Dental Hygiene Soap Note
SOAP Note
Prepared by:
Sarah C. Lemay
Streamline Strategies
Date: March 3, 2050
This SOAP Note provides a structured approach towards documenting the essentials of the dental hygiene visit of Mr. William Wright, a 50-year-old male with specific dental concerns. The information documented consists of subjective observations, objective measurements, the assessment, and devised plan for treatment.
Subjective |
Objective |
Assessment |
Plan |
---|---|---|---|
- Complaints of tooth sensitivity to hot and cold. |
- Patient is 50 years old, male, 195lbs, height: 6'0". |
- The individual displays signs indicative of mild periodontitis and dental erosion which could be instigating the symptoms. |
- Recommend commencement of treatment for periodontitis including deep cleaning. |