JM
Jithin Mathew
DGO-2026-0042MIGRATED • Review Pending
(Male, 34y, Blood: B+) +91 9876543210•Operatory 1 (Sirona Pro)•
Allergy: Penicillin / Amoxicillin
Legacy Migrated Record • 1-Time Clinical Integrity Check
VERIFICATION REQUIRED
Provenance:Practo Ray / Master Dump (2021-2026) / Row #48
Imported Historical Treatments (Auto-Converted to FDI 11-48):2 FDI Procedures Mapped
FDI #46
Rotary Endodontics (Universal #30)FDI #21
Composite Veneer Prep (Universal #9)"Please verify that this patient's past history matches your clinical records. Confirming integrity unlocks full clinical provenance under DPDP Act 2023."
Doctor Review: Dr. Arun Nair MDS (Chairside Active)
AI Clinical Safety & Contraindication Copilot
2 CRITICAL ALERTS
Target Procedure: Emergency Root Canal & Surgical Debridement on Tooth #46
CRITICAL
BRONJ High-Risk Alert (Bisphosphonate Therapy)
Impact: High risk of Medication-Related Osteonecrosis of the Jaw (MRONJ) following invasive surgical extraction.
Clinical Guidance:Avoid surgical flap reflection if possible. Perform atraumatic extraction with primary closure. Consider chlorhexidine 0.2% pre-op rinse and prophylactic Clindamycin.
HIGH
Epinephrine Interaction (Non-Selective Beta-Blocker)
Impact: Vasoconstrictor in Local Anesthetic may cause acute hypertensive spike and reflex bradycardia.
Clinical Guidance:Limit 1:100,000 Epinephrine to maximum 2 cartridges (0.04mg max) or administer 3% Plain Mepivacaine.
CRITICAL
Cross-Allergen Drug Block (Penicillin / Beta-Lactam)
Impact: Amoxicillin, Augmentin, and Cephalosporins strictly contraindicated.
Clinical Guidance:Prescribe Azithromycin 500mg OD for 3 days or Clindamycin 300mg QDS for 5 days.
Acknowledged
Interactive FDI Odontogram & Dental Chart
Click any tooth to mark surfaces, pathology, restorations, or implants
Upper Right (Q1)MAXILLARY ARCHUpper Left (Q2)
Occlusal Plane
Lower Right (Q4)MANDIBULAR ARCHLower Left (Q3)
TOOTH46
Status: RCT Treated
RCT
Surfaces:(Mesial, Occlusal, Distal, Buccal, Lingual)