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PA -

Justification: Assessment for caries, bone levels and periapical pathology + pre-treatment record

Grade: 1/2/3

Teeth Present: UR87654321 UL87654321 LL87654321 LR87654321

Restorations:

Caries:

Calculus: Interproximal spurs present between / Not apparent

Bone levels: Mild/Moderate/Severe Generalised/Localised Horizontal/Vertical bone loss

Other: Nil

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