RESTORATIVE

EXAMPLE OF APPROPRIATE CHART NOTES:

7/6/96 Ped. Dent.

(Diagnosis) Dx: Caries with pulp exposures
(Treatment) Tx: OH improved since the last visit
#K-pulpotomy, formecresol with ZOE base.
#L-pulpotomy, formecresol with ZOE base.
#M-facial composite resin, vitrabond base.
36mg (1.8 ml) 2% Lidocaine 1:100,000 Epinephrine, Left inferior alveolar block. Post-op instructions re: anesthesia given parent.
PICPF
(Behavior) Bx: Patient tolerated procedure well Generally cooperative but resisted and grabbed instruments (B-3) except for injection, (B-2) crying and needed hand restraint by assistant and rubber mouth prop.
(Recommendations) Rx: NV #S-SSC; #T-SSC; Use N2O2 for injection

 





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