Root Canal Treatment Notes Template: Complete Guide With Template (2024)

ROOT CANAL TREATMENT OF .... (Single Visit)

Medical History: Checked, no changes, see attached sheet
RCT procedure explained. Risks and benefits discussed. Option for referral to a specialist endodontist.
Benefits: Prevent extraction of tooth. Relieve pain. Minimise risk of spreading infection.
Cons: Long appointments, possibly multiple appointments
Risks: Fractured file. Fractured/Perforated tooth. Hypochlorite incident. Unable to locate all canals or clean to full canal length.
Consent: Written/Verbal

Procedure:
Local Anaesthetic:
.....
Rubber dam placed. Access gained.
Canals located: {Number} {Which canals}
Coronal preparation carried out.
Glide path obtained with small hand files.

Working Length Determination.

Working length radiograph used. See report below. /
Electronic apex locator used.
Zero reading: {Which canals and zero reading length}
Working length used: 0.5mm short of zero reading.

Canal Preparation:
(Hand files)
Canals prepared to working length using K-flex file size up until file size ....using hand filing.
Step back 0.5mm from WL up to K-flex file size ....
Step back technique in 1mm increments.

(Rotary)
Preparation of canals using rotary system: {rotary system} to {finishing GP size}

Copious irrigation with hypochlorite and EDTA.
Patency filing with size 8,10.

Obturation:
Corresponding size master GP used in all canals.
Tugback achieved.
Master apical cone radiograph taken and reviewed. See report below.
Canals dried with paper points and obturated with {sealer}.
Excess GP removed with heated round ended probe down to canal opening.
Filled opening of canals with {Opening of canals material}
Core filled with {Core material}. Occlusion checked.

Patient given an opportunity to ask questions.
POIG - possible pain, ache and tenderness around area. Painkillers if needed and if patient has no contraindications. Warned patient is still numb and be careful with biting and hot foods/drinks

RADIOGRAPHS:

Working length Radiograph
Operator: ... Type: Periapical of
Reason: To confirm working length , Grade: A
Findings: .....

Master Apical Point Radiograph
Operator: ... Type: Periapical of
Reason: To confirm position of GP points, Grade: A
Findings: .....

Post Obturation Radiograph
Operator: ... Type: Periapical of
Reason: To assess quality of obturation, Grade: A
Findings: .....

Next Visit: ....