Manage the Odontogram

The odontogram provides a visual representation of a patient’s mouth and displays planned, in process, and completed treatments, as well as conditions and findings, graphically on the teeth.

In addition to displaying teeth, previously charted periodontal values can display above and below the odontogram, and a set of tabs displays on the side, providing information about medical alerts, problems, and other information related to the patient.

When working with the odontogram, you can select surface(s) on a tooth, multiple teeth, or even the entire mouth. This can save you time, allowing you to perform activities on multiple teeth at once. It can also allow you to filter activities based on your selection.

Tooth numbers display as follows:

Tooth surfaces are identified as follows:

To select teeth and surfaces:

1. Select a patient and open the EHR module.
2. Complete any of the following:
Select Surface(s) On a Tooth

1. Click the appropriate tooth surface(s).

All selected surfaces display in blue.



Select the Root of a Tooth

1. Click the triangle of the appropriate tooth.

Note: The root can only be selected when no other tooth surfaces are selected. If you attempt to select an additional surface, the root selection is removed.



Select Multiple Teeth and Surfaces

1. Click the appropriate surface(s) on a tooth and repeat for all teeth and surfaces.



Select a Tooth

1. Click the tooth to select it.

Note: If you click the tooth number, the tooth is selected but the surfaces do not display in blue.



Select All Teeth
1. Right-click in the odontogram and choose Select Teeth > All Teeth.
Select Maxillary Arch
1. Right-click in the odontogram and choose Select Teeth > Maxillary Arch.
Select Mandibular Arch
1. Right-click in the odontogram and choose Select Teeth > Mandibular Arch.
Clear Selection
1. Right-click in the odontogram and choose Select Teeth > Clear All.

Dentition is the arrangement or condition of the teeth in a patient. This includes whether the patient has primary or permanent teeth, missing teeth, etc.

When a new patient record is created, axiUm uses the patient’s age to determine whether to display primary or permanent teeth on the odontogram.

Later, when you assess the patient’s mouth, you may need to modify the dentition to display a different tooth, as well as indicate missing teeth.

To specify dentition:

1. Select a patient and open the EHR module.
2. Complete any of the following:
Set All Teeth to Primary
1. Right-click in the odontogram and select All Primary.
Set Mixed Dentition
1. Right-click in the odontogram and select Mixed Dentition.
Set All Teeth to Permanent
1. Right-click in the odontogram and select All Permanent.
Age Change Selected Teeth
1. Select the teeth that require an age change, right-click in the odontogram and select Age Change.
Mark Teeth as Missing
1. Select any teeth that are not present in the patient’s mouth, right-click in the odontogram and select Missing.
Revert Missing Teeth

1. Select any teeth that are marked as missing in the patient’s mouth, right-click in the odontogram and select Undo Missing.

Note: This can only be performed on teeth previously marked as missing, and not on teeth that have been removed from the odontogram through an extraction procedure.

When necessary, you can associate notes with specific teeth and record various conditions for teeth. If a condition is added, a symbol displays on the tooth to visually represent the condition.

Note: Conditions can be associated with the tooth itself or with surfaces on a tooth.

Examples:

Tooth 8 is marked as Partially Erupted, and Tooth 9 is Rotated Distally.

Teeth 1 and 2 are marked with Slight Caries on the selected surfaces of the teeth.

Tip: The symbols used to represent conditions on the teeth/surfaces are configured by your institution and may vary from the configuration shown here.

Tooth conditions can be entered from the odontogram or through the Chart Add tab.

Tip: You can only add conditions on a single tooth from the odontogram. To add the same condition on multiple teeth or tooth sites, use the Chart Add tab.

To manage tooth conditions from the odontogram:

1. Select a patient and open the EHR module.
2. Select a tooth in the odontogram, right-click in the odontogram, and select Tooth Notes/Conditions… to display the Tooth Notes/Conditions window.
3. Review the listed entries.

Tip: If any primary or permanent teeth have an associated note, a tooth number displays under the Tooth column.



4. To perform another task, complete any of the following:

Add Conditions

1. Click the Add a new Condition () icon to display the Tooth Conditions window.



2. Select the condition from the list and click the Add a new Record () icon.

Note: You can also delete conditions or mark as resolved from this window by clicking the Delete Record () or Resolve Condition () icons respectively.

3. Repeat Step b for all conditions for that tooth and close the Tooth Conditions window.

Add Notes

1. Click the Add a new Note () icon.
2. If prompted, select the type of note to add and click OK.
3. Enter the note as necessary.

Note: When you enter a note that pertains to a specific tooth, the tooth number displays with an N on the odontogram.

Edit Notes
1. Select a listed note and click the Edit Record () icon to display the General Note window.
2. Make any necessary changes and click Modify.
Delete Notes/Conditions
1. Select a listed note or condition and click the Delete Record () icon.
2. When prompted, click Yes to confirm the deletion.
Resolve Conditions

1. Select a listed condition and click the Resolve Condition () icon.
2. When prompted, click Yes to confirm the condition has been resolved.

The record now displays as struck out.

When needed, you can display additional details for a tooth using the odontogram. This may include rotating the tooth or adding color to areas of a tooth.

Note: These customizations must be done manually.

Example: Indicating that a tooth is rotated distally using tooth conditions does not rotate the image of the tooth on the odontogram; you must physically rotate the tooth on the odontogram.

To manage tooth details:

1. Select a patient and open the EHR module.
2. Complete any of the following:
View Teeth

When necessary, you can view a tooth’s colors and position.

Note: You cannot make changes from this window.

1. Select one or more teeth on the odontogram.
2. Right-click and select View Tooth… to display a <tooth number> window with the selected teeth.



3. Click and drag in the area to move and view as necessary.

Note: Your changes will not be saved.

4. When ready, click the X button.

Move/Rotate a Tooth on the Odontogram
1. Click and drag the tooth in a specific direction.
Draw Color on a Tooth

1. Select a tooth in the odontogram.
2. Right-click and select Tooth Details… to display the Detail Tooth: <tooth number> window.

3. Select a color from the Colors drop-down list.

4. Under Draw, select the Enabled checkbox and select the Paint radio button.

Tips:

• Select the Erase radio button to remove color(s) previously added.
• To view another tooth area, deselect the Enabled checkbox, then click and drag the tooth to move as needed.

Note: Moving the tooth in this window does not move the tooth on the odontogram.

5. Under Method, select one of the following:

• Select Single to draw on the tooth with your mouse.
• Select Selection to use the mouse to create a rectangular area that will be filled with color.

6. Draw on the tooth as necessary.