........................................................................................................................................... II ACKNOWLEDGEMENT ......................................................................................................................... III TABLE OF CONTENTS ........................................................................................................................... IV LIST OF TABLES ................................................................................................................................... VII LIST OF FIGURES ................................................................................................................................... X LIST OF ABBREVIATIONS ..................................................................................................................... XII 1. CHAPTER ONEINTRODUCTION AND LITERATURE REVIEW ......................................................... 1 1.1 DENTAL CLINICAL RECORD ............................................................................................................... 2 1.1.1 What is a dental record ....................................................................................................... 2 1.1.2 Purpose of clinical records ................................................................................................... 4 1.1.3 Paper and electronic dental records .................................................................................... 6 1.2 AUDIT OF DENTAL RECORDS ............................................................................................................ 8 1.2.1 Audit of dental records for dental students ...................................................................... 11 1.2.2 Audit of dental record in the general practice .................................................................. 14 1.3 METHOD FOR AUDITING THE DENTAL RECORD ................................................................................... 21 1.3.1 Selection of audit criteria .................................................................................................. 21 1.3.2 Scales for record auditing .................................................................................................. 22 1.4 CROWN LENGTHENING SURGERY .................................................................................................... 24 1.4.1 Recording crown lengthening surgery............................................................................... 25 1.5 PATIENT SATISFACTION ................................................................................................................. 32 1.5.1 Concept of patient satisfaction ......................................................................................... 32 1.5.2 Patient satisfaction with periodontal surgery ................................................................... 33 1.5.3 Methods to evaluate perception and satisfaction............................................................. 38 1.6 SUMMARY ................................................................................................................................. 41 1.7 AIM OF STUDY ............................................................................................................................ 43 2. CHAPTER TWOMATERIALS AND METHODS ............................................................................. 44 2.1 AUDIT OF CLINICAL RECORDS ......................................................................................................... 44 2.1.1 Forms used for the records ................................................................................................ 45 2.1.2 Audit criteria...................................................................................................................... 46 2.1.3 Audit process ..................................................................................................................... 60 2.2 PATIENT SATISFACTION SURVEY ...................................................................................................... 64 2.2.1 Participant selection .......................................................................................................... 64 2.2.2 Invitation letter ................................................................................................................. 64 v 2.2.3 Questionnaire .................................................................................................................... 64 2.1 STATISTICAL ANALYSIS .................................................................................................................. 69 2.1.1 Audit of dental records ...................................................................................................... 69 2.1.2 Patient’s satisfaction survey .............................................................................................. 70 3. CHAPTER THREERESULTS ......................................................................................................... 71 3.1 AUDIT OF DENTAL RECORD ............................................................................................................ 71 3.1.1 Baseline information of records on Crown Lengthening Surgery (CLS) ............................. 71 3.1.2 Record information ........................................................................................................... 77 3.1.3 Post-operative follow-up ................................................................................................... 95 3.1.4 Number and percentages of records fulfilling the proposed audit criteria ..................... 104 3.1.5 Summary of audit ............................................................................................................ 108 3.2 PATIENT SATISFACTION IN PERIODONTAL SURGERY ........................................................................... 109 3.2.1 Section A-Recollection of the gum surgery ...................................................................... 109 3.2.2 Section B-Medical history ................................................................................................ 120 3.2.3 Section C-Personal dental care ........................................................................................ 121 3.2.4 Summary of patient satisfaction survey .......................................................................... 125 4. CHAPTER 4–DISCUSSION ......................................................................................................... 126 4.