Adult Dental Recall

A professional Dentist template for healthcare professionals.

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Specialty

Dentist

Used

17 times

Type

Note

Last edited

15/07/2025

Created by

Hannah Molloy

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About this template

Looking for a quick and efficient way to document your dental recall appointments? This Adult Dental Recall template is designed specifically for dentists. It covers all essential aspects of a routine check-up, from patient history and oral hygiene to detailed examination findings, risk assessments, and treatment plans. This template helps dentists to create comprehensive and accurate clinical notes. With Heidi, this template can be quickly populated from your visit transcript, saving you time and ensuring all critical information is captured. Get organised and streamline your dental documentation with this easy-to-use template.

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Adult recall examination Seen by: Dr. A. Smith Assisted by: Nurse Jones Payment method: Cash M/H: Nil S/H: - Smoking: Non-smoker - Alcohol: Socially D/H: - Last radiographs: 12/06/2024 - Toothbrush: Electric toothbrush - Toothpaste: Fluoride toothpaste - Interdental: Floss - Anxiety: Mild - Attendance: Regular C/O: None Examination (VCG given): E/O: Temporalis, TMJ, MoM, glands, nodes checked. No abnormalities detected. Findings: Within normal limits I/O Soft: Lips, buccal mucosa, gingiva, tongue, palate, FoM, tonsillar tissue checked. No abnormalities detected. Findings: Within normal limits I/O Hard: - Oral hygiene: Good - Occlusion: Class I - Stable ICP: Yes - Lateral excursions: Group function - Wear (where/type): Mild wear on occlusal surfaces - Removable appliance: Nil Perio: - Estimated BOP: 10% - Furcation: Nil - Recession: 1mm on lower incisors ORAL CANCER SCREEN: Within normal limits Investigations: Radiograph report Justification: assess caries, bone levels Type/grade: BWs L+R grade A Present: No caries detected Caries: Nil Restorations: Nil Endo: Nil Bone levels: Within normal limits Other: Nil RISK: CARIES – Low TSL – Low PERIO – Low SOFT TISSUE LESION – Low Diagnoses: Healthy dentition Discussion/Prevention advice/treatment options: Treatment options explained, including how the treatment will be carried out, the risks and benefits of each option. Agreed upon Tx plan below VCG: Treatment plan (VCG): - Leave and monitor with prevention - Band 1: Prevention advice - OHI, Diet advice Prevention advice given today. PREVENTION ADVICE PROMPTS (DBOH): OHI (guided by DBOH) - Brush 2x a day, once at bedtime and one other time - Use a pea sized amount (>3yrs) - Use a fluoride toothpaste with at least: 1350-1500 ppm (>6) - Spit, don’t rinse - Highlighted target areas for patient - Sugar free medications Diet - Minimise sugar intakes - Avoid NME sugars - Do not eat anything after brushing on an evening - Had brief discussion of typical diet in a day and where to minimise sugar - Advised to avoid acidic food and drink to minimise wear - Do not eat 1 hour before brushing at bedtime Tx completed today: Nil NV: Recall in 6 months