Dental images and treatment: consultation notes
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Yenra | Prepared September 19, 2026
Companion guide: https://yenra.com/3d-dentistry/

Use this editable question sheet with your clinical team. It is a discussion aid, not a prescription or device operating instruction. Write down instructions supplied by the team; leave unknown answers blank and ask. Do not delay urgent care to complete it.

Keep your completed copy privately. This file has no form submission or data collection.

1. Appointment date and clinician:
   ____________________________________________________________

2. Problem or tooth being discussed:
   ____________________________________________________________

3. My main concern or goal:
   ____________________________________________________________

4. Image type: educational animation / my photograph / surface scan / X-ray or CBCT / proposed simulation:
   ____________________________________________________________

5. Date of my actual image and what the dentist says it shows:
   ____________________________________________________________

6. Proposed treatment and expected benefit:
   ____________________________________________________________

7. Other reasonable options, including monitoring where appropriate:
   ____________________________________________________________

8. Risks, uncertainties and effect of waiting:
   ____________________________________________________________

9. Number of visits, recovery needs and ongoing maintenance:
   ____________________________________________________________

10. Written estimate and what it includes:
   ____________________________________________________________

11. Question still unanswered and who will answer it:
   ____________________________________________________________

12. Copies or reports requested and follow-up date:
   ____________________________________________________________

Source context: questions accompany the linked Yenra guide and its primary references. The source relevant to your care or equipment must be checked by the responsible team.
https://itero.com/our-solutions
https://www.ada.org/resources/ada-library/oral-health-topics/x-rays-radiographs
https://www.ada.org/resources/practice/practice-management/types-of-consent