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Veterinary Dental Charts




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Client ID:
Client Last Name:
Client Phone:
Patient Name:
Species:

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 Veterinarian: blank space

General Comments

Saliva:
Breath:
Tonsils:
Lips:
Regional Lymph Nodes:

Skull Type

Skull Type:

Occlusion

Normal Bite
Level Bite
Prognathic
Brachygnathic
Anterior Crossbite
Posterior Crossbite
Wry Mouth
Attrition/Abrasion

Gingiva-Periodontal Disease

Hyperplasia:
Gingivitis:    (0-4 scale)
Plaque:    (0-4 scale)
Calculus:    (0-4 scale)

Before and After Dental Images

Before Dental Image(s):

Take Photo or Upload Image

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After Dental Image(s):

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dental chart image dental chart image

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Legend:
Normal
Gingiva-periodontal Disease
Dental Abnormalities
Radiographic Findings
Periodontics
Oral Surgery
Endodontics
Restorations
Orthodontics
Extracted
Notes
Missing



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