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HIPAA Compliant

AI Medical Scribe for

Orthodontists

Records appointments, adjustment visits, parents with questions — orthodontic charting spans years per patient. Medical Scribe documents each visit from the chairside conversation, from the first Class II workup to debond.

Sample note

What your notes will look like

A real example of the documentation Medical Scribe generates for orthodontists — ready before your patient leaves the room.

Initial Consult Ready to copy

Chief Complaint

13F attends with her mother, concerned about prominent upper front teeth and teasing at school. Prominence noticed since the permanent incisors erupted.

Intra Oral Examination

  • Class II division 1 molar relationship bilaterally
  • Overjet 7 mm; overbite 60%, no palatal impingement
  • Moderate maxillary crowding (4 mm), mild mandibular crowding (2 mm)
  • All permanent teeth erupted except third molars; no caries noted; oral hygiene good

Radiographic Findings

Panoramic: all permanent teeth present including developing third molars; no pathology. Lateral cephalogram: mild skeletal Class II (ANB 5 degrees) with retrognathic mandible, average vertical pattern.

Diagnoses

Class II division 1 malocclusion on a mild skeletal Class II base, with increased overjet of 7 mm and moderate upper arch crowding.

Treatment

  • Upper and lower fixed appliances with Class II elastics; estimated 20-24 months
  • Elastics compliance emphasized to patient and mother as key to correction
  • Risks reviewed: decalcification, root resorption, relapse without retention — consent form provided
  • Hygiene protocol and dietary advice given; bonding appointment scheduled

Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.

Two years of treatment lives or dies on visit notes

Dozens of short visits, each needing a note

Adjustments every 6-8 weeks for 18-24 months: wire changes, elastics compliance, hygiene warnings. Small chairside details compound — and they're exactly what gets left out when notes are rushed.

Minors, parents, and consent conversations

Treatment options, root resorption and decalcification risks, compliance expectations — discussed with a parent in the room. If that conversation isn't documented, it didn't happen.

Diagnostic workups are documentation-heavy

Molar classification, overjet and overbite, crowding, ceph and pano findings — the records appointment alone spans a dozen note sections before treatment even starts.

AI-Powered Documentation

Real-time transcription that understands medical terminology and clinical context.

Specialty Vocabulary

Recognizes terms, conditions, and procedures specific to your practice area.

Save Hours Daily

Generate comprehensive clinical notes in minutes instead of hours.

HIPAA Compliant

Enterprise-grade encryption and security to protect sensitive data.

Built-in templates

Note templates built for orthodontists

These aren't generic formats — they ship in the product today, structured around how you actually document.

Orthodontist's note

Chief Complaint History of Presenting Complaints Past Dental History Past Medical History Personal History Family History

Plus 280+ templates across every specialty — or build your own in minutes.

From records appointment to retention check

Medical Scribe records the chairside conversation at every stage — initial consult, records and treatment-plan presentation, adjustment visits, debond, and retention reviews — and drafts the note before the patient is out of the chair. It works in person or over telehealth for virtual check-ins.

The full orthodontic workup, structured

The Orthodontist’s note carries your diagnostic sequence: Chief Complaint and History of Presenting Complaints (including cosmetic concerns), dental and medical history, habits like clenching or grinding under Personal History, Extra Oral and Intra Oral Examination with occlusion analysis, Radiographic Findings, then Diagnoses, Prognosis, and Treatment.

A defensible record across the whole course

Orthodontic complaints surface late — decalcification at debond, relapse after retention lapses. Because Medical Scribe documents only what was actually said and observed at each visit, your chart shows the warnings given, the compliance discussed, and the care taken, appointment by appointment.

Frequently asked questions

Is it worth using for 10-minute adjustment visits?

Yes — that's where it earns its keep. A quick visit generates a concise note capturing the wire change, elastics compliance, hygiene observations, and next steps, so two years of treatment history stays traceable visit by visit.

Does it document consent discussions with parents?

Risks, alternatives, and compliance expectations discussed aloud with the patient and parent are captured in the note as they were said. For minors especially, that contemporaneous record matters — and nothing is ever invented or added.

Can it handle orthodontic terminology and measurements?

Angle classification, overjet and overbite values, crowding assessments, and cephalometric findings you state are documented in the Intra Oral Examination, Radiographic Findings, and Diagnoses sections of the Orthodontist's note.

How is patient data protected?

Medical Scribe is HIPAA compliant, with encryption in transit and at rest. Notes are drafts until you review and sign, and the apps run on iOS, Android, Web, Apple Watch, and Mac.

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