Sedation with operative

Re: multiple oper with IV sed. Rev medical hx. The dental team verified that external and internal indicators were appropriately exposed to the critical parameters of sterilization before use in patient care. The dental team completed extraoral and intraoral pre-procedure verification steps and performed time-out prior to initiating procedure. Re-verification was continuous throughout procedure. Throat pack used for all procedures. For IV sedation, see Conscious sedation monitoring form. Informed consent  signed and witnessed.

Tx:  loc Anes 5.1 mL 2% lido with 1:100,000 epi, 3.6 mL 0.5% bupiv with 1:200,000 epi.

Surg:
[text name="variable_1" default="extracted teeth"] : surg ext with elevator and forceps, debridement , no su. Max sinus was not visualized, no lingual perforation or visualization of IAN. Debridement of sockets, irrigation with sterile sal. Complications: none.
 

Oper: 
[text name="variable_1" default="teeth/surfaces"]> Etch;Optibond FL; cmpst (Filtek Supreme Ultra A2B).  Occ adj. Pt instructions: anes and new res precautions.
 

Endo: 
[text name="variable_1" default="endodontically treated teeth"]> Dx: irreversible pitis with symptomatic apical pedoni. Debrided and instr canals, wl established with Root ZX and xr. 6% NaOCl/17% EDTA irrigation, canals dried, Obturated with GP and BC sealer. Placed in orifice: Etch;Optibond Solo; cmpst (Filtek Supreme Ultra A2B). Prep for zirc crn, scanned with trios. Temp crn cem.

Sedation Notes: Pt tolerated procedure well. No complications. Verbal and written HCI given to the pt and escort. Pt identified as increased fall risk due to sedative med(s). Escort briefed on assistance with ambulation, and pt escorted to vehicle via wheelchair. Rx. See electronic record for details. Medication precautions given to pt/escort.

 

Disposition: 
[text name="variable_1" default="next visit"]