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Denture note template
For a denture appointment at any stage, from impressions through to try-in, fit and review: what stage the visit covers, the procedure, the lab prescription and the aftercare advice given. One structure follows a denture case across several visits.
PRESENTING COMPLAINT
Reason for Visit:
Assisted by:
MEDICAL HISTORY
Medical History:
Allergies:
Medications:
PMS Updated:
PROSTHETIC ASSESSMENT
New Denture:
Arch:
Upper Denture Extent:
Upper Denture Material:
Lower Denture Extent:
Lower Denture Material:
Stage:
Ridges / Soft Tissue:
Existing Denture:
CONSENT
Discussion:
Options Discussed:
Estimate Discussed:
Risks and benefits discussed:
Verbal consent after discussion of treatment:
TREATMENT
Procedure:
Impressions / Records:
Fit / Insertion:
Occlusion:
Adjustments:
LAB PRESCRIPTION
Lab:
Materials:
Shade / Mould:
Shade:
Design:
POST-OPERATIVE
Instructions:
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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