NO :

Sex unknown

Male Female

11 21
12 22
13 23
14 24
15 25
16 26
17 27
18 28
18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28

48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38

48 38
47 37
46 36
45 35
44 34
43 33
42 32
41 31
Spesific data/description of

Crowns, bridges dentures and

implants

Further findings

Occlusion, attrition, anomalies,

smoker, periodontal status, etc

X-Rays
Further material /
Supplementary examination

Age at time of
disapp/Estimate age