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Pedo

The document outlines a template for recording oral health status, including personal history, extra and intra oral examinations, and various dental conditions. It includes sections for demographic information such as name, age, sex, address, occupation, height, weight, and BMI. The template is designed for multiple entries, indicating it may be used for several patients.

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drfathimatnasla
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45 views1 page

Pedo

The document outlines a template for recording oral health status, including personal history, extra and intra oral examinations, and various dental conditions. It includes sections for demographic information such as name, age, sex, address, occupation, height, weight, and BMI. The template is designed for multiple entries, indicating it may be used for several patients.

Uploaded by

drfathimatnasla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DATE:

NAME: AGE: SEX:

ADDRESS:

OCUPATION: FATHER - MOTHER -

HEIGHT: WEIGHT:

BMI: RESULT:

ORAL HEALTH STATUS:

 PERSONAL HISTORY:
 EXTRA ORAL EXAMINATION:
 INTRA OAL EXAMINATION:
 TEETH PRESENT:

 DEPOSITS:
 DENTAL CARIES:
 MISSING:
 RESTORED:
 MOBILITY DUE TO PERIODONTAL PROBLEM:
 RESULT:

DATE:

NAME: AGE: SEX:

ADDRESS:

OCUPATION: FATHER - MOTHER -

HEIGHT: WEIGHT:

BMI:

ORAL HEALTH STATUS:

 PERSONAL HISTORY:
 EXTRA ORAL EXAMINATION:
 INTRA OAL EXAMINATION:
 TEETH PRESENT:

 DEPOSITS:
 DENTAL CARIES:
 MISSING:
 RESTORED:
 MOBILITY DUE TO PERIODONTAL PROBLEM:
 RESULT:

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