Root Canal Treatment (RCT) procedure notes

Patient Information: John Doe, 45, Male, (555) 123-4567 Medical History: Reviewed and no changes noted. Consent: Written consent obtained. Benefits of Root Canal Treatment: Discussed benefits including removal of infection and saving the tooth. Discussed Relevant Risks: Discussed risks such as tooth fracture, post-op pain, swelling, infection, and damage to adjacent structures. Pre-Operative Assessment: Chief Complaint: Severe tooth pain and sensitivity. Clinical Examination: Noted swelling and tenderness in the affected area. Radiographic Examination: Radiographs revealed periapical radiolucency and complex root anatomy. Root Canal Procedure: - Local anaesthetic used: Lidocaine 2% with epinephrine 1:100,000, 2 carpules. - Rubber dam isolation was used. - Access cavity was prepared. - Canals were identified and negotiated. - Working length determined using radiographs and apex locator. - Canals were cleaned and shaped using hand files and rotary instruments. - Irrigants used: Sodium hypochlorite and EDTA. Obturation: - Canals were dried and obturated using lateral condensation technique. - Temporary restoration was placed. Post-Operative Instructions: Post-Op Advice: Advised on managing post-op pain and swelling, and provided instructions for the next few days. Post-Op Analgesics: Advised to take ibuprofen 400 mg as needed for pain. Patient Questions: Patient was given an opportunity to ask questions and expressed satisfaction with the information provided. Next Visit: Follow-up visit scheduled in two weeks for permanent restoration placement.