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.

General dentist completing single-visit endodontic treatment. Procedure type set to RCT. Names, dates, and identifying details are fictional; the encounter is a composite written for illustration.

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's not responding and you had the lingering cold sensitivity before, so irreversible pulpitis is the diagnosis. 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. Topical, then two carpules of lidocaine with epi buccal and a half on the palate. Let's test it, cold on fourteen. Nothing. Good. Dam on.

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

Dentist: Working lengths with the apex locator, confirm with a radiograph. MB nineteen and a half, DB twenty, palatal twenty-one and a half. Reference cusp tips.

Dentist: Rotary files to thirty-five oh four in all three. Irrigating with sodium hypochlorite throughout, EDTA at the end, dry with paper points.

Dentist: Obturating with gutta percha and bioceramic sealer, warm vertical. Final film looks good, fills to length, no extrusion.

Dentist: Cotton and Cavit for now. You need a crown on this tooth, we talked about that, let's book it. Ibuprofen tonight, expect some soreness biting for a few days.

What CareNotes wrote

The generated note in the CareNotes note viewer, before the clinician's edits and signature. It is interactive.

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.
Tx:
Topical. 2 carpules 2% lido 1:100K epi buccal infiltration, 0.5 carpule palatal. Rubber dam. Occlusal access through existing composite. 3 canals located: MB, DB, P. MB2 searched, not located, single MB orifice. WL by apex locator, confirmed radiographically, reference cusp tips: MB 19.5 mm, DB 20 mm, P 21.5 mm. Rotary to 35/.04 all canals. NaOCl irrigation throughout, final 17% EDTA, dried with paper points. Obturated GP + bioceramic sealer, warm vertical. Post-op PA: fills to WL, no extrusion. Cotton pellet + Cavit in access. Ibuprofen PRN, biting tenderness expected several days. Full coverage crown recommended, pt agrees. Root canal therapy completed on tooth #14 under Lidocaine 2% 2x 1:100K epi Buccal infiltration, Palatal infiltration. Canals cleaned, shaped, and obturated.
NV:
Core build-up and crown prep #14.
Dr. Rivera

How the pills work

Procedure type was set to RCT before recording, so the Tx section ends with the built-in RCT sentence. Each bracketed value is a pill: the value heard in the recording fills it, and tapping it opens the full option list (tooth number, anesthetic, technique, materials). A pill with a star is this doctor's saved default; starring a choice in the picker makes it the starting value next time the same procedure is selected. An empty dashed pill, like Rx here, is a blank the doctor can fill or leave. The words around the pills are editable prose.

How it lands in the chart

On the free tier the clinician copies this note from the app or carenotes.ai/notes and pastes it into the patient's chart in any practice management system. On Premium the same note is uploaded into the chart in Open Dental, Dentrix Ascend, Eaglesoft, or Curve after the clinician taps Ready to Upload. Headings, order, and wording follow the office's own template; the Progress Note template above is the default.

What to look for

Tooth numbers and surfaces are carried from speech into the note. Anesthetic, carpule count, and technique are written out. Materials and shades are named. The medical history review, consent line, post-operative instructions, and next visit are present even when they were said in passing. Personal details the patient mentioned go to Side Note so the doctor remembers them next time. Anything not said is not invented; if a dose or a step is missing from the recording, the clinician adds it on review.

Record one visit and compare

Core notes are free with no cap. Use your own template or start with the default.