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Hso G Dental Form PDF

The dental examination form collects information about a student's assigned dentist, date of exam, academic year, general dental condition including oral hygiene, presence of plaque or deposits, gingivitis, pyorrhea, use of dentures, braces, or retainers. It also provides space for other remarks by the examining dentist.

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Marlowe Sarabia
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102 views1 page

Hso G Dental Form PDF

The dental examination form collects information about a student's assigned dentist, date of exam, academic year, general dental condition including oral hygiene, presence of plaque or deposits, gingivitis, pyorrhea, use of dentures, braces, or retainers. It also provides space for other remarks by the examining dentist.

Uploaded by

Marlowe Sarabia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Health Services Office

DENTAL EXAMINATION FORM

Dental Information

Assigned Dentist
______________________
Date ______________________
Academic Year ________________

General.Condition

 Good oral hygiene

 Presence of calcular
deposits/plaque

 Gingivitis

 Pyorrheatic

 Denture wearer up

 Denture wearer down

 With ortho braces up

 With ortho braces down

 Wearing Hawley’s retainers

 Others

_______________________

Other.Remarks__________________
______________________________
______________________________
______________________________

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