Chapter 3 – Health Care Operations

3.3.5.4 Dental Treatment Plan

• Policy

  • All Mainline Facility patients who receive a comprehensive dental examination by a California Department of Corrections and Rehabilitation (CDCR) dentist shall have an individual treatment plan developed in conjunction with the examination. The dentist shall explain the advantages and disadvantages of the treatment plan to the patient.

• Purpose

  • To establish guidelines for the development of individual dental treatment plans for Mainline Facility patients in the CDCR.

• Procedure

  • Prior to receiving routine dental care, all Mainline Facility patients shall have a dental treatment plan documented on the Electronic Dental Record System (EDRS) odontogram and Progress Note panel in accordance with EDRS Workflow 1-3 and associated Back Office Job Aid. (Reference the Health Care Department Operations Manual [HCDOM], Section 3.3.2.6(c)(1)(F) regarding treatment plans that include a dental prosthesis).

  • The dentist performing the examination and establishing the treatment plan shall verify that the patient received a Dental Materials Fact Sheet (DMFS) and has signed a CDCR 7441, Patient Acknowledgement of Receipt of DMFS.  If this did not occur then the dentist shall provide one and shall have the patient sign a CDCR 7441.

  • Appropriate radiographs shall be available and interpreted by the treating dentist when developing a dental treatment plan.

  • During each treatment encounter for procedures associated with an established treatment plan, the provider shall ask the patient and shall verify if:

    • Any new dental conditions have arisen since the patient last received dental treatment.

    • Any existing dental conditions have become more acute since the patient last received dental treatment.

  • All dental care provided to patients and pertinent information regarding dental encounters shall be noted as outlined in the HCDOM, Section 3.3.6.1(c)(1)(F) through (H).

  • Any additions or corrections to the original dental treatment plan made during the course of treatment shall be entered on the EDRS odontogram and Progress Note panel in accordance with EDRS Workflow 1-3 and associated Back Office Job Aid.

• References

  • Health Care Department Operations Manual, Chapter 3, Article 3, Section 3.3.2.6, Dental Prosthodontic Services

  • Health Care Department Operations Manual, Chapter 3, Article 3, Section 3.3.6.1, Health Records Organization and Maintenance

• Revision History

• Effective: 04/2006
  Revised: 11/2017, 11/2020, 02/2022