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Recording
Template
Comp examCC: Pain on biting, lower left.
Med hx: Amlodipine, started in May.
EO/IO:
Perio:
Findings: #19 fracture on existing filling.
Tx plan:
Full-coverage crown #19 to protect the remaining tooth structure.
OHI:
NV:
Begin treatment: Crown #19
Recall: 6 months
Personal notes
For next visitJust moved into a new house
Training for the Houston half marathon
Note template
From your PMSComp examLimited examSRPCompositeRecall examCrown prepPerio maint.ExtractionComp examLimited examSRPCompositeRecall examWorks with your existing note templates
Your templates come straight from your PMS, so every note follows the format you already use.
How to write this field
Write tx options in bullet points
Treatment options: A crown on #19 is recommended. An onlay may work if the crack is shallow. If it splits, extract and implant.
- Crown #19, recommended
- Onlay if the crack is shallow
- Extract and implant if it splits
Written your way
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- AR
Ana R.
Comp exam · Thursday 9:00
Personal notes
- Store manager at Starbucks
- Getting married next month
Remember the little things
Personal details that help you connect with your patients as people.
Transcript
Patient 03:21
It hurts when I bite down.
Dentist 03:26
It’s this back tooth, number 19. See how your old filling has cracked?
Visit note
Dx: #19 fracture on filling.03:26
Notes grounded in the transcript
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