OpenDentist NotesAI clinical notes for orthodontic treatment
Orthodontic treatment involves detailed initial assessments, ongoing progress monitoring, and comprehensive treatment records that can span years. OpenDentist captures it all from natural conversation, generating structured notes that track every stage of the orthodontic journey.
Orthodontic assessment documentation
The initial orthodontic assessment sets the foundation for the entire treatment plan. OpenDentist ensures that all the classification details, clinical findings, and patient concerns are captured accurately.
Extra-oral examination
Describe your findings naturally — facial symmetry, profile assessment (Class I, II, or III skeletal pattern), lip competence, naso-labial angle, and soft tissue relationships. The AI organises these into the standard orthodontic assessment format, distinguishing between frontal and lateral assessments.
Intra-oral examination
Discuss the dental findings — incisor classification (Class I, II division 1, II division 2, III), molar relationship, canine relationship, overjet and overbite measurements, crowding or spacing, crossbites, centre line discrepancies, and the presence of any ectopic, impacted, or supernumerary teeth. All of these are extracted and placed in the appropriate fields.
IOTN and treatment justification
When you assess the Index of Orthodontic Treatment Need, the AI captures both the Dental Health Component (DHC grades 1-5) and the Aesthetic Component (AC scale 1-10). This is particularly important for NHS referrals where IOTN scoring determines treatment eligibility. The clinical reasoning is documented alongside the scores.
Radiographic and model analysis
When reviewing radiographs or study models, describe what you see — root morphology, unerupted teeth, Bolton analysis findings, space analysis results, or cephalometric measurements. The AI captures these clinical details and incorporates them into the assessment record.
Treatment planning and progress tracking
Orthodontic treatment runs for months or years, generating dozens of progress notes. OpenDentist makes each one fast to produce and consistent in structure.
Treatment plan documentation
Discuss treatment options with your patient — fixed appliances, clear aligners, functional appliances, or a combination approach — and the AI documents the options considered, the agreed plan, the expected treatment duration, and the risks and benefits discussed. Extraction decisions and their rationale are captured, including which teeth and why.
Appointment-by-appointment progress
At each adjustment appointment, describe what you observe and what you have done: wire changes (NiTi to stainless steel, round to rectangular), bracket repositioning, elastic prescriptions, and tooth movement progress. The AI generates a concise progress note for each visit that documents the clinical state and the interventions performed.
Debond and retention records
When treatment is complete, document the debonding procedure, the final occlusal result, retainer placement (bonded retainer, vacuum-formed retainer, or both), and the retention protocol instructions given to the patient. The AI captures the end-of-treatment assessment alongside the instructions provided.
Consent and communication
Orthodontic consent must cover treatment risks (root resorption, decalcification, relapse), alternative options, expected duration, and patient responsibilities (oral hygiene, elastic wear, appointment attendance). When you discuss these with the patient, the AI documents what was covered so the consent record is thorough.
Example orthodontic note sections
A typical AI-generated orthodontic note includes these structured sections.
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