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Veneer preparation note template
For preparing ceramic veneers: the discussion before preparation, the preparation itself, the records taken and the lab prescription for shade and material. Suited to a mock-up-guided or a conventional veneer case.
PATIENT ATTENDED FOR
Treatment:
Tooth / Teeth:
Assisted by:
MEDICAL HISTORY
Medical History:
Allergies:
Medications:
PMS Updated:
CONSENT
Discussion:
Trial Smile:
Preparation Technique:
Estimate Discussed:
Risks and benefits discussed:
Verbal consent after discussion of treatment:
PROCEDURE
Local Anaesthetic:
Isolation:
Preparation:
Preparation Guidance:
Records:
Provisional Veneers:
Occlusion:
LAB PRESCRIPTION
Lab:
Material:
Shade:
Stump 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.
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