What must be documented in a patient record according to North Carolina regulations?

In North Carolina, regulations governing dental practice emphasize the importance of comprehensive documentation in a patient record. The correct answer signifies that all diagnoses, treatments, and communications with the patient must be accurately recorded. This comprehensive documentation serves multiple purposes: it helps to ensure continuity of care, provides legal protection for both the patient and the provider, and maintains a clear historical account of the patient's dental health.

Documenting all interactions, including diagnoses and treatments, is essential for effective communication among dental team members and aids in making informed decisions about future treatment. It also dovetails with legal requirements, as proper records can be crucial in the event of disputes or audits.

In contrast to focusing solely on a limited scope of information—such as only the treatments performed during the last visit, demographic information alone, or follow-up communication—detailed and thorough documentation encompasses essential aspects of patient care, aligning with best practices in the field of dentistry.