Several areas encroach upon the pulp tissue and may warrant root canal therapy. Generalized gingivitis and mild periodontitis. Last physical exam was six months past. No history of major operations or illnesses in past two years. Patient can be described as being philosophic.
Patient expectations are normal.
Patient has been dissatisfied with past dental treatment. Past dental visits have been infrequent. Patient has sought care only when the need for care arises'. Mr. X has had several extractions over the past ten years. He reports having had no previous problems with local anesthetics.