Reclaim Your Time. Enhance Patient Care.
As a surgeon, your time is your most valuable asset. Yet, hours are lost every week to manual documentation, handwritten notes, and post-consult charting. ScribeOMS is a next-generation AI Medical Scribe specifically trained for OMFS surgeons to automate your clinical documentation with unparalleled accuracy—and absolutely no hallucinations!
Simply hit "Record" on your smartphone. When the consult ends, our AI instantly generates comprehensive SOAP Notes tailored to surgical standards, cleaned transcripts, and referral letters.
Translates your natural spoken conversation directly into a highly structured clinical document. Skip the charting and leave the room with your notes already completed.
The average surgeon spends up to 2 hours per day on documentation. ScribeOMS frees up enough time to see 1-2 extra patients per day, effortlessly paying for itself.
No servers to maintain, no complex software installations, and no clunky integrations with legacy PMS like WinOMS required. Setup takes less than 5 minutes.
Every generated SOAP note is cryptographically hash-encrypted (SHA-256) and strictly time-stamped. All finalized notes are securely vaulted and archived for 7 years.
Review, edit, and approve your notes directly from your smartphone between visits. Use our built-in Addendum feature to seamlessly dictate after-thoughts.
Access your notes from anywhere. Print, edit, and approve in seconds.
Consult ID: cd62ca17-fcd3-47f6-914d-b2178db96441
The patient presents for removal of tooth #31. The patient reports he fractured the tooth, and it is now non-restorable.
Past Medical History: Blood transfusion, osteoporosis, acid reflux, anxiety.
Medications: Nexium, prednisone, Zoloft.
Allergies: Penicillin.
Blood Pressure: 135/76. Exam: Patient has no facial swelling, no trismus, or lymphadenopathy. There is a fracture of tooth #31. There is a crown on tooth #30. There is root canal treatment of tooth #31. There are no oral lesions or lymphadenopathy.
Radiograph: The periapical radiograph reveals root canal treatment of tooth #31 and decay of tooth #31.
The risks of the procedure were explained to the patient, including but not limited to upper lip and nose numbness, lower lip, tongue, and chin numbness, damage to adjacent teeth, restoration, dry socket, bleeding, infection, bony defect... The patient understood and signed the consent form.
Procedure: Two carpules of 2% Xylocaine with 1:100,000 epinephrine were administered via a right inferior alveolar nerve block and infiltration of tooth #31. A full-thickness mucoperiosteal flap was created. Bone was removed, and tooth #31 was sectioned and surgically removed without complications. The extraction site was curetted and irrigated with normal saline. The throat pack was removed.
Prescriptions:
Follow-up: Patient to follow up on a PRN basis.
Patient Steve Jobs. Chart number 63246, date of 5/8/2026. PPE. Patient presents for removal of tooth number 31. Uh the patient had fractured um uh this tooth and the tooth is non-restorable.
Her past medical history, he's had a blood transfusion in the past, um osteoporosis, acid reflux, anxiety. Her medications are um Nexium, prednisone, uh as well as Zoloft. Her allergies are to um penicillin, uh period.
Exam. Patient's blood pressure 135 over 76. Patient has no facial swelling, no trismus or lymphadenopathy. There is fracture of tooth number 31. There's a crown on tooth number 30. There's root canal treatment of tooth number 31. There's no oral lesions, there's no lymphadenopathy.
The periapical radiograph reveals root canal treatment of tooth number 31, decay of tooth number 31. Assessment, decay, tooth number 31, um non-restorable tooth number 31.
The patient has been explained the uh increased risk of upper lip and nose numbness, lower lip, tongue and chin numbness, damage to adjacent teeth, restoration, dry socket, bleeding, infection, bony defect, soft tissue defect, periodontal defect, TMJ problems, facial scar, facial bruising, facial discoloration, bleeding, infection, dry socket, anesthetic risk, leaving a portion of extracted tooth as well as additional procedures. The patient has read, I've discussed the consent form with this patient, patient signed the consent form.
Procedure. Two carpules, 2% Xylocaine, 1:100,000 epinephrine local anesthetic solution was used in a right inferior alveolar nerve block as well as infiltration of tooth number 31. Full thickness mucoperiosteal flap was created in the area of number 31. Bone was removed to remove tooth number 31. Tooth number 31 was sectioned and surgically removed without complications. The extraction site was curetted and was copiously irrigated with normal saline.
No complications procedure, throat pack was removed. Post-operative instructions were given. Prescriptions are Percocet 5/325 milligrams, four tablets, one Q6 PRN pain, Ibuprofen 600 milligrams, uh eight tablets, one Q6 uh PRN pain, and a Z-pack, dispense one, uh take as directed until gone. And I'm going to see this patient for follow-up on a uh PRN basis. Thank you.
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