Doctor | DentGo

Jithin Mathew

DGO-2026-0042

MIGRATED • 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)

Nov 2024

FDI #21

Composite Veneer Prep (Universal #9)

Jan 2025

"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

Active Clinical Contraindication Sentinel

3 Safety Alerts Active

Chairside patient safety engine correlating medical history, allergies, and vitals in real time

CRITICAL

Documented Penicillin / Beta-Lactam Allergy

Trigger: Patient reports severe urticaria / rash after Amoxicillin

Clinical Advisory: Prescription pad physically locks Amoxicillin, Augmentin, and Ampicillin. Enforce non-beta-lactam antibiotics.

Physically Blocked:Amoxicillin 500mg, Amoxiclav 625mg, Ampicillin

Safe Substitutes:Clindamycin 300mg TID, Azithromycin 500mg OD

WARNING

Hypertension Stage 2 (Current BP: 152/94 mmHg)

Trigger: Systolic > 140 mmHg or Diastolic > 90 mmHg recorded chairside

Clinical Advisory: Limit exogenous vasoconstrictors. Avoid Lignocaine 1:80,000 adrenaline. Maximum 2 cartridges of 1:200,000.

Physically Blocked:Lignocaine 2% with 1:80,000 Adrenaline (High dose)

Safe Substitutes:Mepivacaine 3% Plain, Articaine 4% with 1:200,000 Adrenaline

WARNING

Type 2 Diabetes (RBS: 158 mg/dL)

Trigger: Elevated glycemic index

Clinical Advisory: Impaired neutrophil chemotaxis & delayed socket epithelialization. Pre-op surgical antiseptic rinse recommended.

Physically Blocked:Immediate implant loading without primary stability ISQ > 70

Safe Substitutes:Chlorhexidine 0.2% Pre-Op Rinse, Delayed 3-Month Loading Protocol

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)