Navigation
  • Home
  • 1Preparation
  • 3Preoperative TIME-OUT
  • 6Postoperative TIME-OUT
  • 7Continuity of care
  • Preferences
Theme
Language
  1. Home

2b) Comprehensive Dental Examination

Consent
A) Chief Concern

If present

B) Data Collection
Existing Dental Appliances
Dentures/appliances (top)
Dentures/appliances (bottom)
C) Extra-oral Exam

Head/Neck

TMJ Health

D) Intra-oral Exam

Oral Cavity

Occlusal Exam
Crowding
Dental Exam
E) Oral Habits
Smoking or tobacco use type
Smoking or tobacco use route
Coffee consumption
Wine consumption
Acidic food or drink consumption
Use of facial (tongue or lip) jewelry
F) Dental Care
G) General Risk Assessment
I) Prognosis
H) Risks, Benefits, Alternatives
J) Consent for treatment
Free and informed consent of the patient or legal guardian
Clipboard preview

Review the generated text before copying.

2b) Comprehensive Dental Examination Consent Verbal Consent received to proceed with data acquisition and performing the comprehensive exam A) Chief Concern Chief Concern: N/A B) Data Collection Dentures/appliances (top): N/A Dentures/appliances (bottom): N/A C) Extra-oral Exam Head/Neck Maxillary sinus: WNL Submandibular lymph nodes: WNL Cervical lymph nodes: WNL Thyroid: WNL Skin: WNL TMJ Health Click/Pop (on opening or closing): WNL Pain: WNL Deviation: WNL Clenching/Grinding: WNL D) Intra-oral Exam Floor of mouth: WNL Sides of the tongue: WNL Papillae of tongue: WNL Buccal Mucosa: WNL Oropharynx: WNL Hard Palate: WNL Soft Palate: WNL Tori: N/A Lips: WNL Occlusal Exam Dental Exam E) Oral Habits Smoking or tobacco use type: None Smoking or tobacco use route: None Coffee consumption: None Wine consumption: None Acidic food or drink consumption: None Use of facial (tongue or lip) jewelry: None F) Dental Care G) General Risk Assessment Oral Cancer Screen: WNL Stage (Severity): N/A Grade (Progression): N/A I) Prognosis H) Risks, Benefits, Alternatives The following risks, benefits, and alternatives were discussed: The risks of not doing anything were also discussed J) Consent for treatment Foreseeable fees: Agreed Free and informed consent of the patient or legal guardian: Verbal
Previous sectionPreparation
Current sectionDiagnostics
Next sectionPreoperative TIME-OUT
Templates in this section
Oral Exams
Specific Dental ExaminationComprehensive Dental ExaminationCurrent sectionCaries Risk AssessmentCaries Treatement planningCaries and Other Clinical Findings Report
FPD
New FPD
RPD
Existing RPD
Endo
Pulp Vitality TestingEndo Case Difficulty Assessment
Radiology
General Radiology ReportClinical and Radiological Teeth Exam
Version 4.13.0File iconPaper VersionWindow iconOriginal inspirationFile iconInstructionsGlobe iconGo to developper site →