Headings
Tooth · Diagnosis · Anesthetic · Isolation · Access and canals · Working lengths · Instrumentation and irrigation · Obturation · Restoration · Follow-up
When to use it
Use this for root canal therapy done in your office, whether in one visit or across several. It records canals, working lengths, irrigation and obturation, which you will want if the tooth is retreated years later. For a same-day pulpectomy on an emergency patient, start with the emergency note.
Example
Fictional example
Tooth
#8.
Diagnosis
Pulp necrosis with symptomatic apical periodontitis. Trauma 10 years ago. Cold negative, percussion positive.
Anesthetic
Labial infiltration, 1 carpule 2% lidocaine with 1:100,000 epinephrine, 36 mg.
Isolation
Rubber dam.
Access and canals
Lingual access. One canal.
Working lengths
22.5 mm to incisal edge. Apex locator confirmed by radiograph.
Instrumentation and irrigation
Rotary files to size 40. Sodium hypochlorite 3%, final EDTA rinse.
Obturation
Warm vertical gutta-percha with bioceramic sealer.
Restoration
Bonded composite in access.
Follow-up
Radiograph at 6 and 12 months.