Periodontist-Vorlage
Implant Check
Eine professionelle Periodontist-Vorlage für medizinisches Fachpersonal.
Über diese Vorlage
This Implant Check template is designed for periodontists to document routine evaluations of dental implants. It includes sections for subjective symptoms, past medical history, objective findings, assessment, and treatment plans. The template also captures specific implant details such as manufacturer, placement date, and size, ensuring comprehensive documentation. Ideal for periodontists, this template streamlines the implant check process, enhancing patient care and record-keeping. Use this template with Heidi, the AI medical scribe, to efficiently manage implant evaluations and maintain detailed patient records.
Vorlagenvorschau
Subjective:
- The patient visited for a routine implant check, reporting mild discomfort around the implant site.
- The discomfort has been present for the past two weeks, localized to the lower right jaw, described as a dull ache.
- The patient noted that the discomfort worsens with chewing hard foods and is alleviated by using over-the-counter pain relief.
- The symptoms have remained consistent over the past two weeks without significant change.
- The patient has not experienced similar symptoms in the past.
- The discomfort has slightly impacted the patient's ability to eat certain foods but has not affected daily activities significantly.
- No other associated symptoms were reported.
Past Medical History:
- The patient has a history of periodontal disease, which was treated with scaling and root planing.
- No relevant social or family history was reported.
- The patient is up-to-date with all immunizations.
Objective:
- Vitals signs: Blood pressure 120/80 mmHg, Heart rate 72 bpm.
- Oral examination revealed slight redness around the implant site but no signs of infection.
- Recent X-ray showed proper placement of the implant with no signs of bone loss.
Assessment:
- Likely diagnosis: Mild peri-implant mucositis.
Plan:
- Investigations planned: None at this time.
- Treatment planned: Recommend using a chlorhexidine mouthwash twice daily.
- Relevant other actions: Schedule a follow-up appointment in four weeks to reassess the implant site.
IMPLANT INFORMATION:
Nobel Biocare
Date Placed: 2023-06-15
LOCATION AND IMPLANT SIZE(S):
Tooth #30, 4.3mm x 10mm
HEALING ABUTMENT:
Tooth #30, 5mm
Parts:
Healing abutment, cover screw, impression coping
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