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.
Template
Tooth and surfaces Reason Anaesthetic Caries / existing restoration Isolation Liner Shade Etch, bond, composite Occlusion Contact Advice Next visit
A filled-in example
Tooth and surfaces
UL4 DO
Reason
Secondary caries under a leaking composite. Cold sensitivity for two weeks.
Anaesthetic
Buccal infiltration, articaine.
Caries / existing restoration
Old composite removed. Caries stained dentine removed. Pulp not exposed.
Isolation
Cotton rolls and suction. Rubber dam declined.
Liner
None.
Shade
A2 body, A2 enamel.
Etch, bond, composite
Selective enamel etch. Bond. Incremental composite. Light cured each layer.
Occlusion
Checked in ICP and excursion. High spot removed on the palatal incline.
Contact
Floss passes with resistance.
Advice
Sensitivity possible for a few days. Return if the bite still feels high.
Next visit
Exam recall as planned.
Let Dentascribe fill this in from your appointment audio.
