diff --git a/frontend/src/components/treatment/voiceReviewRows.spec.ts b/frontend/src/components/treatment/voiceReviewRows.spec.ts
index e6929d3..8a100cb 100644
--- a/frontend/src/components/treatment/voiceReviewRows.spec.ts
+++ b/frontend/src/components/treatment/voiceReviewRows.spec.ts
@@ -232,6 +232,16 @@ describe('joblessProsthesisTargets', () => {
     expect(joblessProsthesisTargets(result)).toEqual(['13']);
   });
 
+  it('does not call a target jobless when another assignment already gave it a job', () => {
+    const result = baseResult({
+      prosthesisAssignments: [
+        { targets: ['13'], types: [], spoken: '' },
+        { targets: ['13'], types: ['pfm_crown'], spoken: '' },
+      ],
+    });
+    expect(joblessProsthesisTargets(result)).toEqual([]);
+  });
+
   it('does not call a target jobless while it is pending a material pick', () => {
     const result = baseResult({
       prosthesisAssignments: [{ targets: ['13'], types: [], spoken: 'روکش' }],
diff --git a/frontend/src/components/treatment/voiceReviewRows.ts b/frontend/src/components/treatment/voiceReviewRows.ts
index 6170c29..78df511 100644
--- a/frontend/src/components/treatment/voiceReviewRows.ts
+++ b/frontend/src/components/treatment/voiceReviewRows.ts
@@ -239,7 +239,11 @@ export function joblessProsthesisTargets(result: VoiceExtractionResult): string[
     if (!covered.has(tooth) && !pending.has(tooth)) jobless.add(tooth);
   }
 
-  return [...jobless];
+  // A target named twice — once with a job, once bare — is not jobless. Without this the
+  // sheet shows the same tooth with its crown AND struck through as "no prosthesis heard".
+  return [...jobless].filter(
+    (target) => !covered.has(target) && !pending.has(target),
+  );
 }
 
 export type VoiceProsthesisChartData = {
diff --git a/frontend/src/components/ui/treatment/TreatmentWorkspace.tsx b/frontend/src/components/ui/treatment/TreatmentWorkspace.tsx
index 7f49925..54a12e9 100644
--- a/frontend/src/components/ui/treatment/TreatmentWorkspace.tsx
+++ b/frontend/src/components/ui/treatment/TreatmentWorkspace.tsx
@@ -2191,7 +2191,9 @@ export function TreatmentWorkspace({
       setActiveDetailId(detail.clientId);
 
       if (labCaseDraft) {
-        const updatedLabCases = [...labCaseDrafts, labCaseDraft];
+        // The ref, not the state: every other handler now writes the ref beside
+        // setLabCaseDrafts, so a draft added earlier in the same tick is only there.
+        const updatedLabCases = [...labCaseDraftsRef.current, labCaseDraft];
         labCaseDraftsRef.current = updatedLabCases;
         setLabCaseDrafts(updatedLabCases);
 
@@ -2215,7 +2217,6 @@ export function TreatmentWorkspace({
       setVoiceResult(null);
     },
     [
-      labCaseDrafts,
       labDependentCodes,
       persistDraft,
       persistLabCases,
diff --git a/frontend/src/components/ui/treatment/VoiceReviewSheet.tsx b/frontend/src/components/ui/treatment/VoiceReviewSheet.tsx
index ccb978d..ef001e3 100644
--- a/frontend/src/components/ui/treatment/VoiceReviewSheet.tsx
+++ b/frontend/src/components/ui/treatment/VoiceReviewSheet.tsx
@@ -106,6 +106,13 @@ export function VoiceReviewSheet({
     [effective, prosthesisCatalog],
   );
   const joblessTargets = useMemo(() => joblessProsthesisTargets(effective), [effective]);
+  // A target whose assignment named no usable job still produces a line, and the jobless list
+  // already names it. Rendering both printed a dangling "13: " beside "13: no prosthesis
+  // heard". The unfiltered list still feeds the chart, so a pending target stays selected.
+  const shownLines = useMemo(
+    () => prosthesisLines.filter((line) => line.applied.length > 0 || line.refused.length > 0),
+    [prosthesisLines],
+  );
   const chartData = useMemo(
     () => prosthesisChartData(prosthesisLines, joblessTargets, prosthesisCatalog),
     [prosthesisLines, joblessTargets, prosthesisCatalog],
@@ -269,7 +276,7 @@ export function VoiceReviewSheet({
                   />
                 </div>
                 <p className="mt-1 text-sm text-text-primary">
-                  {prosthesisLines.map((line, i) => (
+                  {shownLines.map((line, i) => (
                     <span key={`line-${line.target}`}>
                       {i > 0 ? ' · ' : ''}
                       {targetLabel(line.target)}:{' '}
@@ -279,13 +286,13 @@ export function VoiceReviewSheet({
                           {labelFor(code, prosthesisCatalog)}
                         </span>
                       ))}
-                      {line.refused.map((code) => (
+                      {line.refused.map((code, j) => (
                         <span
                           key={code}
                           title={t('voiceStackRefused')}
                           className="text-text-muted line-through"
                         >
-                          {' + '}
+                          {line.applied.length > 0 || j > 0 ? ' + ' : ''}
                           {labelFor(code, prosthesisCatalog)}
                         </span>
                       ))}
@@ -296,7 +303,7 @@ export function VoiceReviewSheet({
                       key={`jobless-${target}`}
                       className="text-text-muted line-through"
                     >
-                      {prosthesisLines.length > 0 || i > 0 ? ' · ' : ''}
+                      {shownLines.length > 0 || i > 0 ? ' · ' : ''}
                       {targetLabel(target)}: {t('voiceNoProsthesisHeard')}
                     </span>
                   ))}