Mich. Admin. Code R. 338.11120 - Dental treatment records; requirements

Rule 1120.

(1) A dentist or dental therapist shall make and maintain a dental treatment record of each patient.
(2) A dental treatment record must include all of the following information:
(a) Medical and dental history.
(b) The patient's existing oral healthcare status and the results of any diagnostic aids used.
(c) The patient's current health status as classified by the American Society of Anesthesiologists physical status classification system.
(d) Diagnosis and treatment plan.
(e) Dental procedures performed upon the patient, including both of the following:
(i) The date the procedure was performed.
(ii) The identity of the dentist, dental therapist, or allied dental personnel performing each procedure.
(f) Progress notes that include a chronology of the patient's progress throughout the course of all treatment.
(g) The date, dosage, and amount of any drug prescribed, dispensed, or administered to the patient.
(h) Radiographic and photographic images taken in the course of treatment. If radiographic or photographic images are transferred to another dentist, the name and address of that dentist must be entered in the treatment record.
(3) All dental treatment records must be maintained for not less than 10 years after the date of the last treatment.

Notes

Mich. Admin. Code R. 338.11120
1989 AACS; 2014 AACS; 2021 AACS; 2023 MR 19, Eff. 10/2/2023

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