Tooth #205:    

black line

Gingiva-periodontal Disease

  • Periodontal Pockets: mm
  • Recession/Root Exposure: mm
  • Furcation Exposure:    (0-4 scale)
  • Mobility:    (0-4 scale)

    • Dental Abnormalities

    Retained Deciduous
    Crowding
    Rotation
    Malpositioned
    Missing
    Supernumerary
    Retained Root
    Fractured
    Pulp Exposure
    External Root Resorptive Lesion
    Caries
    Pulp Hemorrhage

    Radiographic Findings

    Periodontics

    Ultrasonic Scaling
    Subgingival Curettage/Root Planing
    Polishing
    Gingivectomy
    Flap
    Fluoride Treatment
    Varnish

    Oral Surgery

    Exodontia
         Routine Extraction
         Sectioning
         Buccal Cortical Bone Removal
    Mucoperiosteal Flap
    Oronasal Fistula Repair
    Gingival Biopsy
    Tumor Removal
    Mandible Fracture Repair
    Other:

    Endodontics

    Vital Pulpotomy
    Conventional Root Canal
    Surgical Root Canal Therapy
    Other:

    Restorations

    Amalgam
    Composite
    Glass Ionomer
    Crown
    Crown Lengthening

    Orthodontics

    Impression/Model
    Bracket/Button, Elastics/Chain
    Acrylic Splint
    Incline Plane
    Other:

    General Notes:

    Take Photo or Upload Image: