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Dental Root Canal Checklist: Procedure & Post-Op Instructions

Master your root canal workflow! This comprehensive checklist ensures precision, patient comfort, and flawless post-op care - from initial diagnosis to final instructions. Download now & elevate your endodontic success!

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Pre-Procedure Assessment

1 of 9

Review patient history, radiographs, and clinical findings to determine suitability for root canal therapy.

Patient's Last Dental Visit

Patient's Age

Medical History Review (allergies, medications, conditions)

Dental History (previous treatments, concerns)

Chief Complaint

Radiographs (Current)

Sensitivity to Hot/Cold

Anesthesia & Isolation

2 of 9

Confirm adequate anesthesia; establish rubber dam isolation ensuring a clear working field.

Anesthetic Type

Anesthetic Dosage (mg)

Vasoconstrictor?

Time of Anesthetic Administration

0:00
0:15
0:30
0:45
1:00
1:15
1:30
1:45
2:00
2:15
2:30
2:45
3:00
3:15
3:30
3:45
4:00
4:15
4:30
4:45
5:00
5:15
5:30
5:45
6:00
6:15
6:30
6:45
7:00
7:15
7:30
7:45
8:00
8:15
8:30
8:45
9:00
9:15
9:30
9:45
10:00
10:15
10:30
10:45
11:00
11:15
11:30
11:45
12:00
12:15
12:30
12:45
13:00
13:15
13:30
13:45
14:00
14:15
14:30
14:45
15:00
15:15
15:30
15:45
16:00
16:15
16:30
16:45
17:00
17:15
17:30
17:45
18:00
18:15
18:30
18:45
19:00
19:15
19:30
19:45
20:00
20:15
20:30
20:45
21:00
21:15
21:30
21:45
22:00
22:15
22:30
22:45
23:00
23:15
23:30
23:45

Rubber Dam Placement?

Comments on Anesthesia/Isolation

Canal Access & Negotiation

3 of 9

Create coronal access cavity; locate and negotiate canals to working length.

Working Length (mm)

Access Cavity Shape

Locating Methods Used

Number of Canals Located

Notes on Canal Anatomies

Pre-operative Radiograph

Canal Cleaning & Shaping

4 of 9

Irrigate canals thoroughly; shape canals to appropriate dimensions using files.

Working Length (mm)

Initial File Size

Irrigation Solutions Used

Irrigation Frequency (cycles)

Instrumentation Technique

Notes on Canal Anatomy (e.g., curves, bifurcations)

Number of Files Used

Obturation

5 of 9

Obturate canals with appropriate filling material (gutta-percha); ensure complete seal.

Warm Vertical Compaction Temperature (°C)

Number of Gutta-Percha Cones Used

Obturation Technique

Detailed Description of Obturation Procedure

Radiograph Post Obturation

Sealer Type

Coronal Restoration

6 of 9

Restore coronal access cavity with temporary or permanent restoration.

Restoration Type

Composite Fill Size (mm³)

Notes on Restoration Placement

Crown Type (if applicable)

Crown Cementation Date (if applicable)

Post-Operative Instructions

7 of 9

Provide patient with detailed post-operative instructions regarding pain management, oral hygiene, and follow-up appointments.

Pain Management Instructions

Oral Hygiene Instructions (Specifically Regarding the Treated Area)

Prescription Refill (Days)

Follow-up Appointment Scheduled?

Date of Follow-up Appointment

Contact Method for Questions

Radiographic Confirmation

8 of 9

Take and review radiographs to confirm adequate obturation and healing progress.

Radiograph Exposure Factor (kVp)

Radiograph Exposure Time (Seconds)

Radiographic View(s) Obtained

Radiographic Findings Description

Radiographic Assessment

Radiograph Image Upload

Documentation & Record Keeping

9 of 9

Thoroughly document procedure details, materials used, and patient instructions in the patient record.

Procedure Notes

Working Length (mm)

Filling Material Used

Date of Procedure

Procedure Start Time

0:00
0:15
0:30
0:45
1:00
1:15
1:30
1:45
2:00
2:15
2:30
2:45
3:00
3:15
3:30
3:45
4:00
4:15
4:30
4:45
5:00
5:15
5:30
5:45
6:00
6:15
6:30
6:45
7:00
7:15
7:30
7:45
8:00
8:15
8:30
8:45
9:00
9:15
9:30
9:45
10:00
10:15
10:30
10:45
11:00
11:15
11:30
11:45
12:00
12:15
12:30
12:45
13:00
13:15
13:30
13:45
14:00
14:15
14:30
14:45
15:00
15:15
15:30
15:45
16:00
16:15
16:30
16:45
17:00
17:15
17:30
17:45
18:00
18:15
18:30
18:45
19:00
19:15
19:30
19:45
20:00
20:15
20:30
20:45
21:00
21:15
21:30
21:45
22:00
22:15
22:30
22:45
23:00
23:15
23:30
23:45

Doctor Signature

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