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.

Template

Visit: Preparation / Fit
Tooth or units
Reason
Consent and options
Radiograph

Preparation visit
Reduction
Margin
Impression or scan
Temporary
Shade
Occlusion

Fit visit
Try-in
Contacts and occlusion
Cement
Advice

A filled-in example

            Visit: Preparation
Tooth or units
UR6 full coverage crown

Reason
Fractured cusp. Large existing amalgam. Cusp coverage discussed at the exam.

Consent and options
1. Leave and monitor, risk of further fracture. 2. Cuspal coverage onlay. 3. Full crown. Patient chose a crown.
Warnings: Pulpitis, need for root canal, fracture of the temporary, cost of remake if the bite is not checked.

Radiograph
Bitewing last month. No periapical change.

Preparation visit
Reduction: Occlusal and axial reduction completed.
Margin: Equigingival chamfer.
Impression or scan: Intraoral scan.
Temporary: Bis-acryl, temporary cement.
Shade: A3, agreed with the patient in daylight.
Occlusion: Temporary checked.

Fit visit
Not this visit.
          

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