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Root canal treatment note template
For root canal treatment: diagnosis and tests, canal preparation, irrigation and working length, and the obturation and restoration carried out. Covers an endodontic visit note from diagnosis through to the interim restoration.
PRESENTING COMPLAINT
Complaint:
History:
Assisted by:
MEDICAL HISTORY
Medical History:
Allergies:
Medications:
PMS Updated:
SPECIAL TESTS
Special Tests:
DIAGNOSIS & TESTS
Tooth:
Radiograph:
Radiograph Status:
Radiograph Findings:
Radiograph Grade:
Diagnosis:
Justification:
OPTIONS, RISKS & CONSENT
Options Discussed:
Estimate Discussed:
Risks and benefits discussed:
Verbal consent after discussion of treatment:
TREATMENT
Local Anaesthetic:
Isolation:
Canals:
Working Length:
Preparation & Irrigation:
Irrigant:
Medicament:
Obturation Material:
Obturation Details:
Restoration:
POST-OPERATIVE
Post-op Instructions:
Medication Dispensed / Prescribed:
Adverse Reactions / Complications:
Review:
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.
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