Reason for visit:
[reason for patient's visit] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single sentence.)
Medical history:
[patient’s past medical history including conditions, current medications, and smoking status] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Social history:
[patient occupation, retirement status, family details, and who accompanied the patient to this appointment] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Dental history:
[history of past dental treatments, past dental providers or specialists seen, patient experiences during previous treatments, and prior discussions with other dentists] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Smile analysis:
[assessment of smile line, gingival display, midline deviation/discrepancy, and occlusal plane orientation] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Temporomandibular joint (TMJ) assessment:
[findings on range of jaw movement, symptoms on palpation, disc displacement, and jaw opening limitations] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Occlusal assessment:
[details of patient’s bite, guidance patterns, interarch space, occlusal vertical dimension, and posterior support] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Dental parafunction assessment:
[observations of clenching, grinding, or other parafunctional habits, and associated risk of overloading] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single bullet point.)
Periodontal and soft tissue assessment:
[gum health including gingivitis, periodontitis, peri-implantitis, probing depths, bleeding, recession, and mobility] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Dental status:
[tooth-by-tooth documentation of existing treatments, current issues, and prognosis] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a list.)
Clinical discussion topics:
[summary of discussion on the following clinical issues if mentioned: TMD, occlusion philosophy, smoking, vaping, recreational drug use, worn dentition, periodontitis, parafunction, MRONJ, GORD/dental erosion, xerostomia, oral hygiene, sleep apnoea, age-related concerns, insufficient interdental space, caries, cosmetic preferences] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Treatment discussion – worn dentition:
[details regarding planned or proposed treatment approaches for worn dentition] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Treatment discussion – full arch or full mouth:
[discussion regarding treatment from a comprehensive restorative or rehabilitative perspective] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Treatment discussion – restorative needs:
[details of teeth that need to be crowned or restored, including tooth number, material, and sequence of treatment] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Treatment discussion – extractions and replacements:
[teeth that need to be extracted and replaced, and options discussed] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Treatment discussion – previously extracted teeth to be replaced:
[options discussed for replacing teeth already extracted] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Referral to other specialists:
[specialists referred to and the reason for referral] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
Defence patient considerations:
[details if the patient is under defence healthcare and treatment requires further approval] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single bullet point.)
Summary and treatment plan:
[summary of the overall treatment plan, who is responsible for each component, and what needs to be done first] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as bullet points.)
(Never come up with your own patient details, assessment, plan, interventions, evaluation, or support needs – use only the transcript, contextual notes or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output. Use as many bullet points as needed to capture all the relevant information from the transcript.)