The Progress Notes are at the lower right,
showing a list of all procedures treatment planned and
completed. The treatment notes for each procedure are
stored with the procedure and are visible here. At the
top of the screen in the Show box, you can select which
types of procedures are displayed and whether the procedure
notes are displayed or hidden. Each procedure can be edited
by double clicking on it, and there is more information
in that section about the meanings of each of the statuses.
As you can see, the items in the progress notes are color
coded by status. The colors are completely user defined
in the Definitions. Rx's are shown as line items in the
progress notes along with their note, and their color
is customizable as well.
Above the Progress Notes is a section for entering new
treatment. The Enter Tx button directly above it is used
to hide or display this section so that you can maximize
the space available for the progress notes when not entering
new treatment.
To the lower left is space for Medical and Service notes.
These are freeform notes of current medical condition
with unlimited space and scrollbars so that less important
information can be placed towards the bottom where it
might be hidden but is still very available.
The graphical tooth chart is displayed on the left side
of the window, and is designed to show at a glance all
treatement that has been performed or is planned for that
patient. All the colors are customizable in the Definitions
section, and the type of graphic that is drawn for each
procedure is customizable in the Procedure Code setup.
The 'Next Appointment' area is at the upper left. This
appointment is created by the chairside assistant to be
scheduled by the front desk based on finances, etc. See
the Next appointment section for more details.
Entering Treatment
Treatment is usually entered by first selecting teeth
in the tooth chart, holding down the control key for multiple
teeth. Once the teeth are selected, you click on the surfaces,
then diagnosis, and finally on a procedure. Depending
on which teeth are selected, some surfaces will be disabled.
When you click on the buttons for each surface, the surfaces
box directly above them is updated. You can not edit this
box. For diagnosis, you can select one item from the list
or you can skip it. The list is completely customizable
in Definitions.
There are three ways to select the actual procedure.
You can select from the main Procedure list, or type in
the code, or more commonly, single click on one of the
procedure 'buttons' from the large box. The buttons are
set up in the Procedure Buttons window, and are very flexible,
letting you select procedure codes or Auto Codes. Usually,
the treatment then goes directly into the Progress Notes,
and displays on the tooth chart. If any information is
missing, the edit procedure window will appear and allow
you to fill in the missing information.
When you are selecting the teeth, you will often need
to select primary teeth. To do so, you will first have
to convert some of the permanent teeth on the chart into
primary teeth. First select the teeth you wish to convert
to primary. Then, from the top toolbar, click on the down
arrow to the right of the Primary button, and select "Toggle
Selected" to convert those teeth to primary on the
chart. Your other two options from the dropdown list are
Set All Primary, and Set All Permanent, neither of which
would require selecting teeth beforehand.
See the section on Missing Teeth for information on how
to enter existing missing teeth..
PW Dental comes with two special procedure codes for
notes. Tooth Note lets you enter a note about a specific
tooth, and Clinical Note lets you enter a general note.
Any notes can go here, for instance a clinically related
phone call, or notes about changes to medical history.
You can always set up additional codes if you want more
kinds of notes to be available.