Endodontics

Sample note:
Root canal treatment

Endodontic treatment on #14, three canals, working lengths, obturation. Transcript on the left, the note as it appears in CareNotes on the right.

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General dentist, single-visit endodontic treatment. RCT was selected before recording. Names, dates, and identifying details are fictional.

What was said

Excerpt. Speech-to-text ran on the phone; this text is all that left the device.

Dentist: We're doing the root canal on the upper left first molar, number fourteen. The test last week showed that nerve isn't responding, and you had lingering cold sensitivity before, so this is irreversible pulpitis. Any change in your medical history? Any antibiotics?

Patient: Nope, same as before. Just trying to get this done before I start the new job Monday.

Dentist: We'll have you out of here. Cold on fourteen. Nothing. Good, you're numb. Dam on.

Dentist: Access through the existing composite. Found MB, DB, and palatal. Looking for a second MB. Not finding one, the orifice looks single.

Dentist: Working lengths off the cusp tips: MB nineteen and a half, DB twenty, palatal twenty-one and a half. Rotary to thirty-five oh-four in all three. Irrigating as we go, then drying.

Dentist: Fill looks good, to length, nothing past the end. Cotton and a temporary filling for now. This tooth needs a crown, we talked about that, let's book it. Expect some soreness on biting for a few days.

What CareNotes wrote

The note before the clinician's edits, as it looks on the phone. Scroll the screen; tap a capsule to change it.

Marcus L.

Side Note:
Starting a new job on Monday.
Pt CC:
RCT #14, symptomatic irreversible pulpitis
RMH:
NSC. No premedication required.
All risks, complications, alternatives, and benefits discussed, all questions answered.
Exam:
#14 non-responsive to pulp testing at prior visit, hx lingering cold sensitivity. Dx: symptomatic irreversible pulpitis, symptomatic apical periodontitis. Anesthesia confirmed with cold test before access. Canals: MB, DB, P. MB2 not located. WL from cusp tips: MB 19.5 mm, DB 20 mm, P 21.5 mm. Rotary to 35/.04. NaOCl throughout, final EDTA, GP with bioceramic sealer, warm vertical. Post-op film: fills to WL, no extrusion.
Tx:
Root canal therapy completed on tooth #[14] under [Lidocaine 2% 1x 1:100K epi] [Local infiltration]. Canals cleaned, shaped, and obturated. [] Cotton pellet and Cavit. Full coverage crown recommended; patient agrees. Biting tenderness expected for several days.
NV:
Core build-up and crown prep #14.

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