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UR 8 UR 7 UR 6 UR 5 UR 4 UR 3 UR 2 UR 1 UR RM LR RM LR 32 LR 31

UL 9 UL 10 UL 11 UL 12 UL 13 UL14 UL15 UL 16 UL RM LL RM LL 17 LL 18
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LR 30 LR 29 LR 28 LR 27 LR 26 LR 25 LL 24 LL 23 LL 22 LL 21

LL 19 LL 20

Dental Points Chart:


Patient Name Date

LR: Lower Right UR: Upper Right LL: Lower Left LR: Lower Right Wisdom Teeth are numbers 1, 16, 17, and 32. RM: Retro-Molar Space this is the flat area behind your wisdom teeth. The diagram above is a Reverse Mirror Image of the mouth. Please mark next to the corresponding numbers which teeth you have had Amalgam Fillings (AF), Root Canals (RC) and/or Crowns (CR).
Dentalpointschart.rtf

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