Restoration Composite Treatment Notes: Complete Guide With Template (2024)

RESTORATION COMPOSITE OF …

Reason for Restoration: ....
Medical History: Checked, no changes, see attached sheet
Consent to start tx: Written / Verbal
Risks: Informed patient about the uncertainty of treatment outcomes: Extensive caries involving pulp may lead to root canal treatment or extraction incurring additional costs. Less extensive caries will be restored with close monitoring for post-op symptoms (sensitivity). Advised on possible future need for cuspal coverage.
Noted risks associated with composite restoration: Discolouration, marginal staining, chipping and fracture, post-op sensitivity.

Procedure:
Occlusion checked before starting.
Articulating paper used to check static and dynamic occlusion.
Local Anaesthetic:
.....
Cotton wool isolation and salivary ejector used / rubber dam placed
Enamel-dentine junction cleared
Caries in dentine removed with rosehead until hard and scratchy to probe
Unsupported enamel removed
Contact points cleared
Matrix band used, burnished against adjacent tooth, wooden wedge used
Etch 20 secs, wash 20 secs, bond and air thinned LC 20 secs
Restored with composite shade … in increments and LC 20 seconds each increment.
Checked contact points by flossing through – nice tight click with floss
Occlusion rechecked.
Checked for overhangs. Flush against tooth surface.
Post-op instructions given regarding restoration and local anaesthetic. Pt given an opportunity to ask questions. Pt happy