Clinic Memo

Jan. 3, 2023  |  Clinical Operations

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PROCESS/WORKFLOW:

1. Treatment Provider plans treatment

2. Supervising faculty approves treatment plan

3. Treatment Provider reviews draft of Consent to Treatment & Financial Agreement with Patient, including fees and basic risks and considerations

4. Patient consents to treatment by signing Consent to Treatment & Financial Agreement

5. Treatment Provider identifies need for treatment-specific AARC Form (red "Do Not Enter" sign in axiUm treatment history)

6. Treatment Provider reviews each treatment-specific AARC form (there may be several) with Patient ie. Additional Risks & Considerations section

7. Patient acknowledges treatment-specific additional risks and considerations, and signs AARC Form

8. When Treatment Provider accompanies Patient to Patient Services for "check out", PS Clerk will ask Treatment Provider if any AARC forms need to be printed or email out to Patient (Patient will provide PS Clerk with print/email preference)

9. Hopefully, this will provide the Patient with some time to digest the information prior to coming in for higher risk treatment.

Please familiarize yourself with the following AARC forms before they are implemented on January 3, 2023:

• BEHAVIOUR MANAGEMENT

• BOTULINUM NEUROTOXIN INJECTIONS

• DENTAL IMPLANTS

• DENTAL WHITENING

• DERMAL FILLERS

• INTERIM IMMEDIATE DENTURES

• OBSTRUCTIVE SLEEP APNEA APPLIANCE THERAPY

• ORAL SURGERY

• ORTHODONTIC TREATMENT

• SCHOOL VISIT TREATMENT OPTIONS

• SEDATION

• SILVER DIAMINE FLUORIDE

• SOFT TISSUE BIOPSY

• SPORTS MOUTHGUARD

• TRIGGER POINT LOCAL ANESTHESIA & STEROID INJECTIONS FOR TMD

The following are additional authorization forms that are specific to orthodontic treatment:

• AUTHORIZATION FOR EARLY TERMINATION OF ORTHODONTIC TREATMENT (ORAL HYGIENE)

• AUTHORIZATION FOR EARLY REMOVAL OF BRACES / TERMINATION OF ALIGNER THERAPY (PT REQUEST)

• AUTHORIZATION FOR REMOVAL OF BRACES / TERMINATION OF ALIGNER THERAPY (STANDARD)

• The following are additional authorization forms that will be available for use, as required:

• AUTHORIZATION FOR ASSIGNMENT OF CONSENT

• AUTHORIZATION TO RECORD VISIT WITH TREATMENT PROVIDER

• CONSENT TO REPRODUCE PHYSICAL LIKENESS, VOICE AND/OR NAME FOR MARKETING

1. Always confirm with the Patient chairside, on the day of procedure, that the Patient has reviewed and understood risks and considerations. 

2. Ask the Patient if they have any questions.

3. Ask the Patient if they are still willing to undergo the procedure.  

4. If Patient agrees to proceed with treatment, the Treatment Provider documents the following in the EHR Tx Notes:  "Reviewed risks and considerations with Patient and gave Patient the opportunity to ask questions. Patient chose to proceed with treatment."

UPDATE:  2023 Fee Guide

New fees in the DDS/DH Fee Guide go into effect January 3, 2023. 

Most treatment, with some exceptions*, has undergone an approximate 6% increase - similar to the increase found in the 2023 ADA Fee Guide for general dentists.

*exceptions include crowns, bridge retainers, pontics, dental implants (restorative & surgery), definitive complete dentures.  Please also note that three lab options, with 3 different costs, will be available for the treatment provider to choose from when planning ceramic restorations ie. full contour zirconia, pressed e.max, or layered zirconia/e.max.

UPDATE:  Level 3 Masks in KEC Back Corridor

As of January 3, 2023, only ASTM level 3 masks will be available in the Level 1 and Level 8 KEC back corridors by the staff elevators.  There will be no need to change out of this mask before starting clinical procedures.

NEW:  Fun Scrub Fridays

As long as scrubs meet IPC requirements and are professional and appropriate, DDS and DH students (in all* years of the programs) may wear "fun" scrubs, on Fridays only, starting Winter term 2023 in both the OHC and the Sim Lab. 

*Please note that DH3 students can wear their "fun" scrubs on Tuesdays during Winter Term, since they are not in the OHC on Fridays :-)

Scrubs must be worn in the OHC and Sim Lab - we don’t want to see t-shirts, hoodies, jeans, khakis etc. creeping into the Sim Lab or OHC.