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  • 641d42fd7103172b7f10b10a - Dental Treatment Plan

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    osman balla
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    This dental treatment plan document records a patient's name, date, sex, and age. It includes checkboxes to indicate the status of the patient's gingiva, deposits, stains, prosthetics, and head and neck exam findings for both sides of the mouth. The treatment plan section lists tooth numbers, recommended treatments, and additional remarks.

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    641d42fd7103172b7f10b10a_Dental Treatment Plan

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    This dental treatment plan document records a patient's name, date, sex, and age. It includes checkboxes to indicate the status of the patient's gingiva, deposits, stains, prosthetics, and head and neck exam findings for both sides of the mouth. The treatment plan section lists tooth numbers, recommended treatments, and additional remarks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2 views2 pages

    641d42fd7103172b7f10b10a - Dental Treatment Plan

    Uploaded by

    osman balla
    This dental treatment plan document records a patient's name, date, sex, and age. It includes checkboxes to indicate the status of the patient's gingiva, deposits, stains, prosthetics, and head and neck exam findings for both sides of the mouth. The treatment plan section lists tooth numbers, recommended treatments, and additional remarks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Dental Treatment Plan

    Name: ‫يضترم‬ Date:

    Sex: Age:

    Right

    Left

    Check one:
    Gingivia Normal Inflamed Highly inflamed
    Deposit Slight Moderate Heavy
    Stain Slight Moderate Heavy
    Prosthesis present F/F P/P
    Prosthesis needed F/F P/P
    PSR Code R: L:
    Head and neck exam (check one):
    Lips Normal Abnormal
    Buccal mucosa Normal Abnormal
    Pharynx Normal Abnormal
    Hard palate Normal Abnormal
    Soft palate Normal Abnormal
    Tongue Normal Abnormal
    Sublingual Normal Abnormal
    TMJ Normal Abnormal
    Neck nodes Normal Abnormal

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    Dental Treatment Plan
    Treatment plan
    Tooth number Treatment Remarks

    Additional Notes

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