Endo+Example+Treatment+Note

__** Sample Note **__ Pt presents c/o severe pain LR of 3 days duration, spontaneous, waking at night, made worse with cold and chewing. Reviewed medical history, no changes. Gross caries #30. No apparent intraoral swelling. No apparent lymphadenopathy. 31 30 29 28 cold N E N N perc N E N N palp N N N N EPT - - - - Periodontal probing and mobility WNL DX: Irreversible pulpitis, symptomatic apical periodontitis Discussed tx options, RBA, questions answered. Consent for tx obtained TX: Topical benzocaine placed, 2carps 2%xylo with1:100K epi for IA, 1x4% septo with 1:100K epi for buccal infiltration and PDL, RDI, Access revealed 3 canals, clinical diagnosis of irreversible pulpitis confirmed. Orifice shapers used after navigating canals. WL obtained with EAL and verified with rtg. MB 20mm ML 20mm D 22mm Crown down cleaning and shaping performed with 2.5% NaOCl irrigation and .04 vortex files to MAF. MB 35.04 ML 35.04 D 40.04 Master gutta percha cones placed to length and verified with rtg. Partial Obturation rtg taken. Dried canals with paper points. Obturaton completed with gutta percha and Ribbon sealer. Tempit placed. Final rtg taken. POIG. NV- Build up and crown

__ The translation for the abbreviations are: __ Pt: patient C/o: complains of UR: upper right LR: lower right UL: upper left LL:Lower left N: normal NR: no response E: excessive WNL: within normal limits perc: percussion palp:palpation RBA:risks, benefits, alternatives Carps: carpules Xylo (lido): xylocaine (lidocaine) Septo:septocaine PDL: periodontal ligament RDI: rubber dam isolation WL: working length EAL: electric apex locator Rtg: radiograph POIG: post operative instructions given