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Robert Williams is a 58-year-old male with a confirmed active allergy to Penicillin (criticality unable to assess).

Mr. Williams presented with recurrent pericoronitis of the lower right wisdom tooth (#32), associated with an impacted lower right third molar. On January 17, 2025, he underwent successful surgical extraction of the impacted lower right wisdom tooth (#32). The procedure was performed to address both the recurrent pericoronitis and the tooth impaction. The pericoronitis has since resolved.

Due to his documented Penicillin allergy, Clindamycin 300 mg oral capsule was prescribed in place of Amoxicillin, to be taken three times daily by mouth for 7 days. For post-surgical pain management, Ibuprofen 600 mg oral tablet was also prescribed, to be taken every 6 hours as needed for pain.

At his 2-day post-operative assessment on January 19, 2025, Mr. Williams reported a pain severity of 5 out of 10 on the verbal numeric rating scale, noting improvement from the prior day. Physical examination revealed moderate swelling on the right side of the jaw. Importantly, there were no signs of dry socket or infection at that time.

A follow-up appointment is booked for January 24, 2025, from 9:00 AM to 9:30 AM for suture removal following the surgical extraction.

Robert Williams is a male patient born in 1968. He has an active, confirmed high-criticality medication allergy to penicillin.

On 2026-03-07, he was documented to have resolved, confirmed impacted teeth, specifically an impacted lower right wisdom tooth (#32), as well as resolved, confirmed recurrent pericoronitis. On the same date, he underwent a completed surgical extraction of the impacted lower right wisdom tooth (#32) at tooth #32, identified as the lower right third molar. The procedure was performed for the impacted tooth and recurrent pericoronitis. Follow-up instructions were for suture removal in 5 days. A postoperative note states that his postoperative course was improving, with no signs of dry socket or infection.

Medication orders from 2026-03-07 include an amoxicillin 500 mg oral capsule order for post-extraction infection prophylaxis, prescribed as 500 mg by mouth three times daily for 7 days; however, this order was cancelled due to his penicillin allergy, and the note indicates that clindamycin was prescribed instead. He has an active order for clindamycin 300 mg oral capsule, prescribed as 300 mg by mouth three times daily for 7 days for post-extraction infection prophylaxis. He also has an active order for ibuprofen 600 mg oral tablet, prescribed as 600 mg by mouth every 6 hours as needed for postoperative dental pain.

Postoperative observations from 2026-03-09 show a pain level of 5/10, with pain improving from the previous day. He also had moderate postoperative swelling on the right side of the jaw, which was improving from the previous day. Assessment of the post-extraction site showed no signs of dry socket or infection.

A follow-up appointment is booked for 2026-03-14 from 09:00 to 09:30 UTC for postoperative dental follow-up and suture removal, and the patient has accepted the appointment.

Robert Williams, a male born in 1966, has an active allergy to penicillin. He was diagnosed with active pericoronitis, which was treated with the surgical extraction of his lower right wisdom tooth (Tooth 32). Clinical observations noted moderate swelling on the right side of his jaw and a reported pain severity score of 5 out of 10. To prevent infection, he was prescribed clindamycin 300 mg oral capsules, to be taken as 300 mg three times daily for 7 days. Additionally, he was prescribed ibuprofen 600 mg oral tablets, to be taken every 6 hours as needed for pain. A follow-up appointment is currently booked for the removal of his sutures.

Clinical Narrative for Robert Williams

Patient Demographics: Robert Williams is a 58-year-old male (DOB: May 15, 1966) with a confirmed high-risk allergy to penicillin, which causes allergic reactions. His medical record is associated with SSN 123-45-6789.

Chief Complaint & Diagnosis: Mr. Williams presented on May 15, 2024, with recurrent pericoronitis affecting his lower right wisdom tooth (#32), which had been an ongoing issue since at least May 1, 2024. This condition was confirmed as an active problem and served as the primary reason for his ambulatory dental encounter.

Procedure Performed: On May 15, 2024, between 09:30–10:15 AM, Mr. Williams underwent a surgical extraction of his impacted lower right wisdom tooth (#32) due to recurrent pericoronitis. The procedure was performed in the mandibular tooth region, and sutures were placed post-extraction.

Post-Procedure Status (May 17, 2024):

• Pain level: 5/10 (improving from prior assessment).
• Swelling: Moderate swelling on the right side of the jaw was noted, with no signs of infection.

Medications Prescribed:

1. Ibuprofen 600mg oral tablet – Prescribed for pain relief, to be taken every 6 hours as needed from May 15–22, 2024.
2. Clindamycin 300mg oral capsule – Prescribed three times daily for 7 days (May 15–22, 2024) as an antibiotic prophylaxis. Note: Amoxicillin was avoided due to the patient’s penicillin allergy, and substitution was not permitted.

Follow-Up Care: A follow-up appointment has been scheduled for May 20, 2024, at 10:00–10:30 AM for suture removal and a post-operative dental check. The patient has accepted this appointment.

Summary: Robert Williams, a 58-year-old male with a penicillin allergy, underwent surgical extraction of an impacted wisdom tooth (#32) on May 15, 2024, due to recurrent pericoronitis. Post-operatively, he was prescribed ibuprofen for pain and clindamycin (due to allergy constraints). His recovery is being monitored, with moderate swelling and improving pain (5/10) noted on May 17. A follow-up for suture removal is scheduled for May 20, 2024.

Clinical Narrative for Robert Williams

Robert Williams is a 59-year-old male with a confirmed penicillin allergy. He presented with recurrent pericoronitis, which has since resolved, following surgical intervention. The patient underwent a completed surgical extraction of the permanent lower right third molar tooth (Tooth #32) due to complications from pericoronitis.

Post-procedure, Mr. Williams exhibits moderate swelling on the right side of the jaw and reports a pain severity score of 5/10 on a verbal numeric rating scale. For management, he has been prescribed:

• Clindamycin 300mg oral capsules, three times daily for 7 days (for infection prevention).
• Ibuprofen 600mg oral tablets, every 6 hours as needed for pain control.

A follow-up appointment is booked for suture removal. The patient has accepted this appointment.

Robert Williams is a male patient born in 1968 with a confirmed active allergy to penicillin. On March 7, 2026, he underwent a surgical extraction of an impacted lower right wisdom tooth (#32) to treat recurrent pericoronitis. Both the impaction and pericoronitis are now considered resolved.

During a postoperative evaluation on March 9, 2026, Mr. Williams reported a right jaw pain severity score of 5/10, and an examination revealed moderate swelling on the right side of his jaw. Both the pain and swelling were noted to be improving compared to the previous day. A complication assessment confirmed that his postoperative course is improving with no signs of a dry socket or infection.

For postoperative management, he was prescribed clindamycin 300 mg by mouth three times daily for 7 days for infection prophylaxis—specifically chosen instead of amoxicillin due to his penicillin allergy. He was also prescribed ibuprofen 600 mg by mouth every 6 hours as needed for postoperative pain. A follow-up appointment for suture removal has been scheduled and booked for March 14, 2026, from 9:00 AM to 9:30 AM.

Robert Williams is a male patient born in 1967. He has an active, confirmed high-criticality medication allergy to penicillin. His dental history includes a confirmed, resolved encounter diagnosis of recurrent pericoronitis of the lower right third molar, documented as the lower right wisdom tooth (#32), and a confirmed active diagnosis of an impacted lower right wisdom tooth (#32). On 2025-01-20, he underwent a completed surgical procedure consisting of surgical extraction of the impacted lower right wisdom tooth (#32) (CPT D7240, removal of impacted tooth - completely bony). The procedure was performed for recurrent pericoronitis and the impacted tooth, and the outcome was documented as successful.

Following the extraction, active medication orders were written on 2025-01-20. He was prescribed clindamycin 300 mg oral capsules, 300 mg by mouth three times daily for 7 days, with a total quantity of 21 capsules, no refills, and an expected 7-day supply. This was prescribed instead of amoxicillin due to his penicillin allergy, for infection prevention after the surgical extraction. He was also prescribed ibuprofen 600 mg orally every 6 hours as needed for pain. At a post-operative ambulatory follow-up encounter on 2025-01-22, documented as a Day 2 follow-up visit and still in progress, his reported pain severity score was 5/10, described as moderate pain and improving from the previous day. Examination findings noted moderate swelling of the right side of the jaw. Dry socket assessment was negative, with no signs of dry socket or infection. A follow-up appointment is booked for 2025-01-27 from 09:00 to 09:30 UTC for suture removal after the surgical extraction, and the patient has accepted the appointment.

Robert Williams is a 58-year-old male (date of birth: May 15, 1966) with a confirmed high-criticality medication allergy to Penicillin V, which manifests as an allergic reaction.

Mr. Williams presented for an ambulatory encounter on May 10, 2024, from 9:00 AM to 10:30 AM, for the evaluation and management of recurrent pericoronitis. The recurrent pericoronitis, affecting the lower right wisdom tooth (#32), had an onset date of May 1, 2024, and is confirmed and active on his problem list.

During this encounter, a surgical extraction of the impacted lower right wisdom tooth (#32) was performed between 9:30 AM and 10:15 AM. The procedure was completed successfully, with the indication being the recurrent pericoronitis.

Following the procedure, Mr. Williams developed moderate postoperative swelling on the right side of the jaw, noted as onset May 10, 2024, and documented as improving. A pain severity assessment on May 12, 2024, recorded a pain level of 5 out of 10, also noted to be improving from the prior day.

Two active medications were ordered by Dr. Smith on May 10, 2024:

1. Clindamycin 300 mg — 300 mg three times daily for 7 days (notably prescribed in lieu of penicillin-based antibiotics given the patient's documented penicillin allergy).
2. Ibuprofen 600 mg — 600 mg every 6 hours as needed for pain.

A follow-up appointment for suture removal has been booked for May 15, 2024, from 10:00 AM to 10:30 AM. Both the patient and the practitioner have accepted the appointment.