| { |
| "product_name": "Dental SOAP", |
| "artifact_label": "Dentist Visit Handoff", |
| "patient_name": "Ahmed (de-identified)", |
| "patient_age": 38, |
| "chief_concern": "Bite, jaw/TMJ, and sinus pain after extraction, root canal, and crown work", |
| "concise_summary": "In March I had an upper molar extracted with an immediate sinus repair, plus a root canal and a new crown on the opposite side.", |
| "timeline": [ |
| "Reported duration: Three months, evolving since March.", |
| "In March I had an upper molar extracted with an immediate sinus repair, plus a root canal and a new crown on the opposite side.", |
| "The crown felt high from day one, the molar behind it was adjusted five times, and my bite still feels wrong.", |
| "In mid-May the crown was removed to let things settle, and that tooth is still uncovered.", |
| "Since then I chew with a bruised feeling and get jaw/TMJ soreness that spreads toward the temple and ear, worst in the morning." |
| ], |
| "current_symptoms": [ |
| "Pain score reported as 6/10.", |
| "Pain or bruised feeling with biting/chewing.", |
| "Hot/cold sensitivity reported.", |
| "Jaw/TMJ limitation or locking concern reported." |
| ], |
| "dental_history": [ |
| "Area: Upper molars, both sides; the crown side is upper left", |
| "Recent dental work: Extraction with sinus repair, root canal, crown placement, five bite adjustments, crown removed mid-May" |
| ], |
| "medical_safety_notes": [ |
| "Medications/supplements to verify: Antibiotic course and a nasal spray for the sinus infection (started this week)" |
| ], |
| "patient_goals": [ |
| "Find out whether the bite, the uncovered tooth, the jaw muscles, or the sinus is driving the pain — and what must happen before a new crown", |
| "Leave the visit understanding what the dentist checked.", |
| "Know what to monitor after the visit and when to seek urgent care." |
| ], |
| "dentist_questions": [ |
| "Which tooth or area should we prioritize examining first based on my history?", |
| "What findings on exam or imaging would help separate tooth, crown, bite, and jaw-muscle causes?", |
| "What should I track after today's visit so we can tell whether symptoms are improving?", |
| "Can you check the crown margin, contacts, cement seal, and whether the bite is high?", |
| "Should this tooth have an endodontic reassessment, and what records or X-rays would help?", |
| "Can you check the bite with articulating paper and compare both sides of contact?", |
| "Could jaw muscles or the TMJ be contributing, and do I need referral or conservative jaw care?", |
| "Could my sinus symptoms and tooth symptoms be related, and how would we tell which is driving which?" |
| ], |
| "after_visit_tracker": [ |
| "What was examined: tooth/area, bite, crown margin, gums, TMJ, imaging reviewed.", |
| "What changed today: adjustment, medication advice, referral, imaging request, or watchful waiting.", |
| "Pain score before/after visit and whether biting, temperature, or jaw symptoms changed.", |
| "Next step, owner, and follow-up date." |
| ], |
| "bring_checklist": [ |
| "Your medication list with doses (or the boxes themselves): Antibiotic course and a nasal spray for the sinus infection (started this week).", |
| "The actual imaging files (X-ray/CBCT) on USB or your phone — the files, not just the written report.", |
| "Dates of recent dental procedures and the treating clinic's contact details.", |
| "A short pain log: when it hurts, what triggers it, what helps, and a 0-10 score per day.", |
| "This handoff, printed or on your phone." |
| ], |
| "evidence": [ |
| { |
| "source": "free_text", |
| "quote": "In March I had an upper molar extracted with an immediate sinus repair, plus a root canal and a new crown on the opposite side. The crown felt high from day one, the molar behind it was adjusted five times, and my bite still feels wrong. In mid-May the crown w" |
| } |
| ], |
| "red_flags": [ |
| { |
| "rule_id": "repeated_adjustments_without_relief", |
| "title": "Repeated bite adjustments without lasting relief", |
| "tier": "dentist_discussion", |
| "patient_message": "When the same tooth needs repeated bite adjustments and still does not feel right, ask your dentist whether the bite itself could be shifting — for example from jaw-muscle or TMJ involvement — rather than one spot being high.", |
| "clinician_question": "Please consider occlusal re-evaluation for a shifting bite, including jaw-muscle or TMJ compensation and whether stabilization should precede further irreversible adjustment.", |
| "evidence": [ |
| { |
| "source": "free_text", |
| "quote": ". The crown felt high from day one, the molar behind it was adjusted five times, and my bite still feels wrong. In mid-May the crown was removed to let things " |
| } |
| ] |
| } |
| ], |
| "limitations": [ |
| "This is not a diagnosis.", |
| "This does not interpret X-rays, CBCT, photos, or scans.", |
| "This organizes patient-reported history to bring to a licensed dentist." |
| ] |
| } |
