Dentist's note adjusted to perio and fillings

Chief Complaint: - [Chief complaint and duration of symptoms] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a brief statement.) History of Presenting Complaint: - [Detailed description of all presenting complaints including onset, progression, aggravating and alleviating factors, associated symptoms, duration, intensity, nature and frequency of symptoms] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) - [Cosmetic concerns described by the patient] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write in paragraph format.) Past Dental History: - [Previous dental treatments, surgeries, significant dental diseases or injuries including dates and outcomes of treatments where available] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) Past Medical History: - [Known medical conditions, previous surgeries, hospitalisations, ongoing treatments, allergies and current medications] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) Personal History: - [Patient's oral hygiene practices] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write in paragraph format.) - [Relevant habits including clenching, grinding, biting, tobacco chewing, smoking and alcohol intake] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) Family History: - [Relevant genetic or familial conditions particularly those related to dental or systemic health] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write in paragraph format.) Extra Oral Examination: - [Extra oral examination findings including lymph node examination, facial symmetry, TMJ examination and lip assessment] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) - [Any additional extra oral examination findings] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) Intra Oral Examination: - [Soft tissue examination findings including buccal mucosa, tongue, palate, floor of mouth and vestibule] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) - [Gingival examination findings including colour, contour, size, consistency, surface texture, position, bleeding and bleeding sites, exudation, amount of attached gingiva, gingival tension test results] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) - [Hard tissue examination findings including number of teeth present, missing teeth, dental caries, restored teeth, periapical problems, pathologic migration, overhanging restorations, impacted teeth, supernumerary teeth, wasting disease including attrition, abrasion, erosion or abfraction, mobility grading, shade analysis, and stains or deposits] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) - [Oral hygiene status including OHI index rating as good, fair or poor] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a brief statement.) - [Occlusion analysis findings including type of occlusion, Angles classification, overbite, overjet, crossbite, open contacts, crowding, facets, supra contacts, trauma from occlusion, and Fremitus test results] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) - [Any additional intra oral examination findings] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) Periodontal: - [Periodontal findings including PSR score, gum levels and bone levels] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) Radiographic Findings: - [Findings from dental radiographs including pathologies such as caries, cysts or tumours, tooth positions, bone levels and comparisons with previous radiographs where applicable] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) Laboratory Investigations: - [Laboratory investigations and results including blood counts, haemoglobin, platelet count, bleeding time, clotting time, ESR and blood sugar] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) - [Biopsy findings] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write in paragraph format.) Diagnoses: - [All diagnoses listed individually] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a numbered list.) Prognosis: - [Overall prognosis for the patient] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write in paragraph format.) - [Individual prognosis for teeth at risk] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list.) Treatment: - [Treatment completed today] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a bulleted list. If a composite filling was performed, print: "Lignocaine 2.2 ml with adrenaline 1:80,000 administered. Caries removed. SE primer and SE bond applied. Flowable lining placed. Shade [shade] Esterlight Composite placed using matrix and wedges in increments of 3mm with light cure." Only include shade if explicitly mentioned, else omit shade detail.) - [Treatment plan and recommendations listed individually] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a numbered list.) - [Preventative plans and oral hygiene recommendations listed individually] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a numbered list.) - [Review date and follow-up plans] (Only include if explicitly mentioned in transcript, contextual notes or clinical notes, else omit section entirely. Write as a brief statement.)