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Patient Name: |
Benavides,Mark |
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Birthdate: |
3-Feb-1940 |
66 Years |
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1411 |
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PERIODONTAL ( Gum and Bone) |
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Periodontal Classification: |
Mild |
AAP II |
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Site Specific Bone Loss: |
None |
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Horizontal Bone Loss: |
2-15, 18-31 |
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Aggressive Periodontitis |
Negative |
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Secondary Occlusal Traumatism |
Negative |
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Apical Root Resorption |
None |
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Abrasion |
None |
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Recession |
None |
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Edentulous Ridge Considerations |
None |
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Posterior Bite Collapse |
Negative |
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Missing Teeth (due to Periodontal Disease) |
None |
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Remaining Teeth |
2-15, 18-31 |
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Oral Pathology |
Negative |
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Impaction |
None |
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Other |
Negative |
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IntraOral Exostosis / Tori |
None |
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Root Proximity |
None |
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RISK ASSESSMENT |
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LOW |
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PROGNOSIS: Generalized (Remaining Teeth) |
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GOOD |
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Good |
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Fair |
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Poor |
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PROGNOSIS: Specific (Individual Teeth) |
2-15, 18-31 |
None |
None |
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Patient Name: |
Benavides,Mark |
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Birthdate: |
3-Feb-1940 |
66 Years |
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BIOMECHANICAL (Tooth Structure) |
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Caries |
2, 30 |
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Questionable Caries |
None |
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Defective Restorations |
30 |
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Questionable Restorations |
None |
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Structural Compromises |
2-4, 13-15, 18-20, 29-31 |
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Irreversible Pulpal Pathology |
None |
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Questionable Pulpal Pathology |
3, 12, 13, 15, 18-20, 31 |
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Future Risk For Root Canal Treatment |
2, 3, 12, 13, 15, 18-20, 29, 31 |
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Completed Root Canal Treatment Questionable |
None |
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Completed Root Canal Treatment Acceptable |
4, 14, 30 |
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Completed Root Canal Treatment Unacceptable |
None |
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Root Resorption |
None |
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Erosion |
5-12 |
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Margin Location Concerns |
30 |
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Missing Teeth (due to Biomechanics) |
None |
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RISK ASSESSMENT |
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MODERATE |
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PROGNOSIS: Generalized (Remaining Teeth) |
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POOR |
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Good |
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Fair |
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Poor |
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Hopeless |
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PROGNOSIS: Specific (Individual Teeth) |
6, 11, 21-28 |
5, 7-10, 29 |
3, 12, 13, 15, 18-20, 31 |
2, 4, 14, 30 |
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Patient Name: |
Benavides,Mark |
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Birthdate: |
3-Feb-1940 |
66 Years |
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FUNCTIONAL (Joint, Bite, and Chewing) |
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Minimal |
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Moderate |
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Severe |
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Attrition (WEAR) / Normal Force |
5, 12, 22-27 |
6, 11 |
7-10 |
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Abnormal Attrition/ Bruxism/ Excessive Force |
None |
6, 11 |
7-10 |
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Abfraction |
None |
None |
None |
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Primary Occlusal Traumatism |
4, 5, 12, 13, 29 |
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Temporomandibular Disorder |
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TMJ Range of movement |
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Maximum Opening |
56 mm |
Within normal limits |
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Range of motion (horizontal) |
Within normal limits |
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Deviation on Opening |
None |
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Left Joint |
Right Joint |
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Symptomatic Concerns |
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Negative |
Negative |
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Joint Sounds |
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Pt reports history |
Negative |
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Crepitus |
Yes |
N/A |
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Grade |
Grade 1 |
N/A |
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Popping |
No |
N/A |
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Load Test |
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Negative |
Negative |
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Immobilization Test |
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Negative |
Negative |
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Head & Neck Muscle Discomfort |
No |
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Abnormal Neuromuscular Habits |
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FUNCTION |
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Grinding(Bruxism) |
Severe |
Acceptable Function |
No |
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Clenching |
Moderate |
Constricted Chewing Pattern |
No |
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Tongue Thrust |
No |
Occlusal Dysfunction |
Yes |
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Finger Sucking |
No |
Parafunction (Sleep Bruxism) |
Yes |
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Other |
Finger Sucking as Child |
Neurologic Disorders |
No |
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Occlusal Vertical Dimension |
Compromised |
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Missing Teeth (due to Function) |
1, 16, 17, 32 |
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RISK ASSESSMENT |
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HIGH |
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PROGNOSIS: Generalized (Remaining Teeth) |
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POOR |
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Good |
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Fair |
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Poor |
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PROGNOSIS: Specific (Individual Teeth) |
2, 3, 14, 15, 18-28, 30, 31 |
4-13, 29 |
None |
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PROGNOSIS: Specific (Indirect Restorations) |
:Wear Characteristics May Be Misleading Because Of Restorative Material
3, 4, 18-20 |
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Patient Name: |
Benavides,Mark |
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Birthdate: |
3-Feb-1940 |
66 Years |
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DENTOFACIAL (Smile Characteristics) |
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COLOR |
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Acceptable |
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Developmental Disturbances |
Negative |
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FACIALLY RELATED TOOTH POSITION |
Acceptable |
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Alteration planned |
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1. MAXILLARY INCISAL EDGE POSITION |
None |
6-11 |
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2. MAXILLARY POSTERIOR OCCLUSAL PLANE |
None |
2-5, 12-15 |
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3. MANDIBULAR INCISAL EDGE POSITION |
22-27 |
None |
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4. MANDIBULAR POSTERIOR OCCLUSAL PLANE |
None |
18-21, 28-31 |
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INTRA ARCH TOOTH POSITION (Arrangement and Form): |
Increased Risk |
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Tooth Shape |
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Square |
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Ovoid |
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Triangular |
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6-11, 22-27 |
None |
None |
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Acceptable/Alteration |
Left/Right |
Magnitude |
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Midline Position |
Acceptable |
None |
0 |
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MIdline Inclination |
Acceptable |
None |
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Crowding/Overlap |
None |
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Diastema |
None |
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Rotations |
Acceptable: 23 |
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Missing Teeth (due to Dentofacial) |
None |
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GINGIVAL TISSUE ASSESSMENT |
Maxillary |
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Mandibular |
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Lip Dynamics |
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High |
Acceptable |
Medium |
Acceptable |
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Horizontal Symmetry |
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Acceptable |
Acceptable |
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Scallop / Form |
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Flat |
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Normal |
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High |
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None |
6-11, 22-27 |
None |
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PATIENT'S VISION |
I am afraid my four front teeth are going to split |
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longer upper teeth |
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Function |
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RISK ASSESSMENT |
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HIGH |
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PROGNOSIS: Generalized (Remaining Teeth) |
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POOR |
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Good |
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Fair |
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Poor |
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PROGNOSIS: Specific (Individual Teeth) |
None |
6-11, 22-27 |
None |
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ACHIEVABILITY OF PATIENT'S VISION: |
Patient's Vision Is Achievable |
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