Dentist Template

AESTHETICS consultation

A professional Dentist template for healthcare professionals.

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Specialty

Dentist

Used

43 times

Type

Note

Last edited

04/09/2025

Created by

Peter Henderson

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About this template

Looking for a comprehensive dental consultation note? This template is designed for dentists and dental professionals to accurately document patient consultations. It covers all essential aspects, from chief complaints and past dental history to detailed intraoral and extraoral examinations, radiographic findings, and diagnoses. This template ensures thoroughness and accuracy in your patient records, making it an invaluable tool for any dental practice. When used with Heidi, the AI scribe, this template can be quickly and easily populated from your patient's visit transcript, saving you time and improving the quality of your documentation.

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Note provision of consent given for use of AI scribe to assist with speed, convenience and completeness of dental notes. Chief Complaint: - "I'm unhappy with the appearance of my front teeth. They're a bit crooked and stained, and I'd like to explore options to improve my smile." Past Dental History: - Patient reports having had fillings in the past, but no major dental surgeries or significant dental diseases. Extra Oral Examination: - Facial symmetry appears normal. - TMJ examination: 3-finger mouth opening test is within normal limits. Intra Oral Examination: - Soft tissue examination: Buccal mucosa, tongue, palate, and floor of the mouth appear healthy. - Gingival examination: Gingiva appears pink, firm, and without signs of inflammation or bleeding. - Hard tissue examination: Several teeth exhibit mild staining. There is slight crowding of the lower incisors. No caries or cracks are noted. Existing fillings are in good condition. - Oral hygiene status: Fair, based on OHI index. - Occlusion analysis: Class I occlusion. Mild overbite and overjet present. No crowding or facets noted. Radiographic Findings: - Bitewing radiographs show no interproximal caries. Periapical radiographs show no periapical pathology. Diagnoses: - Mild dental staining. - Mild crowding of lower incisors.