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OPERATIVE NOTE · Synthetic exampleDOS 17 Sep 2026 · Dr. Patel
Teeth 6-8, existing PFM bridge. Recurrent decay. Chairside dictation after dismissal.
- History
- Patient reported food trap at the #7 pontic and a sweet sensitivity for two weeks. Existing 6-8 PFM bridge, placed 2019. No swelling. No fever.
- Exam
- #6 and #8 abutments: recurrent decay at the margins. #7 pontic intact. Percussion negative. No mobility. Bitewing confirms decay under the #6 retainer. Probing 3 mm, no bleeding.
- Treatment rendered
- Old bridge sectioned and removed. Decay excavated on #6 and #8. Abutments reprepared. Final scan taken. Provisional 6-8 bridge relined and cemented with TempBond. Occlusion adjusted. Floss passed under the pontic.
- Materials
- Local anesthesia 2% lido with 1:100,000 epi, 2 carpules. TempBond NE. Bis-acryl provisional. No posts. No pins.
- Post-op
- Bite may feel high for 24 hours. If the temp comes off, call. Warm salt water. No sticky food on that side. Patient repeated the instructions back.
- Next visit
- Lab try-in in two weeks. Shade 2L1.5. Final cement to be decided after fit.
Span confirmed. Treatment plan updated to teeth 6 through 8. Ready for clinician approval.
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