Periodontal charting and follow-up, chairside
Periodontal charting, by voice.
You probe and read the values out loud. The chart fills in tooth by tooth: margin, probing depth, bleeding, plaque, mobility, furcation. Nobody has to sit beside you writing it down, and there is nothing to type up after the appointment.
| 16 | 15 | 14 | |||||||
|---|---|---|---|---|---|---|---|---|---|
| DB | B | MB | DB | B | MB | DB | B | MB | |
| Margin | |||||||||
Fact sheet
ParoScope at a glance
- What it is
- Periodontal charting and follow-up software filled in by voice, used chairside on a computer, tablet or room screen.
- Who it is for
- Dentists (general practice and periodontics) and dental hygienists who treat periodontitis.
- The core
- Dictated charting: six sites per tooth, gingival margin and probing depth, bleeding, plaque, suppuration, mobility, furcation, spoken in one flow and placed automatically.
- What it covers
- History, assessment and charting, diagnosis per the 2018 classification, treatment plan towards EFP endpoints, re-evaluation, maintenance and PRA risk profile, patient documents.
- References
- 2018 classification (World Workshop), EFP endpoints (Sanz et al. 2020), PRA (Lang & Tonetti 2003), Socransky complexes, peri-implantitis (Berglundh et al. 2017).
- What it does not do
- It makes no diagnosis, issues no prescription and does not replace your practice management software. It is a prototype, not a medical device.
Dictation
You speak the way you probe.
This is clinical dictation, not voice commands. You give the surface and the first tooth, then the values in the order you probe. The app places them and tells you what it understood.
buccal, 18
The surface and the starting tooth. That is the only tooth number you have to say.
minus 1, 4 — 0, 3 — 0, 3
Margin then pocket, for each of the three sites. The app then moves on to 17 by itself.
bleeding
Bleeding on probing, recorded on the site you just called.
16 missing
The tooth is marked missing and the dictation carries on with the next one.
13
A checkpoint, to repeat every three or four teeth. If the app had drifted, it puts the values back on 13 and flags the offset.
mobility 2, furcation II
Everything else goes in the same flow and is filed in the right place: plaque, suppuration, implant, even stage and grade.
One pass or two
Margin and pocket together, pockets only or margins only. Two separate passes overlay without overwriting each other.
Undo last dictation
The record goes back to exactly its previous state. The review panel stays on screen until you close it.
No microphone
A text field reads the same grammar: dictate elsewhere, paste here. Every dictation is kept in full, along with what was extracted from it.
Time
The time the chart used to cost you.
In a full periodontal assessment, a good share of the appointment goes into writing values down, and typing them up comes on top of that in the evening. With dictation, both steps go away.
The medical questionnaire can arrive already filled in: the patient completes it before the visit, you paste their code and the record picks up their history, smoking and medication. The history is dictated like the probing, and whatever weighs on the prognosis feeds the risk profile.
Letters to the referring dentist, the physician or the cardiologist start from the data in the record. You read them and sign them; nothing goes out without you.
| On paper | With ParoScope | |
|---|---|---|
| Recording the probing | a second person writes | dictated by the clinician |
| Entering the chart | in the evening, by keyboard | already in the record, dated |
| Details and history | typed again | taken from the questionnaire |
| Sites ≥ 5 mm | counted by hand | counted automatically |
| Referral letter | drafted | pre-filled, to review |
Care pathway
From the first probing to maintenance.
Periodontitis is treated as a chronic disease: you stabilise it, re-evaluate, then maintain. Each step picks up the data from the previous one without overwriting it, and the baseline chart is always there to look back at.
History
Chief complaint, comorbidities, periodontal history, medication, smoking, hygiene and motivation. Dictated or typed, then structured automatically.
Assessment and charting
Full six-site probing, recession, mobility, furcation, plaque and bleeding. Imaging, bone loss and bony defects in the same assessment.
Diagnosis
Stage, grade and modifiers per the 2018 classification. Values are pulled from the record and none is decided for you: you make the diagnosis.
Treatment plan
The sequence of care through to re-evaluation, with the EFP end-of-therapy thresholds (BOP < 10 %, pockets ≥ 5 mm < 5 %) shown for reference.
Re-evaluation
The new chart is drawn over the baseline, which appears dotted. A slider moves the curves from one chart to the next, which works well to show the patient.
Maintenance
PRA risk profile across its six vectors, trajectory over time, recall interval set by the clinician, history of completed visits.
Follow-up
What is moving, what is stuck.
Periodontitis plays out over years. Every measurement is dated and put back on its trajectory, so you can see what responds to treatment and what resists it.
- Healing curve. Pocket reduction, bleeding reduction and mean attachment gain, from one chart to the next.
- Trajectory per risk vector. Bleeding and pockets change, smoking and diabetes stay where they are: you read the two separately.
- Phase-contrast microscopy. Bacterial load, spirochetes, protozoa, erythrophagocytosis, dated per visit.
- Targeted biology. aMMP-8, HbA1c, vitamin D, hs-CRP, and subgingival PCR when it actually changes the treatment.
| Baseline | Re-eval. | Change | |
|---|---|---|---|
| Bleeding on probing | 22 % | 9 % | |
| Pockets > 4 mm | 31 % | 18 % | |
| Mean attachment gain | — | + 1.4 mm | |
| PRA profile | high | moderate | |
| Maintenance interval | — | 4 months |
Illustrative values. EFP thresholds are shown for reference; the assessment remains the clinician’s.
The patient
What the patient takes home.
Daily technique weighs more on relapse than bacterial load itself. Which means the patient has to leave with something they can actually use at home.
- The interdental brush map is dictated. You go round the mouth out loud, “between 46 and 47, 0.8 mm”, and the app produces a map space by space.
- Diameter, not colour. A 0.6 mm brush is black in one brand and pink in another. The map gives the millimetre, which holds whatever brand the pharmacy stocks.
- An end-to-end encrypted patient app. Brushing reminders, interdental plan, information sheets, quotes to sign, insurance response.
- Plaque self-monitoring is optional. It is offered to the patient as a way to see progress, never imposed, and the app works without it.
Interdental brush map
Sample, upper right. Generated from the dictation, printable, mirrored in the patient app.
| Space | Diameter | Size |
|---|---|---|
| 16–17 | 0.8 mm | |
| 15–16 | 0.7 mm | |
| 14–15 | 0.6 mm | |
| 13–14 | 0.5 mm | |
| 12–13 | 0.45 mm | |
| 11–12 | 0.4 mm |
A wrongly sized interdental brush is the leading cause of failed plaque control.
Who it is for
For the people who probe every day.
Dentists
General practice or periodontics: favourite protocols per stage, custom templates. Diagnosis and decisions stay with you.
Dental hygienists
Charting, maintenance, patient education and the interdental brush map, which is the content of a periodontal maintenance visit.
Practices and clinics
A shared referral directory, a “room screen” mode readable from across the room, and a record the whole team can read.
The reference points shown come from the international literature: 2018 classification (World Workshop), EFP end-of-therapy thresholds (Sanz et al. 2020), PRA (Lang & Tonetti 2003), Socransky complexes, peri-implantitis (Berglundh et al. 2017).
Limits
What ParoScope does not do.
Better to know before the demo.
It makes no diagnosis.
Stage, grade and modifiers are presented from the values in the record. The clinician reads them and draws the conclusion.
It does not prescribe.
No prescription is written. The app records that a prescription was issued, nothing more.
It does not replace your practice software.
Billing, scheduling and prescribing stay in your certified software. ParoScope handles the periodontal side.
It is not a medical device.
ParoScope is a prototype and a practice aid. Clinical responsibility remains with the clinician.
Questions
Frequently asked questions
Does it need special hardware?
A computer, tablet or room workstation with a recent browser and a microphone. Nothing to install, no server to run at the practice.
What if the speech recognition gets it wrong?
It tells you. After each dictation the app reports what it placed and what it is unsure about: checkpoint offset, unplaced value, mismatched mode. The panel stays open until you have read it, and “Undo last dictation” restores the previous state.
Can I dictate pockets only, without margins?
Yes. You can dictate margin and pocket together, pockets only or margins only. Two separate passes overlay without overwriting each other.
Does it replace my practice management software?
No. ParoScope covers periodontics: charting, diagnosis, plan, maintenance, patient documents. Billing, scheduling and prescribing stay in your certified software. The app records that a prescription was issued, without writing it.
Is phase-contrast microscopy required?
No. Without a microscope, those modules are hidden and the rest of the pathway works the same way. Biological tests and PCR are offered for at-risk profiles, not for every patient.
What languages is the application available in?
Clinical dictation and the interface are currently in French. An English version is in preparation; write to us if you would like to help shape it.
Contact
See ParoScope on a real case.
Thirty minutes, on your own case if you like: the chart dictated from start to finish, then the diagnosis, the treatment plan and maintenance.
Access to the application is credential-protected; you receive credentials with your demo.