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Chief Complaint:

    History of Present Illness:

S   Medical History:
    Med Conditions                 Medications       Allergies Past Sx              Social Hx:
                                                                                     Tobacco
                                                                                     ETOH

    Vitals: BP             HR           Temp

    Clinical Exam
    Extraoral: (Asymmetry, Swelling, Erythema, Pain, Parasthesia, TMJ)



    Intraoral: (Swelling, Exudate, Erythema, Hemorrhage, Mobility, Occlusion, Pain, Biotype, Hard
    Tissues)



O   Radiology: (PA, Pano, CT)
                                                               Endodontic Testing
                                                               Tests: #
                                                               Cold:
                                                                          #     #    #

                                                               EPT:
                                                               Perc:
                                                               Palp:
                                                               Prob:
                                                               Mob:




    Assessment:



A
    Plan:

P
    Treatment Rendered Today:

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SOAP notes - Dentistry - WORD

  • 1. Chief Complaint: History of Present Illness: S Medical History: Med Conditions Medications Allergies Past Sx Social Hx: Tobacco ETOH Vitals: BP HR Temp Clinical Exam Extraoral: (Asymmetry, Swelling, Erythema, Pain, Parasthesia, TMJ) Intraoral: (Swelling, Exudate, Erythema, Hemorrhage, Mobility, Occlusion, Pain, Biotype, Hard Tissues) O Radiology: (PA, Pano, CT) Endodontic Testing Tests: # Cold: # # # EPT: Perc: Palp: Prob: Mob: Assessment: A Plan: P Treatment Rendered Today: