Clinical note templates: Clinical Exams

Clinical note templates: "Clinical Exams" category.

For each template, the name, note text, and quick-picks are provided.

Tip: You can click any quick-pick link below to view the options that will be presented when a clinical note is entered from the template that contains that quick-pick.

Clinical Exams

Template Name

Note Text

Cosmetic Aberration

The patient has Cosmetic Aberration, Cosmetic Aberration Treatable. Cosmetic Aberration Notes

Cosmetic Issue

The patient has Cosmetic LevelCosmetic Issue in the Cosmetic Area area.

Exam Type

Exam Type: Exam Type

Functional Evaluation, TMJ

A Functional Evaluation of the patient's TMJ shows the following:

Motion/Deviation: Eval TMJ, Motion/Deviation

Subluxation/Crepitus: Eval TMJ, Subluxation/Crepitus

Symptoms Reported: Eval TMJ, Symptoms Report

Diagnosis: Eval TMJ Diagnosis

Myofunctional Analysis

A Functional Evaluation, Myofunctional Analysis shows the following:

Tongue Habits: Eval MA, Tongue Habits

Lip Habits: Eval MA, Lip Habits

Speech: Eval MA, Speech

Occlusion

A Functional Evaluation of the patient's Occlusion shows the following.

Occlusion Classification: Occlusion, Classification

Left Lateral: Occlusion, Left Lateral

Right Lateral: Occlusion, Right Lateral

Space for Appliances: Occlusion, Appliance Space

Overall Spacing: Occlusion, Overall Spacing

Crowding: Occlusion, Crowding

Crossbite: Occlusion, Crossbite

Arch Length: Occlusion, Arch Length

Overbite (mm): Occlusion, Overbite (mm)

Overjet (mm): Occlusion, Overjet (mm)

Patient's perceived level of function: Occlusion, Function, Patient

Dentist's perceived level of function: Occlusion, Function, Dr.

Patient's perceived level of aesthetics: Occlusion, Aesthetic, Patient

Dentist's perceived level of aesthetics: Occlusion, Aesthetic, Dr.

Oral Hygiene

The patient's overall Oral Hygiene is Oral Hygiene, Overall. Today's exam shows the following.

Plaque: Oral Hygiene, Plaque

Calculus: Oral Hygiene, Calculus

Stain: Oral Hygiene, Stain

Food Impaction Areas: Oral Hygiene, Food Impaction

Oral Pathology

The patient has Oral Pathology Level Oral Pathology Type oral pathology. Oral Pathology Treatment is recommended. The prognosis is Oral Pathology Prognosis. Oral Pathology, Tooth Related.

Patient Habits

An evaluation of the patient's habits pertaining to their oral health shows the following.

Cigar/Cigarette Smoking: Habits, Cig Smoking

Pipe Smoking: Habits, Pipe Smoking

Nail Biting: Habits, Nail Biting

Smokeless Tobacco Use: Habits, Chewing Tobacco

Thumb/Finger Sucking: Habits, Thumb Sucking

Toothpick/Stimulator Use: Habits, Toothpick Use

Gum Chewing: Habits, Gum Chewing

Teeth Grinding/Clenching: Habits, Teeth Grind/Clench

Cheek Biting: Habits, Cheek Biting

Tongue Thrusting: Habits, Tongue Thrusting

Mouth Breathing: Habits, Mouth Breathing

Bulemia/Anorexia: Habits, Bulemia/Anorexia

Substance Abuse: Habits, Substance Abuse

Other Habits: Habits, Other

Patient Health

Patient health conditions: Health Issues

Restorative Issues

The patient exhibits Decay Level existing decay.

The patient is missing the following teeth: Tooth-Missing

The patient has the following additional restorative issues: Restorative Issues

Soft Tissue Exam

A Soft Tissue Exam shows the following:

Extraoral Head/Neck: STE Extraoral Head/Neck

Lymph Chain: STE Lymph Chain

Lips: STE Lips

Labial/Buccal Mucosa: STE Labial/Buccal Mucosa

Tongue: STE Tongue

Floor of Mouth: STE Floor of Mouth

Palate, Hard/Soft: STE Palate, Hard/Soft

Pharynx: STE Pharynx