Dental Charting Checklist Template

Ensure accurate and consistent patient records with our Dental Charting Checklist Template! Streamline your charting process, improve communication between dental professionals, and minimize errors - all while optimizing patient care and compliance. Download now and elevate your dental practice's charting standards.

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Patient Demographics Verification

1 of 11

Confirm accuracy of patient information before charting begins.

Patient First Name

Patient Last Name

Date of Birth

Patient Phone Number

Insurance Provider

Gender

Chief Complaint & History

2 of 11

Record patient's primary concern and relevant medical/dental history.

Chief Complaint (Patient's Words)

Detailed History of Presenting Complaint

Duration of Complaint (Days/Weeks)

Relevant Medical History

Medications (List and Dosage)

Date of Last Dental Visit

Reason for Visit

Extraoral Examination

3 of 11

Document observations of the face, lymph nodes, temporomandibular joints (TMJs), and occlusal forces.

Patient Name

Chief Complaint (Extraoral Perspective)

TMJ Assessment (Left)

TMJ Assessment (Right)

Neck Circumference (cm)

Observations - Skin/Lymph Nodes

Intraoral Examination - Soft Tissues

4 of 11

Assess and record findings related to the lips, cheeks, tongue, floor of the mouth, palate, and pharynx.

Lip Condition (Color, Texture, Lesions)

Cheek Condition (Color, Texture, Lesions)

Tongue Condition (Color, Papillae, Ulcerations)

Floor of Mouth Condition (Color, Masses, Lesions)

Palate Condition (Color, Texture, Lesions)

Presence of Ulcerations?

Saliva Characteristics (Quantity, Consistency, Color)

Intraoral Examination - Hard Tissues

5 of 11

Evaluate and document the condition of the teeth, gums, and alveolar bone.

Tooth #

Enamel Condition

Dentin Condition

Crown/Restoration Condition (if applicable)

Notes on Tooth Condition

Existing Caries Depth (mm)

Periodontal Assessment

6 of 11

Record probing depths, recession, bleeding on probing, and mobility.

Probing Depth (Anterior)

Probing Depth (Posterior)

Recession (mm)

Bleeding on Probing (BOP)

Mobility (mm)

Furcation Involvement

Additional Periodontal Notes

Caries Assessment (Tooth Surfaces)

7 of 11

Document the presence and severity of existing and potential caries.

Tooth Surface D1 (Occlusal):

Tooth Surface D2 (Mesial-Occlusal):

Tooth Surface D3 (Distal-Occlusal):

D1 Caries Depth (mm):

D2 Caries Depth (mm):

D3 Caries Depth (mm):

Existing Restoration on Surface D1:

Restorations & Existing Dental Work

8 of 11

List all existing restorations, crowns, bridges, implants, and other dental work, noting material, size, and condition.

Tooth Number

Restoration Type

Size/Width (mm)

Condition

Notes/Comments

Placement Date

Lab/Manufacturer

Occlusion & Bite Analysis

9 of 11

Evaluate and document the patient’s bite and occlusal relationships.

Occlusal Class

Overbite (mm)

Overjet (mm)

Occlusal Interferences/Premature Contacts

TMJ Status

Deviations/Comments (e.g. Crossbite, Open Bite)

Radiographic Assessment

10 of 11

Record type and findings of radiographs taken (e.g., BW, Pano, CBCT).

Radiograph Type(s) Taken

Radiographic Findings (Detailed)

Radiograph Date (MM/DD/YYYY)

Attach Radiograph Image(s)

Radiographic Assessment Quality

Treatment Plan Recommendations

11 of 11

Outline proposed treatment modalities, sequencing, and priorities.

Prioritized Treatment Categories

Estimated Treatment Cost

Proposed Treatment Start Date

Patient Communication Notes (e.g., financial arrangements, treatment explanation)

Financial Arrangement Type

Treatment Sequencing Priority

Additional Notes / Considerations

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