AI Medical Scribe for
Clinic days squeezed between OR blocks leave no room for typing up consults. Medical Scribe listens to the visit and drafts the surgical consult note — exam findings, imaging review, and operative plan — before the patient reaches checkout.
A real example of the documentation Medical Scribe generates for maxillofacial surgeons — ready before your patient leaves the room.
23M referred by his general dentist for evaluation of impacted third molars. Reports three episodes of pericoronitis around #17 in the past year, most recently treated with amoxicillin. Intermittent right-sided jaw ache; denies trismus, dysphagia, or paresthesia. No significant medical history; no medications; NKDA. Non-smoker.
Recurrent pericoronitis #17 with mesioangular impaction; #1, #16, #32 also impacted. Recommend extraction of all four third molars under IV sedation. Risks discussed: bleeding, infection, dry socket, and inferior alveolar nerve injury given #32 root proximity — CBCT ordered to assess canal relationship before scheduling. Ibuprofen 600 mg PRN for interim symptoms.
Patient verbalized understanding of risks and elected to proceed. Pre-operative instructions provided: NPO after midnight, escort required for sedation. Written consent to be completed at the pre-surgical visit after CBCT review.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
A full afternoon of new referrals — third molars, trauma follow-ups, TMJ evaluations — generates a stack of consult notes that too often waits until after your last case.
Nerve injury, bleeding, dry socket, hardware failure — the risks you discussed before surgery must appear in the record exactly as you explained them, not as boilerplate.
Occlusion, maximal opening, TMJ findings, tooth-by-tooth status, panoramic and CBCT review — small details that are tedious to type but essential to surgical planning.
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.
A maxillofacial consult moves quickly: history, extraoral and intraoral exam, imaging review, surgical recommendation, consent discussion. Medical Scribe records the encounter and drafts the note as you go, so a third-molar referral, a mandible fracture follow-up, or a pre-implant evaluation is documented before you call the next patient back.
The draft follows the built-in Maxillofacial Surgeon’s note: Subjective for the presenting complaint, dental and medical history; Objective for exam findings, imaging, and neurovascular status; Assessment & Plan for each surgical issue with planned procedure, pre-operative preparation, and post-operative care — the same structure you would dictate.
Surgeons get judged on what the chart says was discussed. Because Medical Scribe generates the note from the actual visit conversation, the specific risks you explained for this patient — down to the nerve proximity you flagged on imaging — appear in the record as discussed, never as generic consent language.
Yes. The risks you actually explained — nerve injury, bleeding, dry socket — and the patient's decision are captured in the Assessment & Plan and Additional Notes sections of the drafted note. It records only what was said; you review and sign before it enters the chart.
Tooth numbering, impaction classifications, TMJ findings, and imaging references are transcribed from the visit conversation as you said them. The Maxillofacial Surgeon's note is one of 280+ built-in templates, and custom templates take minutes.
Yes. Apps for iOS, Android, Web, Apple Watch, and Mac cover in-person and telehealth encounters, so a bedside trauma consult and a clinic follow-up both generate complete drafts.
Medical Scribe is HIPAA compliant, with encryption in transit and at rest. Recordings are processed securely, and nothing is finalized until you review and sign the note.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.