Endo Template

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Endo template *complete the following as thoroughly as possible before seeing the patient and add information as needed Student name: Date: Pre-procedural information Patient details (initials, age, relevant MH): Case details (RFP, HPC, PDE): Clinical findings: Radiographs: Diagnosis (general and specific to tooth in question): Treatment plan (inc other treatment options): Steps of procedure Anaesthesia: Isolation: Interim restoration: Access: Canal navigation (inc no pf canals): Irrigation: Instrumentation steps (inc final apical size): Medication (inter apt): Temporisation: Obturation: Restoration: Post-procedural plan Restoration (what will be done and by whom):

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Template for endo reports

Transcript of Endo Template

Endo template *complete the following as thoroughly as possible before seeing the patient and add information as needed

Student name:Date:

Pre-procedural information Patient details (initials, age, relevant MH):Case details (RFP, HPC, PDE):Clinical findings:Radiographs:Diagnosis (general and specific to tooth in question):Treatment plan (inc other treatment options):

Steps of procedure Anaesthesia:Isolation:Interim restoration:Access: Canal navigation (inc no pf canals):Irrigation:Instrumentation steps (inc final apical size):Medication (inter apt):Temporisation:Obturation:Restoration:

Post-procedural planRestoration (what will be done and by whom):