EXTRACTION Patient presented to clinic for extraction of #.

Medical History Updated: Patient reports: Symptoms/Diagnosis: (Describe lesion, size, extent location) Plan: Consent for extraction obtained. Anesthesia: Benzocaine gel 20% Topical applied, (2% xylocaine, 1:100,000 epi) x (X) carpules injected via (infiltration, block). Soft tissue around the tooth detached using periosteal elevator. Tooth elevated using (X) and extracted using (X) forceps w/o complications. Hemostasis achieved. POI given verbally and in written. Prescribed meds or recommended OTC. Patient left on stable condition and satisfied with treatment. NV: Student dentist: POSTERIOR COMPOSITE RESTORATION BP: P: Patient presented to clinic for restorative treatment. Medical History Updated: Patient reports. Symptoms/Diagnosis: (Describe lesion, size, extent location) Plan: Anesthesia: Benzocaine gel 20% Topical applied, (2% xylocaine, 1:100,000 epi) x (X) carpules injected via (infiltration, block). Outline form prepared. Caries excavated (describe extent of lesion) and preparation completed. Tofflemire matrix retainer and wooden wedge placed. Cotton roll isolation. Lime lite/ GC Fuji Lining LC liner applied in the area closest to the pulp and light cured. Onecoat applied in two steps, self etching primer was placed for 30 seconds, and air dried gently and bonding agent was applied for 30 seconds and light cured for 20 sec. (X) shade Filtek Supreme Ultra composite was placed in incremental layers and light cured for 20 seconds each layer. Matrix removed. Rest finished and polished using finishing diamond burs and enhanced point. Occlusion and contacts checked and adjusted. Post-op instructions: Patient advised to avoid chewing or biting until numbness wears off. Patient to call if any problems arise. Patient left satisfied with treatment. NV: Student dentist: ANTERIOR COMPOSITE RESTORATION BP: P: Patient presented to clinic for restorative treatment. Medical History Updated: Patient reports: Symptoms/Diagnosis: (Describe lesion, size, extent location) Plan: Anesthesia: Benzocaine gel 20% Topical applied, (2% xylocaine, 1:100,000 epi) x (X) carpules injected via (infiltration, block). Outline form prepared. Caries excavated (describe extent of lesion) and preparation completed. Mylar strip matrix and wooden wedge placed. Cotton roll isolation. Lime lite/ GC Fuji Lining LC liner applied in the area closest to the pulp and light cured. Onecoat applied in two steps, self etching primer was placed for 30 seconds, and air dried gently and bonding agent was applied for 30 seconds and light cured for 20 sec. (X) shade Filtek Supreme Ultra composite was placed in incremental layers and light cured for 20 seconds each layer. Rest finished and polished using soflex discs and enhanced point Contacts and occlusion checked and adjusted. Post-op instructions: Patient advised to avoid chewing or biting until

numbness wears off. Patient to call if any problems arise. Patient left satisfied with treatment. NV: Rest. Student dentist: CLASS V BP: P: Patient presented to clinic for restorative treatment. Medical History Updated: Patient reports. Symptoms/Diagnosis: (Describe lesion, size, extent location) Plan: Anesthesia: Benzocaine gel 20% Topical applied, (2% xylocaine, 1:100,000 epi) x (X) carpules injected via (infiltration, block). # 2 retraction cord packed in order to expose gingival margins. Outline form prepared and caries excavated (If this was done). Prep or abfraction etched with 38% phosphoric acid, rinsed and blot dried. Cotton roll isolation. Gluma desensitizer applied. Lime lite/ GC Fuji Lining LC liner applied in the area closest to the pulp and light cured. Onecoat applied in two steps, self etching primer was placed for 30 seconds, and air dried gently and bonding agent was applied for 30 seconds and light cured for 20 sec. (X) shade Filtek Supreme Ultra composite was placed in incremental layers and light cured for 20 seconds each layer. Cord removed. Rest finished and polished using finishing diamond burs and enhanced point. Post-op instructions: Patient advised to avoid chewing or biting until numbness wears off. Patient to call if any problems arise. Patient left satisfied with treatment. NV: Student dentist: COMPOSITE BUILD UP BP: P: Patient presented to clinic for core build up on #. Medical History Updated: Patient reports: Symptoms/Diagnosis: (Describe lesion, size, extent location) Plan: Anesthesia: Benzocaine gel 20% Topical applied, (2% xylocaine, 1:100,000 epi) x (X) carpules injected via (infiltration, block). Existing restoration removed and caries excavated. (Describe extent of lesion) and preparation completed. (type) matrix and wedge placed Cotton roll isolation. Lime lite/ GC Fuji Lining LC liner applied in the area closest to the pulp and light cured. Onecoat applied in two steps, self etching primer was placed for 30 seconds, and air dried gently and bonding agent was applied for 30 seconds and light cured for 20 sec. Tooth built up using Filtek Supreme Ultra composite placed in incremental layers and light cured for 20 seconds each layer. Matrix removed. Build up anatomically shaped and polished using finishing diamond burs and enhance point. Occlusion and contacts checked and adjusted. Post-op instructions: Patient advised to avoid chewing or biting until numbness wears off. Patient to call if any problems arise. Patient left satisfied with treatment. NV: Crown prep Student dentist: LUXACORE BUILD UP BP: P:

Patient presented to clinic for core build up on #. Medical History Updated: Patient reports. Symptoms/Diagnosis: (Describe lesion, size, extent location). Plan: Anesthesia: Benzocaine gel 20% Topical applied, (2% xylocaine, 1:100,000 epi) x (X) carpules injected via (infiltration, block). Existing restoration removed and caries excavated (describe extent of lesion) and preparation completed. Prep etched with 38% phosphoric acid, rinsed and blot dried. (type) matrix and wedge placed. Cotton roll isolation. Lime lite/ GC Fuji Lining LC liner applied in the area closest to the pulp and light cured. Prebond and luxabond applied and light cured. Tooth built up using dual cured luxacore core material. Matrix removed. Build up anatomically shaped and polished using finishing diamond burs and enhance point. Occlusion and contacts checked and adjusted. Post-op instructions: Patient advised to avoid chewing or biting until numbness wears off. Patient to call if any problems arise. Patient left satisfied with treatment. NV: Crown prep Student dentist: POST AND CORE BP: P: Patient presented to clinic for post and core build up on #. Medical History Updated: Patient reports. Symptoms/Diagnosis: (Describe lesion, size, extent location) Anesthesia: Benzocaine gel 20% Topical applied, (2% xylocaine, 1:100,000 epi) x (X) carpules injected via (infiltration, block). Existing temporary restoration removed. Post space created in (X) canal using post burr for post (X). Fiber luxapost tried in, 1 PA taken to confirm 1: 2 ratio of post distribution between crown and root. Prep and canal etched with 38% phosphoric acid, rinsed and blot dried. (type) matrix and wedge placed. Cotton roll isolation. Prebond and luxabond applied and light cured. Post cemented and tooth built up using dual cured luxacore cement and core material. Prebond and luxabond applied and light cured. Tooth built up using dual cured luxacore core material. Matrix removed. Build up anatomically shaped and polished using finishing diamond burs and enhance point. Occlusion and contacts checked and adjusted. Post cementation x ray taken to confirm successful outcome. Post-op instructions: Patient advised to avoid chewing or biting until numbness wears off. Patient to call if any problems arise. Patient left satisfied with treatment. NV: Crown prep Student dentist: CROWN PREP BP: P: Patient presented to clinic for PFM crown prep on #. Medical History Updated: Patient reports. Symptoms/Diagnosis: (Describe lesion, size, extent location) Anesthesia: Benzocaine gel 20% Topical applied, (2% xylocaine, 1:100,000 epi) x (X) carpules injected via (infiltration, block). PFM prep cut, using chamfer coarse diamond burs. Provisional fabricated using snap acrylic and polycarbonate crown/block technique. Occlusion and contacts checked and adjusted. Prov cemented with temp bond. Excess cement removed. Post-op instructions: Patient advised to avoid chewing or biting until numbness wears off.

Patient to call if any problems arise. Patient left satisfied with treatment. NV: Impression. Student dentist: CROWN IMPRESSION BP: P: Patient presented to clinic for # crown impression. Medical History Updated: Patient reports. Symptoms/Diagnosis: (Describe lesion, size, extent location) Anesthesia: Benzocaine gel 20% Topical applied, (2% xylocaine, 1:100,000 epi) x (X) carpules injected via (infiltration, block). Provisional removed. Prep refined. #2 retraction cord packed. PVS impression taken, applying light body on the prep and heavy body on a triple tray. Shade selected and approved by patient (X). Provisional relined using snap acrylic and cemented with temp bond. Excess cement removed Post-op instructions: Patient advised to avoid chewing or biting until numbness wears off. Patient to call if any problems arise. Patient left satisfied with treatment. NV: Delivery. Student dentist: CROWN DELIVERY BP: P: Patient presented to clinic for # PFM crown delivery. Medical History Updated: Patient reports. Anesthesia: Benzocaine gel 20% Topical applied, (2% xylocaine, 1:100,000 epi) x (X) carpules injected via (infiltration, block). Prov crown removed. Prep cleaned. Crown tried in. Contacts checked and adjusted using fine diamond burr. Fit evaluated using fit checker, pressure areas disclosed were eliminated. Clinically closed margins were achieved. Occlusion was checked and adjusted. Pre cementation x ray was taken in order to confirm margin closure. Porcelain was polished using porcelain polishing rubbers. PFM crown was cemented using GC Fuji IX luting agent. Excess cleaned. Post cementation x ray taken to confirm complete excess removal and successful outcome. Patient left satisfied with outcome. NV: Student dentist: RPD IMPS BP: P: Patient presented to clinic to start fabrication of RPDs. Medical History Updated: Patient reports. Maxillary and mandibular alginate impressions were taken using stock trays. Patient left satisfied. NV: Metal framework try in. Student dentist: JAW RELATION FOR MAX CD BP: P: Patient presented to clinic for Jaw relation. Medical History Updated: Patient reports. Upper rim modified, to establish appropriate facial contour, height and fox plane inclination. Mid line, canine position and max retraction of lip line determined and recorded on upper rim. VDR determined and OVD calculated and recorded by reducing

height of lower occ rim. Bilateral buccal lingual grooves carved in the premolar area of mandibular rim, posterior area of upper rim reduced and filled with alluwax. CR determined and recorded having patient bite on softened alluwax. Shade selected and approved by patient. Patient left satisfied. NV: Wax try in. Student dentist: METAL FRAMEWORK TRY IN AND JAW RELATION FOR RPD BP: P: Patient presented to clinic for metal framework try in and Jaw relation. Medical History Updated: Patient reports. Metal framework tried in, stability and proper fit confirmed. Occ checked and adjustments were made to the framework and opposing teeth in order to eliminate occlusal interferences CR determined and recorded having patient bite in MIP on softened wax occ rim placed in edentulous area. Shade selected and approved by patient. Patient left satisfied with treatment. NV: Wax try in. Student dentist: WAX TRY IN BP: P: Patient presented to clinic for wax try in. Medical History Updated: Patient reports. Framework (or record base) with teeth set on wax placed in the mouth. Correct set up confirmed. Patient approved esthetics. Occlusion checked and adj. NV: Delivery. Student dentist: DENTURE AND RPD DELIVERY. BP: P: Patient presented to clinic for denture delivery. Medical History Updated: Patient reports. Maxillary CD and Mandibular RPD sited and pressure points on the intaglio side disclosed using PIP and reduced. Occ checked and adjusted. Denture care instructions given. Patient pleased with final result. NV: Adjustments. Student dentist: ACRYLIC BASE PARTIAL DENTURE DELIVERY. BP: P: Patient presented to clinic for delivery of maxillary acrylic base RPD. Medical History Updated: Patient reports. Denture adjusted until proper sit achieved, by modifying acrylic using acrylic bur and wrought wire clasps, using wire bending pliers. Pressure points on the intaglio side disclosed using PIP and reduced. Occ checked and adjusted. Denture care instructions given. Patient pleased with final result. NV: Adjustments. Student dentist: DENTURE ADJUSTMENT BP: P: Patient presented to clinic for denture adjustment. Medical History Updated: Patient reports. After interview and clinical exam, sore spots identified, marked with

Thompson stick and reduced on tissue side of the denture using acrylic bur. Occlusion rechecked using articulating paper and adjusted. Patient referred to feel comfortable after adjustment. NV: Adjustment. Student dentist: EMERGENCY PROV CROWN BP: P: Patient presented to clinic on emergency basis. CC: "Crown fell off" Medical History Updated: Patient reports. Provisional of # debonded, it was found in good condition, cleaned and re cemented using temp bond. Excess cleaned, patient left satisfied. NV: Delivery Student dentist: EMERGENCY BP: P: Patient presented to clinic on emergency basis. Medical History Updated: Chief Complaint: History of Present Condition: PHYSICAL EXAMINATION Soft tissue exam. (IO/EO): (If new patient only) Clinical Examination: Condition of the affected area/tooth. Percussion (Horizontal/Vertical), Cold test: Pain or not, lingers or not Radiographic Exam: DIAGNOSIS/ASSESSMENT: TREATMENT PLAN: TREATMENT DETAILS: Treatment performed, referrals or meds. FOLLOW-UP: NV: Student dentist: COMMON PRESCRIPTIONS Meds prescribed: Pen V K 500 mg; Disp: 30 tabs; Sig: take one po q 6 hrs Motrin 800 mg; Disp: 30 tabs; Sig: Take one po q 8 hrs for pain as needed. Percocet 5/325; Disp: 12 Tabs; Sig: Take one po q 4-6 hrs for severe pain as needed. Tramadol 50 MG Disp: 12 Tabs; Sig: Take one po q 8 hrs for pain as needed.

RCT BP: P: Patient presented to clinic for RCT on #. Medical History Updated: Patient reports: Symptoms/Diagnosis: (Describe lesion, size, extent location)

Plan: Consent for RCT obtained. Anesthesia: Benzocaine gel 20% Topical applied, (2% xylocaine, 1:100,000 epi) x (X) carpules injected via (infiltration, block). Rubber dam isolation used. Caries excavated and access opening completed. Pulpectomy/Pulp debridement performed using bearded broaches. Working length obtained using apex locator and # 20 K file and radiographically verified. WL: mm from (X) cusp tip. Canals cleaned and shaped using K files up to # (X) and irrigated with NaOCl between files. Master cone fit verified through x ray. Canals dried with paper points and filled with gutta-percha and sealapex. Gutta-percha cut back using System B touch and heat to create downpack which was radiographically verified. Backfilled with System B gutta-percha gun. Final radiograph taken to confirm positive treatment outcome. Cotton pellet in the pulp chamber and temp restoration with cavit were placed. Removed rubber dam. Post-op instructions: Patient advised to avoid chewing or biting until numbness wears off. Patient made aware of possible sensitivity after anesthesia, advised to call if any problems arise. Patient left on stable condition and satisfied with treatment. NV: Post and core. Student dentist: