Copy this template, or use Denota to fill it out for you.
Complaints: .....
Consent to start: Yes
Photos taken with consent.
Starting shade: .....
Risks and benefits discussed. Advised necks of teeth will appear darker and more limited in whitening ability. Restorations such as veneers/crowns and fillings will not whiten. Sensitivity is to be expected.
Procedure:
Fit of upper and lower bleaching trays. Pt able to take in and out.
All instructions given and demonstrated. Written instructions given.
Whitening product: .....
Add a teardrop of gel into tray for each tooth to be whitened. To seat and wipe off excess on gum with finger.
To wear for 6-10 hours a day.
To brush teeth like normal, brush teeth after use.
Brush and rinse trays with cold water, do not use bleach and hot water.
To use for 2-3 weeks for best result. Advised to avoid staining foods during treatment.
Advised if sensitive teeth, to pause treatment and to place de-sensitising toothpaste in trays and seat.
Advised to store gels in cool dark area
Patient given an opportunity to ask questions.
Next Visit: .....
Home whitening is an increasingly popular dental service that requires dentists to provide clear instructions and detailed documentation. Accurate treatment notes are essential for tracking patients' progress, addressing concerns, and ensuring optimal outcomes. This guide offers a comprehensive framework for creating home whitening treatment notes.
Effective home whitening treatment notes should document every aspect of patient care, from initial complaints to post-treatment advice. They should include a record of informed consent, a baseline assessment of tooth shade, and detailed instructions for safe and effective treatment at home.
Incorporate the above template when providing patients with at-home whitening treatments.
By using the template above, dentists can ensure they deliver comprehensive home whitening instructions that enhance patient compliance and satisfaction. It is essential to document the process meticulously to address any issues that may arise during treatment
Watch the demo to see a real example procedure and the notes produced. 📽️
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