OPERATIVE NOTE FOR THE RECORDS
The surgeon must enter into the records a note of that transpired during each visit. Some critical f.u tors must-be entered into the chart. The first is the date of the operation and a brief identlfication of the patient; then the surgeon
states the diagnosis and .reason for the extraction e.g., non restorable caries or severe periodontal disease). Comments regarding the patient’s pertinent medical history, medications, and vital signs should be mentioned
next in the chart. This information should. in the chart before the surgery is performed, to confirm that the dentist has reviewed these issues with the patient and that the patient’s current status is satisfactory for the surgical procedure.