Headings
Tooth and surfaces · Diagnosis · Anesthetic · Isolation · Preparation · Material and shade · Occlusion check · Post-operative instructions
When to use it
Use this for a direct filling, such as a composite or amalgam, done in one appointment. It walks through anesthetic, isolation, preparation and material in order, which is what a reviewer or insurer looks for. For indirect work that needs a lab, use the crown preparation note instead.
Example
Fictional example
Tooth and surfaces
#14 MO.
Diagnosis
Primary caries into dentin. Tooth vital and asymptomatic.
Anesthetic
Buccal infiltration, 1 carpule 4% articaine with 1:100,000 epinephrine, 68 mg.
Isolation
Rubber dam, #13 to #15.
Preparation
Caries removed with slow speed round bur. Firm dentin at floor. No pulp exposure. Sectional matrix and wedge placed.
Material and shade
Selective enamel etch, universal bonding agent, nanohybrid composite in increments. Shade A2.
Occlusion check
High spot on marginal ridge adjusted. Floss passes contact with a snap.
Post-operative instructions
Numb for about 2 hours, avoid chewing on the left. Mild cold sensitivity for a few days is normal.