ANTHROPOLOGY 197
SOMATOMETRY
Department of Anthropology
University of the Philippines Diliman, Quezon City
DENTAL FORM
Informant’s Name: __________________________________________ Recorded By:________________________________
Age/Birthdate:______________________ Sex: M F Ancestry:__________________ Date: ___________________
CONDITION AND CHARACTERISTICS
DECIDUOUS MAXILLARY TEETH ______
55 54 53 52 51 61 62 63 64 65
0
PERMANENT MAXILLARY TEETH ______
18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28
PERMANENT MAXILLARY TEETH ______
48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38
DECIDUOUS MANDIBULAR TEETH ______
0
55 54 53 52 51 61 62 63 64 65
LEGEND General Condition of Teeth:__________________________
OBSERVATION TYPE ABB
Shovel-shaped SSI
Incisors ________________________________________________
Lateral Incisor LIA
Anomalies
Morphological Variation
Carabelli’s Cusp CC Dental Hygiene Habits (Brushing):___________________
Hyperdontia HED
Hypodontia HOD
Others MVO
________________________________________________
Plaque P
Attrition
Caries C
Filings F
Mutilations Others:__________________________________________
Hole H
Others Filling/Pasta P
________________________________________________
Notes:
DENTAL CASTING
[ ] YES [ ] NO
Dental Cast Number: _________