DENTAL ROOT CANAL CHECKLIST: PROCEDURE & POST-OP INSTRUCTIONS

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--- PRE-PROCEDURE ASSESSMENT ---
[ ] Patient's Last Dental Visit
[ ] Patient's Age
[ ] Medical History Review (allergies, medications, conditions)
[ ] Dental History (previous treatments, concerns)
[ ] Chief Complaint (Pain, Swelling, Sensitivity, Discoloration, Other)
[ ] Radiographs (Current)
[ ] Sensitivity to Hot/Cold (Yes, No, Occasionally)

--- ANESTHESIA & ISOLATION ---
[ ] Anesthetic Type (Lidocaine, Articaine, Bupivacaine, Other)
[ ] Anesthetic Dosage (mg)
[ ] Vasoconstrictor? (Yes, No)
[ ] Time of Anesthetic Administration
[ ] Rubber Dam Placement? (Yes, No)
[ ] Comments on Anesthesia/Isolation

--- CANAL ACCESS & NEGOTIATION ---
[ ] Working Length (mm)
[ ] Access Cavity Shape (Triangular, Rounded, Modified)
[ ] Locating Methods Used (Initial Radiograph, Electronic Apex Locator, Buccal Explorer)
[ ] Number of Canals Located
[ ] Notes on Canal Anatomies
[ ] Pre-operative Radiograph

--- CANAL CLEANING & SHAPING ---
[ ] Working Length (mm)
[ ] Initial File Size
[ ] Irrigation Solutions Used (Sodium Hypochlorite, EDTA, Chlorhexidine)
[ ] Irrigation Frequency (cycles)
[ ] Instrumentation Technique (Rotary, Hand)
[ ] Notes on Canal Anatomy (e.g., curves, bifurcations)
[ ] Number of Files Used

--- OBTURATION ---
[ ] Warm Vertical Compaction Temperature (°C)
[ ] Number of Gutta-Percha Cones Used
[ ] Obturation Technique (Warm Vertical Compaction, Cold Lateral Condensation, Single Cone, Continuous Wave, Other)
[ ] Detailed Description of Obturation Procedure
[ ] Radiograph Post Obturation
[ ] Sealer Type (Calcium Hydroxide, Resin-Based Sealer, Glass Ionomer Sealer)

--- CORONAL RESTORATION ---
[ ] Restoration Type (Temporary Filling, Permanent Filling (Composite), Permanent Filling (Amalgam), Onlay/Inlay, Crown)
[ ] Composite Fill Size (mm³)
[ ] Notes on Restoration Placement
[ ] Crown Type (if applicable) (PFM, Full Gold, Zirconia, Ceramic)
[ ] Crown Cementation Date (if applicable)

--- POST-OPERATIVE INSTRUCTIONS ---
[ ] Pain Management Instructions
[ ] Oral Hygiene Instructions (Specifically Regarding the Treated Area)
[ ] Prescription Refill (Days)
[ ] Follow-up Appointment Scheduled? (Yes, No)
[ ] Date of Follow-up Appointment
[ ] Contact Method for Questions (Phone, Email)

--- RADIOGRAPHIC CONFIRMATION ---
[ ] Radiograph Exposure Factor (kVp)
[ ] Radiograph Exposure Time (Seconds)
[ ] Radiographic View(s) Obtained (Periapical, Bitewing, Panoramic, Other)
[ ] Radiographic Findings Description
[ ] Radiographic Assessment (Adequate Obturation, Possible Incomplete Fill, Signs of Periapical Lesion, Other)
[ ] Radiograph Image Upload

--- DOCUMENTATION & RECORD KEEPING ---
[ ] Procedure Notes
[ ] Working Length (mm)
[ ] Filling Material Used (Gutta-Percha, Resin, Calcium Hydroxide)
[ ] Date of Procedure
[ ] Procedure Start Time
[ ] Doctor Signature

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