UNIVERSIDAD DEL MAGDALENA CLINICA ODONTOLOGICA

REGISTRO ESPECIFICO DE ENDODONCIA

DIAGNÓSTICO Y TRATAMIENTO ENDODÓNTICO

FECHA: ________________________ DOCENTE:

TIPO DE DOCUMENTO: ___________ N° DE IDENTIFICACIÓN:

______________________

EDAD: _______

NOMBRES PACIENTE: ___________________________________________________

APELLIDOS PACIENTE: __________________________________________________

ALERTA MÉDICA:
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MOTIVO DE CONSULTA ENDODONTICO

CARTA DE ENDODONCIA

DIENTE #:
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TIPO DE DOLOR:

OBSERVACIONES: _______________________________________________________________
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Historia clínica:
 DOLOR PROVOCADO POR

OBSERVACIONES:________________________________________________________________
________________________________________________________________________________
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DOLOR DISMINUYE CON

OBSERVACIONES:________________________________________________________________
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HALLAZGOS CLÍNICOS

TIPO DE RESTAURACIÓN PROVISIONAL

TIPO DE RESTAURACIÓN DEFINITIVA

Historia clínica:
 TEJIDOS BLANDOS
APARIENCIA DE LOS TEJIDOS BLANDOS

EDEMA INTRAORAL

CONDICION PERIODONTAL DEL DIENTE EN EVALUACIÓN

OBSERVACIONES: ________________________________________________________________
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PRUEBAS DIÁGNOSTICAS
PRUEBAS DE SENSIBILIDAD PULPAR

DISPOSITIVO EMPLEADO: _________________________________________________________

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OTRAS PRUBAS DIAGNOSTICAS:
PERCUSION VERTICAL: ___________________________________________________________
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PERCUSION HORIZONTAL: ________________________________________________________
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PALPACIÓN: _____________________________________________________________________
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ANESTESIA SELECTIVA: __________________________________________________________
CUÑA Y TINCIÓN: _________________________________________________________________
TRANSILUMINACIÓN: _____________________________________________________________
OCLUSIÓN: ______________________________________________________________________

Historia clínica:
 ANÁLISIS RADIOGRÁFICO

CORONA: _____________________________________________________________
________________________________________________________________________________
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CÁMARA PULPAR: _______________________________________________________________
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CONDUCTOS: ____________________________________________________________________
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RAÍCES: _________________________________________________________________________
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CRESTAS ÓSEAS: ________________________________________________________________
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ESPACIO DEL LIGAMENTO PERIODONTAL: __________________________________________
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PERIÁPICE: ______________________________________________________________________
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PROPORCIÓN CORONA/RAÍZ: ______________________________________________________
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ACCIDENTE DE PROCEDIMIENTO ENDODÓNTICO: ____________________________________
________________________________________________________________________________
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OTROS HALLAZGOS RADIOGRÁFICOS: _____________________________________________
________________________________________________________________________________
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Historia clínica:
 DIÁGNOSTICO ENDODONTICO

DIAGNOSTICO PULPAR: ________________________________________________

________________________________________________________________________________
________________________________________________________________________________
DIAGNOSTICO PERIAPICAL: _______________________________________________________
________________________________________________________________________________
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ETIOLOGÍA: _____________________________________________________________________
________________________________________________________________________________
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PRONOSTICO ENDODONTICO
PRONOSTICO: ___________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
JUSTIFICACION: _________________________________________________________________
________________________________________________________________________________
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PROCEDIMIENTOS ENDODONTICOS
ANESTESIA: _____________________________________________________________________
CARPULES: _____________________________________________________________________
ANESTESIA COMPLEMENTARIA: ___________________________________________________
ANESTESIA INTRALIGAMENTARIA: _________________________________________________
ANESTESIA INTRAOSEA: __________________________________________________________
ANESTESIA INTRAPULPAR: ________________________________________________________
CAVIDAD DE ACCESO: ____________________________________________________________
AISLAMIENTO DE CAMPO OPERATORIO: ____________________________________________
TERAPIA PULPAR: ________________________________________________________________

Historia clínica: