Document initial findings, including recommended treatment.

Documentation should include the following:

• Charting findings (in all current formats)—areas of inflammation; types of oral lesions and conditions; developmental defects; diseases of the teeth; and pulp, periodontal, and temporomandibular joint (TMJ) disorders
• Listing treatment—treatment(s) as determined by a Doctor of Dental Surgery (DDS)

Process/Skill Questions

• How does one respond to a patient who asks for clarification of the dentist's instructions?
• How does one respond to a patient who asks for advice on treatment options?