AI Medical Scribe for
Six recalls before lunch, and every note still needs probing depths, bleeding points, and the home-care instruction you gave. Medical Scribe drafts your hygiene note from the appointment itself.
A real example of the documentation Medical Scribe generates for dental hygienists — ready before your patient leaves the room.
52M presents for 6-month recall. No pain; reports 'bleeding when I floss the lower front teeth' for the past month.
Scaling and root planing, lower left quadrant, 2022. Crowns #3 and #14. Uses manual brush twice daily; flosses 2-3 times weekly. Former smoker, quit 2019.
Bitewings (today): no new interproximal caries. Mild horizontal bone loss in posterior sextants, stable compared with 2024 series.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
A 50-minute recall covers assessment, scaling, polishing, fluoride, and education — the note gets whatever minutes are left before the next patient is seated, which is usually none.
Localized pocketing, bleeding on probing percentages, recession, calculus distribution — hygiene findings are numbers tied to specific teeth, and reconstructing them later invites errors.
Whether a patient needed a prophylaxis or periodontal therapy is a judgment payers and auditors read straight from your documentation. Thin notes make sound decisions look arbitrary.
Real-time transcription that understands medical terminology and clinical context.
Recognizes terms, conditions, and procedures specific to your practice area.
Generate comprehensive clinical notes in minutes instead of hours.
Enterprise-grade encryption and security to protect sensitive data.
These aren't generic formats — they ship in the product today, structured around how you actually document.
Plus 280+ templates across every specialty — or build your own in minutes.
Recall after recall, the pattern repeats: assess, scale, polish, educate, document. Medical Scribe records the appointment and drafts the note in the built-in Oral/Dental Hygienist’s note template while you work — so the assessment you narrated and the instruction you gave become the record without a keyboard between patients.
The generated note follows the template’s real structure: Chief Complaint, dental and medical history, Extra Oral and Intra Oral Examination — including gingival findings, probing depths, and oral hygiene status — Radiographic Findings, and Treatment with your preventive plan, fluoride application, OHI, and recall recommendation.
A 4mm pocket recorded as 3mm changes the treatment story. Medical Scribe captures the depths, percentages, and tooth numbers you actually said — never inventing or rounding — and you review every line before signing. When an auditor reads your note, it says what you found.
The note records the clinical picture you actually described — probing depths, BOP, calculus, radiographic bone levels, and your recall reasoning — which is exactly the evidence coding decisions rest on. It documents what you found; the clinical and coding judgment stays yours.
Yes. Depths, bleeding points, and recession you state aloud during assessment are captured tooth by tooth in the Intra Oral Examination section of the built-in Oral/Dental Hygienist's note template. It never fills in a number you didn't say.
Very much — home-care instruction is half the visit and the least-documented part. The OHI you gave, the technique you demonstrated, and the recall interval you recommended all land in the Treatment section because they were said out loud.
Yes. Medical Scribe is HIPAA compliant with encryption in transit and at rest. Patients are informed and consent as with any scribe, and the note stays an editable draft until it's reviewed and signed.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.