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:
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Mobility of Teeth
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Probing depths
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Bleeding upon probing
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Furcation Class I, II, III
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Gingival Recession
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Mucogingival attachment
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Suppuration
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Contact Points
Step 3: Complete the re-evaluation section on page 15
- any modification in treatment plan must be noted in this section
