrasonic scaler. Hand scaling. Prophy cup polishing. Sodium fluoride varnish applied.
0.2% NaF foam applied for 4 minutes. Instructed patient not to eat or drink 30 mins after. OHI. Caries risk
assessment.
Rx 1.1% Prevident 5000 toothpaste given to pt.
Pt left satisfied.

**If you have hygiene coverage just put Adult prophy and OHI. That’s enough.
NV Upcoming restorative procedure, etc. or 6mos recall etc

At this point the hygienist/periodontist has to check over the notes and check you off again. Once all the
items are in the left hand side box, click ‘charge’ and then have them swipe their cards.
11. If this is the patient’s first prophy, also have the covering hygienist/periodontist sign on the treatment plan
form.
a. This is VERY important to have especially for chart review
b. You also have the option of dragging “Perio signature” from the right side under the Perio tab and
adding this to the procedures completed in your appointment. This acts as a back up in case anything
happens to the signature on the hard copy of the treatment plan.
12. Tear down cube and sterilize. Turn in instruments and return chart.
~ 61 ~


Radiology

1. Making an appointment for an FMX is required at the radiology department (PRIOR to the
appointment). BWX do not require appointments, they can be taken on walk-‐in appointments. Schedule
FMX radiology appointment approximately 1 hr prior to OD/PE.
2. FMX’s are needed every 3 to 5 years, BWX every year. The first step is to have a faculty member sign the
patient’s “Radiology Exposure Record” which is found in the very end of their patient folder.
3. Get a care slip from the radiology department. Bring the care slip and the patient to billing and have the
patient pay for it.
4. Bring patient back to radiology department with care slip, receipt, and chart.

RYAN WHITE: For a patient on the Ryan White fund, you will need to have Dr. Younai sign the blue fee-‐reduction
form and then you will have to bring it to the Billing office. Lynn will give you a form to bring to Oral Radiology
along with the patient’s chart.

MEDI-‐CAL & DENTI-‐CAL: For patients with Medi-‐Cal/Denti-‐Cal under the age of 21, check eligibility with the
Radiology department or Billing office at the beginning of each month. Radiographs are no charge to Medi-‐Cal
eligible patients.

NO FMX APPOINTMENT: If radiology is full and or you forgot to schedule a FMX radiology appointment, you can
nd rd
take the pt up to 2 or 3 floor and take the FMX yourself.

• FMX: $70
• BWX: $33
• PA: $18 -‐ first one
o $8 -‐ each additional radiograph
• Pano: $70

RADIOLOGY CONSULTS: Schedule an appointment (1hr long) in Radiology room (appointment book can be found
taped to desk). Check out a pt chart (with relatively complex dental treatment) and fill out green Radiology
worksheet (also found in Radiology room) or a white radiology worksheet (found in GPDs office) depending on
whether credit is required or not (explained below). Know density, contrast, resolution and normal anatomical
structures. Tuesdays – are done by Dr. Rappeport. Two consults must be done each quarter.

REQUIRED CONSULTS: In addition to the consults that need to be done for new patients, there is also a
requirement that has to be fulfilled each quarter starting your third year. Two FMX evals must be completed
during each of Summer, Fall and Spring quarter. During Winter quarter you must complete two pano consults; one
must be an edentulous pt and one must be a mixed dentition patient. The pediatric pano can be checked out from
nd
the pedo clinic on the 2 floor. If you do not have an edentulous pano in your CPC team, this can also be borrowed
from the radiology room.
~ 62 ~

Recall Denture Exam

- This involves a review of the pt’s oral health habits, with any necessary OHI re-‐instruction
- Re-‐educate the pt regarding maintenance of the denture & the edentulous ridges
- Discuss any complaints the pt may have
- Perform a soft tissue exam, take x-‐rays if needed, and inspect the dentures
o Check denture fit & occlusion
o Look for signs of any ulcerations, fibrous tissue, redness, fungal infections, etc.
- Inquire regarding the pt’s masticatory function, use the denture, concerns, etc.

~ 63 ~

Restorative Primers: Hurriseal and

Cavity Conditioner

These are the items that can be found right inside the front window in central. They are frequently used before
placing a permanent restoration and so it is important to know the differences in usage, function and process of
placement. Many times questions are asked about these products during a restorative competency.
HurriSeal: This is a dentin desensitizer and can be used in most restorative preparations. HurriSeal seals dentinal
tubules and helps to prevent discomfort due to dentinal hypersensitivity. When used before permanent
restoratons, HurriSeal acts as a wetting agent that lasts as long as the restoration. No mixing or light curing is
required. After completeing the prep, dry the tooth and apply HurriSeal to dentin surfaces. Allow it to sit for a
minute and then blow dry to remove excess. Continue with your prep as normal. This may include
EtchPrimeBond and then a composite restoration or straight from Hurriseal to amalgam.
Cavity Conditioner: GC Cavity Conditioner is used prior to the use of a GI restorative material, bases, liners or core
build up materials (however, NOT before using GI as a cement for fixed restorations). CC removes the smear layer
and debris for better bonding. After completeting the prep, dry the tooth and apply to dentinal surfaces. Let the CC
sit for at least 10 seconds before rinsing thoroughly. Dry tooth again before placing GI products
~ 64 ~


Requirements

There are a number of procedures that must be completed before you are able to graduate. These numbers are
frequently changing so make sure to check with current clinic regulations in the Restorative Office to make sure
the list you are following is up to date. This section will break down the requirements into sections including:
Restorative, Removable, Perio, Radiology, Endo, Pediatric, OFP, Anesthesia and Preventive.
RESTORATIVE (these must total to 1200 points)
• 20 amalgam, which must include:

o 5 Class II
o 1 Complex
• 20 composite, which must include
o 3 Class II
• 4 Sealants
• 2 Foundations
nd th
• 2 2 /4 year projects, which must include
o 1 operative
o 1 Fixed
• 1 Fixed partial coverage
• 4 Arches of complete/partial coverage
• 1 bonded ceramic
• 1 FPD
• 10 competencies
o Conservative Ag
o Complex Ag
o 2 Class II Comp
o 2 Class V or III comp or Class V GI
o 2 Cast restorations
o 2 Foundations
REMOVABLE
• 4 arches of complete dentures

• 4 arches of RPDs
PERIODONTICS
~ 65 ~


• 10 Phase I adult prophies
• 20 quads of SRP
• 35 RVUs beyond required tx???
• 3 perio surgeries
• 4 perio surgery assists
• Perio block rotation
• Competenices:
o Tx planning
o Phase 1 Perio Therapy (instrumentation)
o Perio Re-‐Eval
o Perio Surgery
• Mock Board
• Phase 1 one appt: 3
• Phase 1 two appts: 5
• Phase 1 four appts: 8
• Perio Maintenance: 3
• Porphylaxis: 3
• Perio Sx (up to 3 teeth): 15
• Perio Sx (4-‐6 teeth): 18
• Perio Sx (7+ teeth): 21
• Crown lengthening: 15
• Sx Assist: 2RADIOLOGY
rd
• 3 Year Consults:
o Summer – 2 FMX
o Fall – 2 FMX
o Winter – 1 edentulous pano and 1 mixed dentition (pedo) panel
o Spring – FMX and competency
ENDODONTICS
• 6 Patient Cases, which must include at least one each of the following:
o Anterior
o PM
o Molar
o NOTE: One of these will be your capstone case
o NOTE: Can also substitute 3 “other” experiences (ie: pulpotomy, pulpectomy or emergency
procedure) for a pt case
• XX Typodont Cases
• Endo Emergency Case
• 2 Patient Re-‐Evals
• Portfolio
• Reflective Essay
PEDIATRIC DENTISTRY
• 10 documented clinic sessions before the end of spring of your 3rd year
~ 66 ~

• Competencies:
o Dx and Tx Planning
o Prophy, F-‐ Tx, OHI
o BWX
• LA
• Class I Comp/Ag
• Class II Comp/Ag
• Pulpotomy
• SSC
ORAL FACIAL PAIN
• 2 patient consults
• Case presentation
PREVENTIVE
rd
• 3 Year
o 40 OHI
o 1 Competency
th
• 4 Year
o 40 OHI
o 1 Competency
ANESTHESIA
• 5 Nitrous Oxide appointments, including one competency
~ 67 ~

Rubber Dam

- Use lubrication (shaving cream), but not too much

o I keep my lubricant in a monojet syringe so the patient doesn’t know I am using shaving cream
o A little bit goes a long way
- Before placing the clamp, ensure the gingiva is numb by using an explorer
o I like to push the curved end of the Shepherd’s hook against the buccal mucosa (the round part, not the
tip)
o I ask if the patient feels pushing or poking (if they say poking, they’re crazy, because you are pushing the
round part against the gums)
o Then use the tip of the Shepherd’s hook & poke the gums…ask again, “pushing or poking”
 If ‘pushing’, then you’re okay; if ‘poking’, then wait another minute or so, or re-‐inject
o Check both the buccal and palatal/lingual gingiva
- Other considerations
o Check the pt’s contacts – the tighter, the more inclined you should be to ask a neighbor to floss for you
o Plan where you will anchor the rubber dam
o Once you place the clamp, verify that the patient is ‘okay’ (no poking)
o Before placing the dam, be sure you have everything you need for the rest of the appointment
 Don’t leave the patient under a rubber dam while you hunt after supplies
- Flossing down the rubber dam
o It’s best to ask another student to help out…it only takes a couple of minutes & is much easier than doing
it alone
o Attempt to slip the dam through the contacts without floss…anterior teeth usually go through more easily
o If not, use your hands to stretch the dam over a contact & ask the other person to floss one side, then the
other
 Be careful not to bunch up the rubber dam material over the occlusal/incisal embrasure
o Once you have the rubber dam through a few contacts, set the Young frame & finish the rest of them
 I truly is useful to invert the rubber dam to better control the moisture
 Taking an extra 30 seconds up front may save a lot of hassle near the end of the appointment
~ 68 ~


Ryan White Policy

For patients in your team that are HIV+ and have been approved for the Ryan White program, there are a couple
extra things that must be done at each appointment. These patients do not pay for most routine work (Ryan White
covers most procedures outside of esthetic work). Before the appointment, find one of the blue forms in Marisa’s
office. The form has spaces to fill out for your name, the patients name and number etc. It also has a few lines for
the procedure you are planning on completing. Because there are only a few spaces it is recommended that you do
one of these for each appointment or a small group of appointments to keep the paperwork from getting lost and
prevent the patient from being accidentally charged. Enter the procedure name and code as well as the price. The
reduction is the total of the procedure and the cost to the patient should be 0. This form is then taken to Dr Younai
to be approved. For most basic things she will sign it without looking at the chart, but bring it with you just in case.
She can be hard to find sometimes so do this ahead of time so that things are taken care of before the patients
appointment.
On the day of the appointment, turn the blue form into the billing office. They will set the paper aside to be
entered into GSD after charges have been completed. If the patient is having radiographs taken downstairs in
radiology, bring them a copy of the form as a substitute for payment slip..
There is a $1500 per fiscal year maximum. If your patient’s treatment plan exceeds this, discuss the case with Dr.
Younai to determine the best course of action.
~ 69 ~

Scheduling Appointments
- Schedule as far in advance as possible
o You can schedule for up to 2 weeks in advance. What does that mean?
*Short of providing an GSD-‐ACADEMIC tutorial session, here are a few tips on scheduling below. You need to be
aware of four things: 1) Your schedule, 2) Faculty coverage, 3) Cubicle availability, and 4) Patient schedule. Put
patient’s schedule last, because you should have a pretty good idea of the other three prior to calling the patient.
- Your schedule:
o Keep track of it somehow: paper or electronic
 An ex calendar has been made available on the ASDA website to use a template to organize your own
calendar.
- Faculty coverage:
o With the new ability to access GSD-‐ACADEMIC remotely (from your laptop anywhere w/ internet), you
can monitor clinic availability
o Things to consider:
 Faculty coverage is limited by section:
• Restorative: 8 appts/session/instructor
• Perio: 11 appts/session/instructor
• Removable: it has its own clinic, but it’s something like 15-‐25 cubes/session, depending on the
day
• OD: 6 appts/session (9:00, 10:30, 2:00, and 3:30)
rd
• ATP: you aren’t allowed to do ATP until Fall of your 3 year, but it’s 3/hr x 3 hours = 9 per half
day
o Currently, ATP is offered Monday afternoon, Tuesday afternoon, and Thursday morning
 How to check availability in your section:
• Login to GSD-‐ACADEMIC
• Click on File > Appointments > then select your Group (A, B, C, or D). This will bring up a window
with all the availability for your group – for morning appts (above) & afternoon (below). Find
your cube number to look at your home cube availability. You can plan ahead by changing the
date on the upper left.
o Count the number of yellow boxes for restorative, violet/cyan boxes for perio, & pink boxes
for consults
o Subtract the number of boxes from how many the faculty can cover
 Eg. There are 2 restorative faculty and you count 10 yellow squares. The 2 restorative
faculty can cover 16 students. They can cover 6 more students.
 See “Waitlist” to see if you will get a cube.
• You can do the same thing for Removable, OD workup, ATP (under ‘New room’), & Endo
• Some GPAs will also put the number of students the covering faculty will take in parenthesis and
also may make a note when one faculty member is full.
~ 70 ~


- Cubicle availability
o Home cubes mean that your home cube is assigned to whoever signs up first in your home cube. Short of
writing down an unwritten rule, you may want to check with your CPC mates before scheduling the home
th
cube. You should also note that 4 Years do not have priority in scheduling the home cube, and I know I
said that you should schedule far in advance & stay ahead of the herd, but communication & cooperation
with your CPC mates will make clinic life happier. You will hopefully find that the home cube is fairly
available due to your teammate’s blocks, removable, ATP, and lab time.
th
o If your home cube is booked by your 4 Year, you can still submit requests for a cubicle. In the notes
section of your request, include your home cube number. Your GPA will schedule you for another cube if
there will be enough faculty coverage.
- To request an appointment, only a few changes need to be made to the pop-‐up screen
o From the home screen click
“File” and then “My Wait List”
o In the next screen click the green
plus sign
o The box below appears.
 Change “Waitlist” to “WW
RECEPTION” (This is always
the same)
 Change “Sub Class” to your
clinic section and the
session you are requesting
(AMvsPM)
 Change the “Patient”
information to the
appropriate patient number
(can be looked up by
clicking on the spyglass icon)
 Enter in the appropriate
date in “Requested Date”
 Enter home cube # and the
type of coverage you will
need (restorative, perio or
both)
 Click “OK”
- Confirming Appointments: Three
types of appointments require
confirmation: Removeable, ATP and
Endo. Make sure to enter ‘confirmed’
into the notes section for these
appointments the day before otherwise you will lose your spot and be out of luck!
Each color block in the clinic schedule represents a different type of appointment and a different requirement for
faculty coverage. Some GPAs will explicitly state when an instructor is full and no more appointments can be
scheduled, but if this is not the case, it is good to be able to count the appointments already scheduled to
determine if yours will be accepted:

• Yellow: Restorative (1 rest faculty)
• Purple: Perio (1 perio faculty)
• Pink: Perio/Rest Consult (1 rest faculty and 1 perio faculty)
• Teal: Hygiene (1 perio of hygiene faculty)
• Orange: Pre-‐ATP (1 either rest or perio faculty – but may not count?????)
• Red: Urgent (1 rest or 1 perio faculty depending on the case, count on both to be safe)
~ 71 ~

Submitting a Treatment Plan

- To create a new Tx plan:
o Dr. Woods’ course should have given you some good info on how to fill out the forms in the paper chart.
Here is some info on how to go from consults to a Tx plan in GSD-‐ACADEMIC
o In the Chart tab, right click on one of the colored tabs in the middle of the screen
 Select ‘Add treatment plan’ – this opens a small new window
 Click on the icon with the little lines on the right of the ‘Title’ box
 Select ‘Fast track’ or ‘ATP’, depending on the case
 Click OK – don’t worry about the other boxes
 Now you should have a new tab – orange for Fast track OR brown for ATP
o Open up one of the consults as described previously
o Click ‘Make a pop-‐up note’, which creates a little yellow Post-‐It note
 This will allow you to see your planned Tx from the consults from the main Chart tab window
o Close the consult windows
o In the upper half of the new Tx plan Tab (orange or brown), drag your Tx items into the appropriate
places. For instance, for the #4 MOD composite above, open ‘Operative’ from the drop-‐down menu in
the window on the right. Find 3-‐surface posterior composite. Drag it to your Tx plan, and place it under
the Restorative heading (SUPREM). For perio stuff, find the procedure & drag it under Preparatory. If you
feel so inclined, you can double-‐click on the word Maintenance & enter ‘4-‐month perio recall’ into the
small window that opens up & close the window. Now you can easily see what your recall frequency is for
perio.
o One important thing: you should rearrange all the treatment items you dragged into the window to create
a Tx sequence – prioritize.
 This means if you are planning to do the huge MODBL amalgam before the #6-‐11 veneers, then put
them in that order
- To submit a Tx plan:
o Meet with your GPD to discuss tx plan. They will approve (hopefully) and print out 2 copies of the tx plan:
1 for the chart (GPD signs this copy), and 1 for the patient to take home.
o For ATP cases, drop off your pt’s chart to the chartroom
 When you drop it off, say “Please put this in Dr. Woods’ pile” (or something like that)
 You can check back after a few days for ATP cases to see if the Tx plan has been approved
 I like to check in GSD-‐ACADEMIC…if all the red dots next to the items of your Tx plan have turned
green, it’s been approved
o For Fast track, you are required to review your Tx plan in person with your GPD
~ 72 ~


- Adding procedures to existing Tx plans mid-‐treatment:
o Let’s say your MODBL amalgam has recurrent decay and you & the restorative instructor decide to change
it to a PFM
o You can drag over the code for PFM, but the dot next to it will be red (which means it is unapproved)
o The floor instructor must sign off the procedure before you can drag it into the Appointment
 After adding the procedure, right click the Tx plan & click “Faculty sign off” (NOT ‘Submit for TPC
approval’)
 When the instructor signs it off, the red dot should turn blue
 You can always drag procedures with blue or green dots into the current appointment with your
SOAP notes
o So, in review:
 Red dot: NOT signed off by anyone
 Blue dot: floor instructor approved it
 Green dot: Dr. Woods or Group director approved it
o One note for anyone with a more thorough group director:
 Some group directors like to see a signed restorative consult whenever changes to the Tx plan have
been made
 To do this, just add a new restorative consult in the Problem list/consult section in the lower right-‐
hand side of the Tx plan screen, enter the consult details, and have the floor instructor sign it off
 Use discretion in how & when you ask floor instructors to sign things off…it may be all you can do to
get the procedure changed from a red dot to a blue dot…some may be less willing to sign off a whole
restorative consult on top of the faculty sign off of the Tx plan, and your SOAP notes for the day.
~ 73 ~

Urgent Care

The important thing to understand is that there are two types of Urgent Care patients that can be seen and treated
at UCLA. There are those that are patients of record and can be seen and processed through your GPA. There are
also non-‐patients of record, which have to go through Irene before they can be treated.
ORAL DIAGNOSIS—URGENT CARE—PATIENT OF NON RECORD
Schedule
Diagnosis is at 8:00 for screening of UC non-‐patient of record with the Group Director. If your urgent care
assignment is on one of the following days please report to the OD Administrator according to your group.
o Monday: Clinic A UC Student **Hours: 8am-‐12pm and 1pm-‐5pm

o Tuesday: Clinic B UC Student
o Wednesday: Clinic C UC Student
o Thursday: Clinic D UC Student

Procedure
o Once the patient is screened with the Group Director, and if an X-‐ray is necessary, the Block Student will take
the necessary radiograph, & have OD Administrator give access to the patient so that the DS can bring up the
XDR for the Group Director and the course of treatment will be discussed & determined with the Group
Director.
o If the patient requires Oral Surgery, the student will take the patient to the Cashier to pay for the radiograph,
and the assessment. After the patient has paid, the Dental Student will take the paperwork, & the patient to
the Oral Surgery Clinic, and either the patient will be seen, or an appointment will be made.
o If the patient requires Endodontic treatment, the Student will have the referral form filled out, then take the
patient to the Cashier to pay for the radiograph, and the assessment. After the patient has paid, the Dental
Student will take the patient to the Endodontic clinic, and either the patient will be seen, or an appointment
will be made.
o If the patient can be treated by the UC block student, the course of treatment will be discussed with the
Group Director, and then the DS will take the patient to the Cashier, to pay, and make up a chart.
o The Chart is then brought back to the Administrator who will prepare the chart, scan the chart to them, and
give the student access to the chart.
o The Student will then see their GPA, to input the appointment in the SOE, and to let them know as to any
necessary additional instructions which they might need to know as far as coverage, etc.
Important: If there are no urgent care patients you must be immediately available by pager, for example in the
rd
student lounge or 3 floor lab. You may NOT schedule your own patients during your assigned urgent care
rotation.
~ 74 ~

URGENT CARE—PATIENT OF RECORD
member to submit!
ENTERING PATIENTS INTO GSD
When students who are on urgent care block see patients, the patients information should be
documented in GSD using a slightly different procedure than normal.
1. Bring up the patient’s account in SOE and click on the Chart tab.
2. Next click on the ‘UC’ button at the top right hand corner of the Treatment Plan tabs area (right
next to the ‘H’ history button).
3. Go through all of the questions and fill in the appropriate answers in the box that pops up.
Please remember that there are three tabs within that box and you may need to fill out
information on the other tabs based on your responses to the questions on the first tab. You
should be prompted to fill in any required information that is missing if you try to close the box
before doing so.
4. Once you are done filling out all of the necessary information click on the ‘OK’ button to close
the pop up box and follow the usual steps to create a new Urgent Care tab.
5. The title of ‘Urgent Care’ should already be populated. Do not change anything, just hit the ‘OK’
button to create the tab.
6. Your new ‘Urgent Care’ tab will be yellow and have a title of ‘UC’ instead of the usual ‘TP#####’
title.
7. If you need to go back to the questionnaire box to edit or review the information you entered,
right click where it says ‘Urgent Care’ in the yellow bar and bring up the menu.
8. Select ‘Show Urgent Care Info’ and the pop up box will appear again with the information you
entered.
~ 75 ~


Quick Links

ASDA Website
Academic Website
Clinic Handbook
GSD-‐Academic Handbook
Clinic Subsidy Policy
Fee Schedule
~ 76 ~

SPECIAL THANKS

Nina Mendoza, Mark Hower, Chad Green, Hana Hashmi, Fabiana Heilman, Andrew Huynh, Chris Lee,
Kevin Lin, Greg Shvartsman, and Flora Trang, c/o 2012
Chuck Carlson and Nathan Hansen, c/o 2011
Will Trevor, c/o 2010
And Sean Young c/o 2009 for initiating this project
~ 77 ~

Brought to You By:
~ 78 ~

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ASDA

The Lead Pipe

A Clinic Guide and Survival Manual

Nina Mendoza, c/o 2012

Table of Contents

Amoxicillin, Clindamycin, Cephalexin

Prophylaxis for Infective endocarditis

Amoxicillin, Clindamycin, Cephalexin, Azithromycin

Prescriptions (for 3 visits):

ATP: Advanced Treatment Planning

Who needs to go to ATP?

What do I need to do before ATP?

• Tooth by tooth plan:

2 O amalgam Fractured M amalgam O composite $99

3 PFM 3 mm lingual recession, gingival

4 PFM Gingival hyperplasia on D

5 DO amalgam M caries MOD composite $148

7 M caries ML composite $105

8 PFM Open F margin PFM $495

9 PFM/post/RCT Open F margin PFM $495

10 ML composite Recurrent M decay, D decay ML, DL composite $115

12 DO amalgam M caries MOD composite $148

13 Crown fracture/gross caries Ext $125

Replace with single implant (+ ?)

14 OL amalgam M caries MOL composite $148

15 Crown fracture/gross caries Ext $125

16 etc…continue to #32

What do I do after ATP?

Basic Cubicle Setup

- Carts at the back window include such things as:

Block Schedules – Where? When?

• Inglewood Children’s Dental Center (1 day/week for 1 quarter):

What if I need more than 4 charts?

• If you have a chart review and need more than 4 charts:

Where do I return the charts?

What if my patient requests a copy of their records?

Chart Review – Recall vs Active Patient

RECALL CHART REVIEW

Recall Chart Review Due Dates:

• Type of exam (initial vs. periodic)

• Description of Calculus findings

• Description of gingivitis

• Type of Exam (initial vs. periodic)

• 1-­‐32 radiographic and clinical findings (specify)

• 1-­‐32: mention all teeth in findings (including watch)

• Type of Exam (initial vs. periodic)

Clinic vs Block

General clinic times are as follows unless otherwise stated:

Monday Tuesday Wednesday Thursday Friday

9-­‐12 9-­‐12 9-­‐12 9-­‐12 9-­‐12

2-­‐5 2-­‐5 2-­‐5 2-­‐5

• Class II Amalgam (1 each)

ENDO PILOT PROGRAM:

West Los Angeles College, February 2011

Need to have pano and Implant Info Sheet.

Wednesday afternoon with Dr. Hewlett

Thursday afternoon with Dr. Shah

Inactivating vs. Discharging Patients

Initial Perio Therapy

New Patient: Screening & Radiographs

Nitrous Oxide (N2O)

Oral Facial Pain

• Procedures can’t begin until a payment plan has been arranged

• 1-‐32 radiographic and clinical findings (specify)

• 1-‐32: mention all teeth in findings (including watch)

9-‐12 9-‐12 9-‐12 9-‐12 9-‐12

2-‐5 2-‐5 2-‐5 2-‐5

o Monday: Clinic A UC Student **Hours: 8am-‐12pm and 1pm-‐5pm