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Crown preparation note template
For a crown, bridge, inlay or onlay, at either the preparation or the fit visit: anaesthetic, the preparation or try-in, records taken, the lab prescription and shade. One structure follows the case from preparation through to fit.
PATIENT ATTENDED FOR
Treatment:
Tooth / Teeth:
Stage:
History:
Assisted by:
MEDICAL HISTORY
Medical History:
Allergies:
Medications:
PMS Updated:
SPECIAL TESTS
Pre-operative Assessment:
Special Tests:
CONSENT
Discussion:
Estimate Discussed:
Risks and benefits discussed:
Verbal consent after discussion of treatment:
PROCEDURE
Local Anaesthetic:
Pre-preparation Records:
Isolation:
Preparation:
Immediate Dentine Sealing:
Records:
Temporary:
Try-in:
Cementation:
Occlusion:
LAB PRESCRIPTION
Lab:
Restoration Type:
Material:
Shade:
POST OPERATIVE DISCUSSION
Post-op Advice:
Medication Dispensed / Prescribed:
Adverse Reactions / Complications:
Next Visit:
GDC standard 4.1 expects a patient's clinical record to be made as the appointment happens, and to be accurate and complete.
How Assist helps
Assist fills this in for you.
Assist records the appointment and drafts a note in this structure for the dentist to review and sign off. It writes up what was said in the room, and you check every line before it goes in the record.
28 days free. No card required.
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