Pediatric Dentistry · single question

Each of the following must be recorded in the patient's chart when protective stabilization is used, EXCEPT one. Which is the EXCEPTION?

  1. The number of teeth being treated during the appointment
  2. The plan for managing future appointments
  3. The type of stabilization used
  4. The indication for using stabilization
Show answer and explanation

Correct answer: A. The number of teeth being treated during the appointment

  • A. CORRECT — this is the EXCEPTION. How many teeth were treated is ordinary operative record-keeping. It has no bearing on whether restraining a patient was justified, proportionate or safe, so it is not part of the stabilization documentation set.
  • B. A plan for future appointments is required. Stabilization is a temporary measure, and the record must show what will be done differently next time — sedation, general anaesthesia, or a desensitization approach.
  • C. The specific type must be recorded: parental holding, a papoose board, a mouth prop, or another device. Different methods carry different risks, so the record has to say which was used.
  • D. The indication is the first thing required. The record must state why stabilization was necessary — an immediate safety need, an inability to cooperate, or a medical condition — because restraint used for the clinician's convenience is never acceptable.

Note: The AAPD documentation set: indication · informed consent obtained · type of stabilization · reason for use · duration of application · behaviour evaluation during use · any untoward outcome (skin marking, tissue injury) · plan for subsequent visits. Informed consent must be obtained and documented BEFORE the device is applied — never retroactively.

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