Clinical note quick-picks: Anesthetic-Crown

Anesthetic Area

The area for the anesthetic

Select one:

• palate

• facial

• buccal

• lingual

Anesthetic for Tooth

The tooth that the anesthetic was injected adjacent to

Select one:

Anesthetic, Local

The local anesthetic that was injected

Select one:

• Articaine, 4% with Epinephrine 1:100,000

• Articaine, 4% with Epinephrine 1:200,000

• Bupivacaine, 0.5% with Epinephrine 1:200,000

• Carbocaine, 3% plain

• Citanest Forte, 4% with Epinephrine 1:200,000

• Citanest Plain, 4% without Vasoconstrictior

• Duranest, 1.5% with Epinephrine 1:200,000

• Lidocaine, 2% with Epinephrine 1:100,000

• Lidocaine HCL, 2% with Epinephrine 1:100,000

• Lidocaine HCL, 2% with Epinephrine 1:50,000

• Mepivacaine, 2% with Levonordefrin 1:20,000

• Mepivacaine, 3% plain

• Prilocaine, 4% plain

• Prilocaine, 4% with Epinephrine 1:200,000

• Septocaine, 4% with Epinephrine 1:100,000

• Xylocaine, 2% with Epinephrine 1:50,000

• Xylocaine, 2% with Epinephrine 1:100,000

Anesthetic, Needle Gauge

The gauge of the needle that was used

Select one:

• 25

• 27

• 30

Anesthetic, Needle Length

The length of the needle that was used

Select one:

• long

• short

Anesthetic, None Given

The reason that no anesthesia was given

Select one:

• The procedure was minimally invasive

• The patient requested no anesthesia

Anesthetic, Topical

The topical anesthetic that was used

Select one:

• Benzocaine

• Dyclonine hydrocholoride

• Ethocaine

• Lidocaine solution

• Lidocaine ointment

• Lidocaine spray

• Oraqix

• Procaine

• Topicaine anesthetic gel

• Topex anesthetic gel

• Topex anesthetic spray

• Xylocaine

Bonding Agent

The bonding agent that was used

Select one:

• Adper Scotchbond

• Clearfil

• Excite

• Fuji Bond

• OptiBond.

Carpules, Fraction

The fraction of the whole carpules that were injected

Select one:

Carpules, Qty

The whole number of carpules that were injected

Select one:

Cement, Permanent

The cement that was used

Select one:

• Durelon

• Glasionomer

• Panavia

• RelyX

• Variolink II

• Zinc Phosphate

Cement, Temporary

The temporary filling that was used

Select one:

• Cavit

• IRM

• Provolink

• Tempbond

• Temrex

• ZOE

• Zone

Cosmetic Aberration

The cosmetic abberation that the patient has

Select one:

• skeletal aberration

• soft tissue aberration

Cosmetic Aberration Notes

Notes regarding the cosmetic abberation, such as the location

Type text

Cosmetic Aberration Treatable

Whether or not the cosmetic abberation is treatable

Select one:

• treatable by Dentist

• treatable by Physician

• not treatable

Cosmetic Area

The area of the cosmetic issue

Select one:

• maxillary, anterior

• maxillary, posterior

• mandibular, anterior

• mandibular, posterior

Cosmetic Issue

The cosmetic issue that the patient has

Select one:

• abnormal tooth morphology

• diastema

• fractured teeth

• malalignment

• missing teeth

• stains

• unacceptable restorations

Cosmetic Level

The severity of the cosmetic issue

Select one:

• no

• a mild level of

• a moderate level of

• a severe level of

Crown Replacement Reason

The reason for the crown replacement

Select one:

• decay

• fractured porcelain

• other

Crown Type

The type of crown

Select one:

• resin-based composite

• resin with high noble metal

• resin with predominantly base metal

• resin with noble metal

• porcelain ceramic substrate

• porcelain fused to high noble metal

• porcelain fused to predominantly base metal

• porcelain fused to noble metal

• full cast high noble metal

• full cast predominantly base metal

• full cast noble metal

• titanium

• provisional

• previous