Emergency Extirpation of Tooth EG

**Chief Complaint** [mention patient's presenting complaint, including duration and severity of pain/swelling] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) **History of Presenting Complaint** [describe onset, character of pain, aggravating/relieving factors, and history of previous dental treatment on the tooth] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) **Pre-Procedure Discussion / Consent** Risks discussed with patient including: pain, swelling, infection, difficulty locating canals, flare-ups, potential need for further treatment, risk of fracture, or eventual extraction. Patient informed extirpation is an emergency palliative treatment, not definitive care. Full root canal treatment or extraction will be required. Patient provided opportunity to ask questions. Verbal consent obtained. **Examination & Investigations** E/O: [mention facial swelling, lymph nodes, trismus if present] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) I/O: [mention caries, restorations, sinus tract, swelling, percussion tenderness] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Vitality tests: [cold test / EPT if performed] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Radiographic findings: [periapical radiograph findings – e.g., PARL, widened PDL, caries, existing restoration] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Diagnosis: [e.g., symptomatic irreversible pulpitis / acute apical periodontitis] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) **Procedure** Anaesthesia: [type, amount, with/without adrenaline] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Rubber dam isolation achieved. Access cavity prepared on tooth # [tooth number] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Canals located: [mention canals found, e.g., MB, DB, Palatal / MB1, MB2 / etc.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Canals instrumented to working length using hand files. Canals irrigated with sodium hypochlorite and saline. Extirpation completed. Dressing placed: Ledermix applied into canals. Temporary seal: Cavit placed over access and covered with Fuji Pink for reinforcement. Haemostasis and occlusion checked. **Post-Operative Instructions** Explained possible post-operative pain, flare-ups, and swelling. Analgesia advice: [document recommendation if given] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Antibiotics: [mention antibiotics prescribed] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Patient instructed to return if symptoms worsen. **Outcome / Follow-Up** Patient reported [pain relief / reduction of pressure] at completion of procedure. (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Next visit planned: [definitive RCT / extraction / review appointment] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) **Other Notes** [Other notes] (Only include if explicitly mentioned in transcript or context, else omit section entirely.)