Dental Practitioner

5-10 minutes

Notes on Endodontic Consultation and Treatment

The s10.ai Endodontic Consultation and Treatment Notes template is expertly crafted for dental professionals to meticulously document comprehensive endodontic assessments and interventions. Featuring sections for consultation specifics, dental history, clinical examination results, radiographic evaluations, diagnostic conclusions, treatment strategies, and procedural records, this template is essential for capturing detailed information during endodontic consultations and treatments, including root canal procedures. It ensures thorough documentation of all vital aspects of the patient's condition and treatment, promoting seamless communication and continuity of care. This template is particularly advantageous for endodontists and general dentists engaged in intricate dental procedures, encouraging them to adopt, explore, or implement this efficient documentation tool.

1,158 uses

4/5.0

Jordan Kim

Template Structure

Organized sections for comprehensive clinical documentation

Consultation Information:

Consult for: [Tooth number] (indicate the affected tooth)

Referred by: [Referring clinician's name] (include if relevant)

Quote: [$ amount] (provide estimated cost for proposed treatment) (as per transcript or contextual notes)

Today's Fee: [$ amount] (record consultation fee) (as per transcript or contextual notes)

Item No: [Item number] (include relevant procedure item number if applicable)

Rubber Dam Notes: [Details regarding rubber dam placement and isolation] (document if applied)

Next Visit (NV): [Planned next appointment details] (include date and purpose of next visit if scheduled)

Tooth & History:

[Describe the affected tooth and relevant history, including onset, duration, symptoms, previous treatment, or contributing factors]

Examination:

[Document intraoral and extraoral findings, including soft tissue observations, occlusion, mobility, tenderness, and abnormalities]

Radiographs:

[Describe findings from periapical, bitewing, or CBCT imaging, including periapical pathology, previous restorations, fractures, resorption, or missed canals]

Diagnosis, Treatment Plan, Prognosis:

[State the diagnosis based on clinical and radiographic findings] (e.g., symptomatic irreversible pulpitis, pulpal necrosis with apical periodontitis, vertical root fracture)

[Outline proposed treatment, including planned procedures such as root canal therapy, re-treatment, medication, follow-up, or alternative options]

[Assess prognosis, considering factors such as restorability, periodontal condition, and long-term success]

Other Options Discussed:

[Document discussion of alternative treatment options, such as extraction, implant placement, or other restorative approaches]

Start Treatment for: [Tooth number]

Anesthesia:

[Describe type and amount of local anesthetic administered, e.g., 1x lignocaine block, 1x articaine infiltration]

Procedure:

- [Describe rubber dam placement and isolation technique]

- [Describe access cavity preparation and findings]

- [Document identification and number of canals located]

- [Describe cleaning and shaping technique, including instruments used, e.g., 10 K file and S1]

- [Record working length (WL) determination method, e.g., established with electronic apex locator (EAL)]

- [Describe intracanal medication applied, e.g., canals dressed with Odontopaste]

- [Document temporary restoration material used, e.g., Cavit or FUJI II]

Working Lengths:

[Record working lengths for each canal]

(Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care – use only the transcript, contextual notes, or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes, or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or section blank.)

(Use as many bullet points as needed to capture all the relevant information from the transcript.)

Sample Clinical Note

Example of completed documentation using this template

Consultation Details:  
Consult for: Tooth 14  
Referred by: Dr. Emily Johnson  
Quote: $850  
Today's Fee: $150  
Item No: 013  
Rubber Dam Notes: Rubber dam applied with isolation achieved using clamp 14A  
Next Visit (NV): 8 March 2025, for completion of root canal therapy  
Tooth & History:  
The tooth in question is 14, with a history of intermittent pain over the last two months. The patient reports heightened sensitivity to hot and cold, and there is a history of a large restoration placed two years prior.  
Examination:  
Intraoral examination shows tenderness upon percussion and slight mobility of tooth 14. No extraoral abnormalities are observed.  
Radiographs:  
Periapical radiograph reveals periapical radiolucency around the root of tooth 14, suggesting possible apical periodontitis. Previous restoration is visible, with no signs of fractures or resorption.  
Diagnosis, Treatment Plan, Prognosis:  
Diagnosis: Symptomatic irreversible pulpitis with apical periodontitis.  
Treatment Plan: Begin root canal therapy, followed by a permanent restoration.  
Prognosis: Good, given the tooth's restorability and periodontal condition.  
Other Options Discussed:  
Discussed the possibility of extraction and implant placement as alternative options.  
Start Treatment for: Tooth 14  
Anesthesia:  
1x lignocaine block administered for local anesthesia.  
Procedure:  
- Rubber dam applied with clamp 14A for isolation.  
- Access cavity prepared, revealing three canals.  
- Canals located: MB, DB, and P.  
- Cleaning and shaping performed using 10 K file and S1 rotary files.  
- Working length (WL) established with electronic apex locator (EAL).  
- Canals dressed with Odontopaste as intracanal medication.  
- Temporary restoration placed using Cavit.  
Working Lengths:  
- MB canal: 21 mm  
- DB canal: 20 mm  
- P canal: 22 mm

Clinical Benefits

Key advantages of using this template in clinical practice

Enhance your dental practice with our comprehensive Consultation Details template, designed to streamline patient assessments and improve clinical documentation. This template is meticulously crafted to capture essential information such as the affected tooth, referring clinician, and financial estimates, ensuring a seamless consultation process. It includes sections for detailed tooth history, examination findings, radiographic analysis, and a well-structured diagnosis and treatment plan. Clinicians can efficiently document anesthesia details, procedural steps, and working lengths, enhancing accuracy and patient care. By adopting this template, dental professionals can ensure thorough documentation, facilitate patient communication, and optimize treatment outcomes. Explore the benefits of implementing this template to elevate your practice's efficiency and patient satisfaction.

Frequently Asked Questions

Common questions about this template and its usage

Ready to transform your practice?

Join thousands of clinicians already using S10.AI to reduce administrative burden and improve patient care.

Cookie Preferences

We use cookies to enhance your browsing experience, analyze site traffic and personalize content.