Dental implant record: a worksheet for treatment and continuing care
Keep the implant manufacturer's name and model in your own records. That is part of the FDA's patient advice. A more complete personal file can also connect the implanted system, replacement teeth, imaging and later maintenance without relying on memory. FDA: Dental implants.
Copy the worksheet below into a private document. Obtain the technical entries from the treating practice; do not identify a model by comparing a photograph with online product images. This worksheet is for personal use and does not ask you to submit medical information to this publication.
| Field | Your record |
|---|---|
| Implant placement practice | |
| Treating dentist and contact | |
| Placement date | |
| Tooth site or arch | |
| Implant manufacturer | |
| Implant model | |
| Other identifiers supplied by the practice | |
| Abutment details supplied by the practice | |
| Temporary restoration and date | |
| Final restoration, material and date | |
| Practice responsible for continuing care | |
| Next review appointment |
Add an event log
Keep dated entries for fitting, adjustment, repair and new symptoms. A short factual record is enough. For example, record that a crown was adjusted on a stated date, followed by the instruction actually given. Do not fill an empty line with a diagnosis that was never made.
| Date | Practice | Event or finding reported by the team | Next step |
|---|---|---|---|
An imaging log can sit beside it: examination type, date and the practice holding the images. The FDA's CBCT guidance encourages reviewing earlier imaging to avoid unnecessary duplicate examinations. A log helps locate those records; it does not decide whether a new image is clinically required. FDA: Dental CBCT.
Store instructions with their source
Keep the written cleaning instructions and any maintenance or warranty terms supplied by the practice. Distinguish an actual written term from a remembered advertising phrase. If care moves to another practice, bring the record and the source documents together.
For an active problem, the record supports contact with the dental team rather than delaying it. The FDA advises reporting a loose or painful implant promptly. The implant parts guide explains the component names, and the quote worksheet organizes the proposed work before treatment begins.