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Dentist Template

Dentist Exam

A professional Dentist template for healthcare professionals.
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Specialty

Dentist

Used

15 times

Type

Note

Last edited

7/10/2025

Created by

Rajbir Kaur

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About this template

Need a quick and comprehensive way to document your dental exams? This Dentist Exam template is designed for dentists to efficiently record patient information. It covers all key areas, from extra-oral findings and TMJ assessments to caries risk and treatment plans. This template helps dentists create detailed and accurate clinical notes, ensuring all aspects of the patient's oral health are thoroughly documented. With Heidi, this template can be quickly populated from your patient's visit transcript, saving you time and improving the quality of your dental documentation. Start using this template today to streamline your workflow and enhance patient care.

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**Any problems/complaints -** * Patient reports sensitivity to cold in upper right molars. **Extra-oral -** * No swelling or asymmetry observed. * Lymph nodes are non-palpable. **TMJ -** * No clicking or popping sounds. * No tenderness to palpation. **Habits -** * Patient reports smoking 5 cigarettes per day. * Patient reports occasional bruxism. **ST -** * No lesions or ulcers observed. * Oral cancer screening performed, no abnormalities detected. **Oral cancer risk -** * Smoker. **Caries/Fractures -** * Caries noted on upper right molars. * No fractures observed. **Tooth Wear -** * Mild wear observed on occlusal surfaces of posterior teeth. **Teeth under watch -** * Upper right molars due to sensitivity. **Any Other issues -** * Patient expresses concern about teeth whitening. **Occlusion -** * Class I molar relationship bilaterally. * Normal overjet and overbite. **BEWE:** BEWE: 1/1 **BPE:** BPE: 0/0 **OH and OHI -** * Patient demonstrates good oral hygiene. * Patient advised to continue current oral hygiene routine. **Perio Diagnosis -** * Healthy periodontium. **Perio Risk -** * Low risk. **Treatmnet:** * Discussed options for caries treatment (fillings). * Discussed teeth whitening options. **Caries risk -** * Moderate risk. **Wear risk -** * Low risk. **Safeguarding risk -** * No safeguarding risks identified. **x-rays checked** * Bitewing radiographs taken and reviewed. Caries detected on upper right molars. **Recommended Recall -** Recommended Recall- 6 months

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