Patient:

Datum:

Time:

Start planing (picture and draw from)

Time:

Start local anesthesia, doner area

Time:

Start extraction, doner area

Time:

Start local anesthesia, recipient area

Time:

Start channel, recipient area

Time:

Start implanting grafts

Time:

Finish grafts planting

Time:

Patient leaves room

Number of grafts total:

Singel:

400

Dubbel:

2000

Triple:

1200

Quadruple:

400

Local anesthesia:

Ml:

Lidokain Mylan 20ml

Ml:

Lidokain Mylan 10ml

Ml:

Tribonat

Ml:

Adrenalin, 1mg/ml NaCl Solution

Nurse:
Linnea BohmanHind Al Sharifi

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