How To Chart Existing Restorations in Dentrix
Charting existing restorations accurately in Dentrix is one of the most important parts of a new patient exam. It helps create a clear baseline, improves documentation, and makes future treatment planning much easier.
In this guide, I’ll walk you step-by-step through how to chart existing restorations and conditions in Dentrix, along with efficiency tips that will help you save time during busy appointments.
Step 1: Start in the Patient Chart
Before charting anything, open the patient’s chart and locate the toolbar at the top of the screen. You’ll see three key charting modes:
Green EO – Existing Other (used for restorations completed outside your office)
Blue EO– Work completed in your office
Red TX – Treatment Plan
For charting existing restorations, you always want to select the green EO icon.
This ensures you’re documenting past dental work and not accidentally placing items into the treatment plan.
Step 2: Turn On Auto State to Save Clicks
One of the biggest time-saving features in Dentrix is Auto State (the light switch icon).
When Auto State is:
Off → You must reselect charting settings for every entry
On → Dentrix remembers your last selection and reduces extra clicks
To work efficiently:
Turn Auto State on
Confirm the green EO icon is selected
Begin charting
This eliminates repetitive steps and keeps your workflow smooth.
Step 3: Charting an Existing Restoration
Once you’re in EO mode with Auto State on:
Click the tooth
Select the restoration type
Choose surfaces if prompted
Click OK
Example:
If tooth #14 has an existing occlusal composite:
Click tooth #14
Select composite
Choose occlusal surface
Confirm
The restoration will appear immediately in the chart.
Step 4: Use Procedure Buttons for Faster Charting
Procedure buttons are one of the best ways to speed up charting.
If your office has these set up:
They allow you to enter restorations with one click
They reduce searching and manual code entry
They help maintain consistency across team members
If you don’t have them set up yet, I highly recommend doing so. They can significantly reduce charting time, especially during new patient exams. [Procedure Button Step by Step Tutorial]
Alternatively, you can:
Browse procedures by category
Search by keyword
Enter dental codes directly
Step 5: Batch Charting for Maximum Efficiency
Batch charting is a huge time saver when patients have multiple similar restorations.
Example:
If a patient has occlusal amalgams on several molars:
Select all applicable teeth
Choose the restoration
Click “Use for All”
Dentrix will apply the restoration to every selected tooth at once.
This works great for:
Multiple crowns
Similar fillings
PFMs
Repeated restorations across quadrants
Step 6: Charting Conditions (Missing Teeth, Extractions, etc.)
Charting conditions is just as important as charting restorations.
To chart missing teeth:
Select all missing teeth
Choose the missing condition
Apply in one step
You can quickly document:
Extracted teeth
Wisdom teeth removal
Congenital absence
Batch selection helps keep this process quick and organized.
Step 7: Progress Notes Update Automatically
As you chart, Dentrix automatically logs entries in the progress notes.
This provides:
A time-stamped record
Documentation of chart updates
Legal and clinical protection
Reviewing progress notes can also help you verify accuracy before completing the appointment.
Why I Always Take Intraoral Photos
Charting is important, but photos provide visual confirmation.
For every new patient, I capture intraoral images of existing restorations. This creates a visual baseline that helps with:
Monitoring changes over time
Patient education
Documentation
Treatment planning discussions
I personally use cameras from MouthWatch because they are affordable, easy to use, and provide clear, reliable images. Having one in each operatory makes documentation seamless.
If you order a MouthWatch Camera – use code: JAIMETECH for FREE Shipping
My New Patient Charting Workflow
Here’s the order I follow for efficiency:
Identify missing teeth first
Batch chart similar restorations
Enter unique restorations individually
Capture intraoral photos
Review progress notes
Confirm chart accuracy before moving on
This system keeps appointments running on time while ensuring thorough documentation.
Final Thoughts
Charting existing restorations in Dentrix doesn’t have to feel overwhelming. With the right settings and workflow, it becomes a fast, repeatable process that improves both patient care and office efficiency.
Key takeaways:
Always use the green EO mode
Turn on Auto State
Use procedure buttons whenever possible
Batch chart to save time
Support documentation with intraoral photos
If you want to see this entire process demonstrated step-by-step, you can watch the full tutorial on my YouTube channel.
