Surgical Extraction with Bone Graft EG

**Subjective** Patient presents with non-restorable tooth [tooth number], planned extraction with grafting (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [Relevant past medical/dental history] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) **Assessment** [E/O findings] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [I/O findings] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [Radiographic findings – root morphology, bone volume, periapical area, sinus proximity] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) [Diagnosis] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) **Consent** Risks of surgical extraction and graft discussed including pain, swelling, bleeding, infection, sinus exposure, nerve injury, graft failure, need for further grafting, delayed healing. Patient understood and gave verbal/written consent. **Treatment** Local anaesthetic: [type, amount] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Full-thickness flap raised at site of tooth [tooth number] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Tooth sectioned and extracted surgically. Socket debrided and irrigated. Bone graft material placed: [type of graft material] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Collagen membrane (if used): [yes/no] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Flap repositioned and sutured with [suture type] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Haemostasis achieved. **Post-operative Instructions** Patient given verbal and written post-operative instructions. Analgesia/antibiotic prescribed: [details if applicable] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Next visit: [suture removal / review / implant planning] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) **Other Notes** [Include any other information, advice, or discussions with the patient from the appointment transcript] (Only include if explicitly mentioned in transcript or context, else omit section entirely.)