The only things I would have done and do differently from Dr Arlene 1) document that pt has been told to follow up with an exam 2) Tell the patient that if the lesion doesn't go away in a week, to come back for a follow up and document that as well ("pt to return if lesion still present after 1 week"). My SOAP note would probably have looked like this:
S: Pain on the side of the tongue, also a broken tooth on the same side.
O: #18 has a DL frac with a rough edge.
1 cm x 5mm lesion on L lat tongue
PAX shows no pathology #18
Pt has hx of biopsy of L tongue with neg result.
A: 1) Soft tissue trauma of L lat tongue from rough edge #18
2) diff dx - possible neoplasm
P: Advised pt options 1) restore #18 w/ DOL, 2) occ adj. Pt elected occ adj. Smoothed edge. Told pt to return if lesion does not heal in one week for referral to surgeon.
NV: exam
Honestly yes, I would have assumed soft tissue trauma as well. But I ALWAYS include "pt to follow up if (lesion doesnt go away/pain persists) in # days"
The article is ridiculous in stating that "She should not have allowed his business as an excuse for avoiding that next appointment". This is an insurance adjuster speaking, not a clinician. Patient autonomy is one of the tenets of the ADA code. Mr. Entrepreneur is a big boy...if given the proper precautions, and he blows it off, it's all on him.
Unfortunately Arlene's verbal recommendation to come back, and the lack of documentation of that is what weakens her case.