The AI scribe for oral & maxillofacial surgeons

The operative and consent record

Note Dr captures the assessment, the imaging you justified, the procedure step by step and the consent for nerve injury and bleeding, ready to approve.

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From consultation to approved note

Note Dr listens to the appointment as it happens. While you assess the imaging and talk through the risks, it writes the record in the background, so an anxious patient facing surgery gets you, not the top of your head over a keyboard.

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Built for scrutiny

When it is reviewed,
it reads true

  • Nerve-injury consent on record

    The specific warning of inferior dental and lingual nerve numbness, and the coronectomy alternative offered to reduce it, captured in the patient's own context as you discuss it.

  • Imaging justified in writing

    Why you requested the OPG or CBCT, and what it showed about the nerve relationship, recorded at the time the decision was made, not reconstructed afterwards.

  • The operation, as it happened

    Anaesthesia, flap, bone removal, how the roots were managed, haemostasis and closure, documented contemporaneously so the operative note matches the procedure.

Document the LR8 surgical plan

Surgical plan, LR8

Options discussedRemoval or coronectomy, after CBCT review
Risks explainedNerve injury, bleeding, infection, swelling
Consent recordedCoronectomy, after time to consider

Surgical records that withstand review

A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny in surgery, the assessment and imaging justification, the operative detail and the consent for nerve injury and bleeding, where published audits show conventional records routinely fall short.

  • Attention on the patient
  • Time back in your day

Audits referenced: Cole & McMichael (Primary Dental Care, 2009), Hayes et al (Dental Update, 2017) and, on radiograph evaluation under IR(ME)R, a hospital audit (Kiu et al, Clinical Radiology, 2010).

Documented from
consult to closure

    Patient memory

    The whole case,
    before you scrub in

    Ask what was found at consultation, what imaging showed about the nerve, or exactly what the patient consented to, answered in seconds from their own record.

    Walk into the procedure already knowing the story, without trawling the notes.

    Ask Note Dr, Raymond Doyle
    What did we plan for Raymond's LR8, and what did he consent to?
    NNote Drfrom this patient's record
    At the consultation on 9 June, the LR8 was a mesioangular impaction with recurrent pericoronitis, the roots in close relation to the inferior dental canal on the OPG. You justified a CBCT and discussed removal versus coronectomy. Consent was recorded for a coronectomy, with the risks of nerve injury, bleeding, infection and swelling explained.
    Drawn from 3 documents across 2 visits
    Clinical references

    The surgical guidance,
    in theatre

    When a case calls for it, Note Dr surfaces the published guidance behind your decisions, NICE on third-molar removal, the SDCEP and royal college guidance on extractions and coronectomy, IR(ME)R on imaging justification and the urgent suspected head and neck cancer referral pathway, with the source cited. It never tells you how to treat your patient; that judgement stays with you.

    app.notedr.com
    Appointment TranscriptRaymond DoyleToday · 17:06
    06:18RaymondThe lower right wisdom tooth keeps flaring up, swelling and bad taste.
    06:31DrLR8 mesioangular impaction, recurrent pericoronitis. Roots close to the inferior dental canal on the OPG.
    NNote Dr

    Want me to surface any guidance for this? You could ask:

    Show me the guidance on third-molar removal versus coronectomy
    When is CBCT justified for an impacted lower third molar?
    Show me the urgent referral pathway for a suspicious oral lesion
    Find the evidence on inferior dental nerve injury after coronectomy
    What should be documented for consent to nerve injury?
    GuidelinesJournalsReferences

    Trusted in theatre and
    at the chairside

    Why oral and maxillofacial surgeons trust Note Dr with a record that stands up to scrutiny.

    ★★★★★

    Consent for nerve injury, every time

    Mr Adeyemi O

    It logs the risks I explain, nerve injury, bleeding, infection, swelling, in the patient's own context, without me thinking about it. For surgery where consent is everything, the discussion is always there in black and white, and the transcription holds up with the suction running.

    ★★★★★

    My imaging justification is always there

    Miss Orla N

    Every OPG and CBCT I request is logged with the clinical reason at the time. When records are reviewed, the justification for the nerve assessment reads exactly as it should, and I'm not reconstructing it from memory at the end of a list.

    ★★★★★

    Anxious patients get my full attention

    Mr Callum F

    Someone facing an extraction near the nerve doesn't want me typing. Now I can assess, explain and reassure, and the consultation note is still written. It has genuinely changed how my clinics feel.

    ★★★★★

    The whole operation, documented

    Miss Saoirse G

    Flap, bone removal, how the roots were managed, haemostasis, closure, it's all captured as I operate. The operative note is finished before the patient leaves theatre, and it's the most complete it has ever been.

    ★★★★★

    The cancer pathway, on record

    Mr Idris M

    When I see a suspicious lesion, the description, the risk factors and the urgent referral reasoning are all captured at the time. The biopsy and the pathway are documented exactly as they happened, which matters when the stakes are this high.

    Rated 4.7 out of 5 by oral and maxillofacial surgeons from 69 reviews

    What's said in the surgery
    stays in the surgery.

    Every recording and record is protected by strong, independently assessed security and encryption.

    ISO 27001 Aligned Cyber Essentials GDPR Compliant ICO Registered NHS Compliant UKCA Medical Device HIPAA Compliant

    ★★★★★

    My records have never been this thorough: the assessment, the imaging justification, the operative detail, the consent for nerve injury, the lot. For the first time I'd hand a court the full file on any case I have done and trust it to speak for itself.

    Miss Rebecca HOral and maxillofacial surgeon

    Oral & maxillofacial surgeon FAQs

    What is the best AI scribe for oral and maxillofacial surgeons?

    The best AI scribe for an oral and maxillofacial surgeon drafts the records surgery turns on: the operative note, the imaging justification for the OPG or CBCT, and consent for inferior dental and lingual nerve injury. Note Dr listens during the consultation or procedure and drafts each note to your own template in British English, contemporaneously, for you to review and approve.

    Can Note Dr write operative notes for surgical extractions, impacted third molars and coronectomy?

    Yes. It drafts the full operative record as you work: anaesthesia, flap design, bone removal, how the tooth or roots were managed, whether the inferior dental canal was exposed, haemostasis and closure. The note is finished before the patient leaves, structured to your own template.

    Will an AI scribe transcribe accurately in theatre with suction and drills running?

    Note Dr transcribes on-device, so the audio is processed on your own hardware rather than streamed to the cloud, and it is built to hold up through the background noise of oral surgery: suction, handpieces and theatre chatter. It captures the operative detail as you work, the anaesthesia, flap, bone removal, root management and closure, and drafts the note for you to review and approve.

    Does it record the justification for radiographs like the OPG and CBCT?

    Note Dr records why you justified each radiograph and what it showed, so the OPG or small-field CBCT you requested for an impacted lower third molar is documented with its clinical reason at the moment you decided. The justification for imaging near the inferior dental canal reads as it happened when your records are later reviewed, and you approve the note before it is filed.

    Does it integrate with my hospital or practice-management system?

    Note Dr works alongside any hospital or practice-management system rather than integrating with it: you review and approve each note, then copy or export it into your OMS, hospital record or dental software. That holds for a new-patient consultation, a day-case operative note or a post-operative neurosensory review, and nothing reaches a patient record until you have checked and approved it.

    How should I document consent for inferior dental nerve injury before a lower third molar?

    Record the specific warning of temporary or permanent numbness to the lip, chin and tongue, the radiographic proximity on OPG or CBCT, the coronectomy alternative offered to reduce that risk, and what the patient agreed to. Note Dr captures each point in the patient's words as you explain it.

    Does it handle biopsy and pathology records with an urgent suspected cancer referral?

    Yes. Note Dr documents the lesion description and measurements, the risk factors, the incisional or excisional biopsy and the histopathology request, alongside the reasoning for an urgent suspected head and neck cancer referral and the safety-netting advice you gave, all contemporaneously.

    The surgical record your cases deserve

    Complete, watertight notes for every consultation, operation and biopsy, with consent and imaging justification on record, reviewed and approved by you. The hours back are the bonus.

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