Using Charting features in D4Web

Using Charting features in D4Web

Some of the features found in Charting: View Mixed, Deciduous or Adult charts, layering, View & link to Documents / Imaging & Treatment Plans

Where to find the Charting pages

Click the navigation menu > Patients > Charting or 3DCharting page
Note: Where a feature is 2D or 3D specific, the instruction will be noted as such

Create a New Charting Record

It is advised that a patient’s chart be updated every check-up so that the chart is current and will reflect patient’s dental history more correctly.
  1. Charting toolbar > New Charting
    A new date and time will be added with a blank chart in view

Copy From a Previous Charting

Once a new chart has been created, the details from the previous chart should be copied over to the current one to avoid re entering. 
Select how much information you wish to bring forward from the list of options available (for full details to be copied, we recommend option e)

  1. Charting toolbar > Copy from a Previous Charting
  2. Select: 
    1. Current cond. to THIS current condition...
      Copies only the charting entered under Current Condition from another chart
    2. Completed Treat. required to THIS Current condition...
      Copies only the charting marked as completed from another chart, moving it to the Current Condition of this chart
    3. Incomplete Treat. required to THIS treat. required...
      Copies incomplete charting to this Treatment Required
    4. Both Current AND Completed Treat to THIS Current Condition...
      Copies both the completed treatment and current charting entries from another chart
    5. Current, Completed and Incomplete to THIS Chart...
      Copies all three at once, moving completed to current and incomplete to treatment required

  3. Next, select the appropriate chart (date) to copy from
    1. Click OK

Charting Procedures

Within the Charting pages of D4Web, charting procedures allows a visual representation of the current state and planned treatment for the patient, whilst linking to the Treatment Plan page to help build comprehensive plans for the patient. 
  1. Select the surface(s) in either Current Condition or Treatment Required section
  2. Using the toolbar or icons, select the procedure to add to the surface(s)
    1. 2D Charting

    2. 3D Charting
      1. Teeth can be rotated as a whole using the control panel
      2. Individual teeth can be rotated by right clicking on the tooth > Select tooth
      3. Individual teeth can be presented onscreen by right click on the tooth > One Tooth Mode
    3. Shortcuts can be accessed from the Conditions toolbar in both screens

Charting CDBS Procedures

When charting a CDBS patient, use the Child Benefit Scheme menu to add CDBS items onto the Treatment Plan.
If the standard menus and/or icons are used, the standard ADA items will appear instead on the Treatment Plan.   
InfoIf not already activated, click here to activate CDBS in D4Web.
  1. Select the tooth surface in Treatment Required
  2. Operations toolbar > Child Benefit > Select the appropriate procedure

InfoClick here for CDBS Claiming and payments

Delete Multiple Objects in Charting

When more than one object is present on a tooth/surface, and/or multiple teeth are selected, a confirmation message of what to remove will appear.
  1. Select the Teeth / Surfaces to be deleted
  2. Click Delete icon 
    1. Only highlight the rows to be deleted
    2. Click DELETE

Charting Layers

The ability exists to indicate that on a particular tooth there are layers of treatment work.
For instance, beneath a crown there may be a filling or a pin / post.
You may add, delete and view different layers.
  1. For the first layer, proceed as per standard Procedure  (e.g. chart a MO composite)
    1. Right click on the tooth and select New Layer
      D4Web places an empty layer that you may chart on
      2D Chart

      3D Chart

    2. Add the next procedure required. i.e.: Crown
      Above / Below the selected tooth indicates which layer you are currently on
      2D Chart

      3D Chart

  2. To view each layer:
    1. Right click on selected tooth to view another layer
    2. Select Upper layer or Lower layer
      2D Chart

      3D Chart
  3. To delete a layer:
    1. Right click on selected tooth
    2. Select Delete layer 
    3. Check details 
    4. Click YES

Binding Item Numbers (2D only)

In 2D Charting, when a root canal or implant item is charted, if the item is not bound to the layer before a new layer is created, the procedure will be seen on every layer.
To ensure visibility in the correct layer we must bind the RCT or Implant to a layer.
  1. Chart an RCT
  2. Right click and select > Bind Item "417" to layer 1

To unbind Items, Right click on procedure and select > Unbind Item "XXX" from layer X

Mixed Dentition

Toggle Adult Chart with Deciduous Teeth

It is possible to change a tooth from adult to child or vice versa. This is commonly used for retained child/deciduous teeth.
  1. Charting toolbar > Show Mixed Chart
    1. Click NO (An adult chart will show with the ability to toggle from adult to child)

  2. To change a tooth from adult to deciduous:
    1. In Current Condition, select a surface (multiple teeth can be selected at once).
    2. In Charting: Right click > Toggle the teeth view: adult - deciduous

    3. In 3D Charting: Right mouse click > Toggle adult/deciduous
       

Toggle Deciduous teeth to Mixed or Adult Chart

Over time, selected (or all) teeth will need to move from Child to Adult teeth for correct charting. 
  1. Charting toolbar > Show Mixed Chart
    1. Click NO: An adult chart will show. This should be selected if patient has more adult teeth than deciduous.
    2. Click YES: A chart will show combination of CHILD & ADULT with the ability to toggle from adult to child

  2. In Current Condition section, select a surface (multiple teeth can be selected at once).
    1. In Charting: Right click > Toggle the teeth view: adult - deciduous
       
    2. In 3D Charting: Right click > Toggle adult/deciduous
       

 Toggle Mixed Chart to Adult Teeth

To change a tooth from child to adult when in a mixed chart.
  1. Charting toolbar > Show Mixed Chart
    1. Click YES: A chart will show combination of CHILD & ADULT with the ability to toggle from adult to child

  2. In Current Condition, select a surface (multiple teeth can be selected at once).
    1. In Charting: Right click > Toggle the teeth view: adult - deciduous

    2. In 3D Charting: Right click > Toggle adult/deciduous 


Linking Charting to Treatment Plans & Imaging

See what features work between Charting & Treatment Plans: 
  1. Treatment Required recordings are automatically turned into intemised treatment plans.
    1. Click here for Treatment Plan instructions
  2. Show Treatment Plan in the Charting page
    1. Click here for Set Display Options 
  3. MediaWeb PACS
    1. MediaWeb PACS: Launch from D4Web


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