Es
New Patient Exam:

pt c/o nil,
DH reg attender, prev rx under la no probs, ldv, ld rads,
MH (see notes),
SH smoker (cigarettes/day yrs) risks explained &smoking cessation advice offered &accepted/declined. Alcohol- units/wk exam e/o TMJ, Swelling, Symmetry, Lymphadenopathy nad, i/o STE nad, BPE - , visibly good OH, teeth charted
Occlusion/Dentures/Special Tests
R&L bws taken to assess interprox caries – excellent quality rad, 0 caries/path present
High/Mod/Low caries risk, further bws needed in 6/12/1yr/2yrs
Diagnosis:
Treatment Plan: - OHI, TBI, floss instruction, diet analysis, F advice, ref HYG - Fills/xla/rct/dentures
Today: S&P (ultrasonic) & rinse with Corsydol
Recall 6/12 pt happy.

Check-up:

pt c/o nil,
MH (updated),
SH smoker (cigarettes/day yrs) smoking cessation advice offered &accepted/declined.
Alcohol- units/wk exam e/o TMJ, Swelling, Symmetry, Lymphadenopathy nad, i/o STE nad, BPE - , visibly good OH, teeth charted
R&L bws taken to assess interprox caries – excellent quality rad, 0caries/path present
S&P (ultrasonic) & rinse with Corsydol
Recall 6/12 pt happy.

Filling:

Pt c/o nil
1 cartridge (2.2ml lignospan) 2% lidocaine hydrochloride 1:80k adrenaline R/L ID block/ b&p infiltrations
Caries removed, restored with caoh base & amalgam filling wedged with matrix band.
Occlusion checked with articulating paper.
Caries removed, restored with acid etch, bond & comp shade A3. Smoothed comp polishing burs/flex discs.
Pt happy.

Infected Socket: pt c/o pain from socket after xla, on mouth opening, radiates along jaw & up to ear. exam – e/o & i/o swelling, trismus, halitosis, infected socket – no blood clot, exposed bone. pt is a smoker. Advised no smoking until infection subsides.
Advised hot salty mouthrinses &
Prescribed metronidazole 200mg 3 days. prescription no. - no alcohol.
Rinsed with Corsydol & placed Alvogyl in socket.
Pt happy.

RCT:

UL6 –
Pt c/o pain quad, sensitive to hot/cold, pain on biting, HPC 2 wks ago, increasing in severity, dull ache & sharp shooting pains, well localised, radiates along jaw, no swelling, no discharging of pus or bad taste in mouth.
Special tests ttp+, ethyl chloride+ Diagnosis irreversible pulpitis/non-vital/abscessed/acute periapical periodontitis.
Treatment plan xla vs rct. Pt opts for rct.
Preop rad – excellent quality rad, periapical radiolucency/deep caries
1 cartridge (2.2ml lignospan) 2% lidocaine hydrochloride 1:80k adrenaline R/L ID block/ b&p infiltrations, rubber dam placed, temp removed/ 3 canals accessed, w/l pa taken- excellent quality rad, w/l - db mm @ size 30 from top of crown mb mm @ size 30 from top of crown p mm @ size 30 from top of crown
Step back to size 60. Profuse bleeding/pus from canals. Irrigated with sodium hypochlorite. m/p pa taken – excellent quality rad, accepted/unacceptable
Obturation with GP & sealapex, heat sealed & sealed with GIC.
Obturation rad – excellent quality rad, acceptable/unacceptable
Temporised with leadermix/CaOH, cotton pledget, coltosol.
Restored with amalgam filling wedged with matrix band.
Occlusion checked with articulating paper.
Pt happy

XLA:

Pt c/o pain quad, sensitive to hot/cold, pain