Re-evaluation Examination and Treatment Planning (44103)

  • 44103 is used for patients who underwent initial periodontal therapy and now require a periodontal re-evaluation.
The following must be completed before asking an instructor to review the form.
Step 1: Re-evaluate patient's oral hygiene. Determine if patient is compliant to the oral hygiene program

Step 2: Complete the charting of the Maxilla and Mandible.

The following must be reassessed:

  • Mobility of Teeth
  • Probing depths
  • Bleeding upon probing
  • Furcation Class I, II, III
  • Gingival Recession
  • Mucogingival attachment
  • Suppuration
  • Contact Points

Step 3: Complete the re-evaluation section on page 15

  • any modification in treatment plan must be noted in this section