Title: Record treatment rendered.
Course: Dental Careers I (14054-I) > Section: Recording Patient Information and Assessment

Recording should include

- tooth number
- the type of restoration or treatment
- oral surgery
- dispensed medications
- prescribed medications
- over-the-counter (OTC) medications or supplements
- anesthetic used (if any)
- pre- and postoperative instructions (reviewed and understood by the patient)
- dental procedures (e.g., impressions, fluoride, vital signs)
- date
- operator
- assistant.

Process/Skill Questions:

- Why, or why not, do all recorded procedures require a tooth number?
- How should a multiple-tooth-restoration appointment be recorded?
- Why is it necessary to record all materials used in a procedure?
- How could waiting to record information be problematic?