Dr recommends rct. Risks, rewards and alternatives have been explained to pt. Pt consents to treatment and finances. Tooth was isolated with rubber dam


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NameDr recommends rct. Risks, rewards and alternatives have been explained to pt. Pt consents to treatment and finances. Tooth was isolated with rubber dam
A typeDocumentation
RCT chart:  Note

 

Pt reports:

Dr. recommends RCT. Risks, rewards and alternatives have been explained to pt.  Pt consents to treatment and finances.  Tooth was isolated with rubber dam, accessed, irrigated with sodium hypochlorite, cleaned and shaped,  RC filled with Gutta Percha.  POI written and verbal were given.

 CDR x-rays taken. CDR xrays located in Schick program.  See scanned documents in capture tab for HH, personal, insurance and referral information available.  Health history was reviewed with patient prior to treatment. 

Final card with x-ray sent to referring dentist.

Additional notes:

Retreatment chart: Note

RCT chart:  Note

Pt reports:

Pt referred for Retreatment. Retreatment recommended. Risks, rewards and alternatives have been explained to pt. Pt consents to treatment and finances. Tooth was isolated with rubber dam, accessed, previous root canal filling material was removed. Canals were cleaned and shaped, irrigated with sodium hypochlorite, GP fill. POI written and verbal. Sent final card with x-ray.

CDR xrays taken. CDR xrays located in Schick program. See scanned documents in capture tab for HH, personal, insurance and referral information available. Health history was reviewed with patient prior to treatment.

Additional notes: 

Apicoectomy chart: Note

Pt reports:

Pt referred for Apicoectomy. Risks, rewards and alternatives have been explained to pt. Apicoectomy recommended. Pt consents to treatment and finances. Dr. reflected gingival flap, removed residual infection and placed IRM retro-fill. POI written and verbal. Sent final card with x-ray to general dentist.

CDR xrays located in Schick program. See scanned documents in capture tab for HH, personal, insurance and referral information available. Health history was reviewed with patient prior to treatment.

( )sutures placed

( ) colla plug placed

Additional notes:

Root Amputation: Note

Pt reports:

Pt referred for Endodontic treatment. Root amputation recommended. Risks, rewards and alternatives have been explained to pt. Pt consents to treatment and finances. POI written and verbal, sent final card with x-ray.

CDR xrays taken. CDR xrays located in Schick program. See scanned documents in capture tab for HH, personal, insurance and referral information available. Health history was reviewed with patient prior to treatment.

Additional notes:

( ) sutures

Retrofill:

Hemi-section: Note

Pt reports:

Hemisection recommended. Risks, rewards and alternatives have been explained to pt. Pt consents to treatment and finances. POI written and verbal. Sent final card with x-ray to referring dentist.

CDR xrays taken. CDR xrays located in Schick program. See scanned documents in capture tab for HH, personal, insurance and referral information available. Health history was reviewed with patient prior to treatment.

( ) sutures placed.

Additional notes:

Palliative treatment: Note

Pt reports:

Pt referred for RCT. Risks and alternatives have been explained to the pt. Pt consents to treatment and finances. Tooth was isolated with rubber dam, and accessed. Palliative treatment performed today, Calcium Hydroxide placed in chamber. Pt will return in one to two weeks for completion of treatment. POI verbal.

CDR xrays taken. CDR xrays located in Schick program. See scanned documents in capture tab for HH, personal, insurance and referral information available. Health history was reviewed with patient prior to treatment.

Additional notes: ______________________________________________________________________________

Incise and Drain: Note

Pt reports:

Eval shows fluctuant periapical swelling. I & D recommended. Risks and rewards explained to pt. Pt consents to tx and finances. Area was incised and drained.

CDR xrays located in Schick program. See scanned documents in capture tab for HH, personal, insurance and referral information available. Health history was reviewed with patient prior to treatment.

Additional notes:

Suture removal: Note

Pt returned for suture removal. Health history was reviewed. Sutures were removed. Area healing WNL. POI verbal.

Evaluation: Note

Pt referred for evaluation.

Pt reports:

Eval/x-ray shows:

Dr. recommends:

CDR x-rays taken. CDR xrays located in Schick program. See scanned documents in capture tab for HH, personal, insurance and referral information available. Health history was reviewed.

Check: Note

Pt in for check.

Pt reports:

Check shows:

Dr. Recommends:

Health history was reviewed with patient.

Below are a list of notes that may be attached to any of the above as needed.

_

Diagnostic Grid

# cold perc palp heat bite ept mobility pocket

Anesthetic used:

Topical Benzocaine 20% used.

Used 1 carpules of

Used 0 carpules of

 

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