Dental notes templates
Copy a structure, then let a dental scribe fill it from the appointment.
- Dental clinical notes template
A clinical note is the record of one visit. This template is the order I use so nothing that matters is left in my head.
- Dental hygienist notes template
Hygiene notes are mostly numbers and advice. This keeps the scores next to what you actually said.
- Orthodontic notes template
An orthodontic visit note is short. The useful part is what changed on the appliance, and what the patient has to do before the next visit.
- Root canal notes template
Root canal notes fail when the lengths and the irrigant are missing. Put those on their own lines.
- Dental examination template
An exam note is a checklist you fill, not a story. If a line is normal, write that it was checked.
- Dental record keeping audit template
Pick ten notes from the last month. Score each line yes or no. The point is to find the line you keep skipping, not to get a perfect score.
- BPE and periodontal assessment note template
Record the BPE you actually scored, then the diagnosis and the discussion. Do not fill a sextant you did not probe.
- Tooth extraction and consent note template
Write the consent conversation and what you did. The warnings only count if they are the ones you gave this patient.
- Composite restoration note template
A filling note says which tooth, why, and that you checked the bite. Shade and isolation are part of the record when you did them.
- Crown and bridge note template
Use one note for the preparation visit and a second for the fit. Do not write the fit into the preparation record.
- Emergency dental pain note template
An urgent slot still needs a history. SOCRATES keeps the pain history in an order you can read back later.
- Dental implant consultation note template
A consultation note records the assessment and the options. It is not the surgical record, and it should not promise a result you cannot guarantee.
- Paediatric dental examination template
Say who came with the child, what you examined, and what you agreed with the adult who has parental responsibility.
- Dental referral letter template
A referral says why you are sending the patient and what you have already done. Generate the letter from the note in Dentascribe when you want it filled from the visit. See the letters feature at https://dentascribe.uk/features/letters.