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DIAGNOSTIC OPINION
Patient Name: Benavides,Mark   Birthdate: 3-Feb-1940 66 Years     1411  
PERIODONTAL ( Gum and Bone)                
                   
Periodontal Classification: Mild AAP II        
           
Site Specific Bone Loss: None  
Horizontal Bone Loss: 2-15, 18-31  
   
Aggressive Periodontitis Negative
Secondary Occlusal Traumatism Negative
Apical Root Resorption None
Abrasion None  
Recession None  
Edentulous Ridge Considerations None
Posterior Bite Collapse Negative  
Missing Teeth (due to Periodontal Disease) None  
Remaining Teeth 2-15, 18-31  
Oral Pathology Negative  
Impaction None  
Other Negative  
IntraOral Exostosis / Tori  None  
Root Proximity None  
                 
RISK ASSESSMENT             LOW    
                 
PROGNOSIS: Generalized (Remaining Teeth)         GOOD    
  Good   Fair   Poor      
PROGNOSIS: Specific (Individual Teeth) 2-15, 18-31 None None    
Text Box: Horizontal Bone Position
Not Answered     AAP I     AAP II     AAP III     AAP IV     
      Text Box: Facial Recession
Not Answered     Correct     Apical     Coronal    
         
                   
                 
Patient Name: Benavides,Mark   Birthdate: 3-Feb-1940 66 Years        
BIOMECHANICAL (Tooth Structure)                
                 
                 
Caries 2, 30  
Questionable Caries None  
Defective Restorations 30  
Questionable Restorations None  
Structural Compromises 2-4, 13-15, 18-20, 29-31  
Irreversible Pulpal Pathology None  
Questionable Pulpal Pathology 3, 12, 13, 15, 18-20, 31  
Future Risk For Root Canal Treatment 2, 3, 12, 13, 15, 18-20, 29, 31  
Completed Root Canal Treatment Questionable None
Completed Root Canal Treatment Acceptable 4, 14, 30  
Completed Root Canal Treatment Unacceptable None  
Root Resorption None    
Erosion 5-12  
Margin Location Concerns 30  
Missing Teeth (due to Biomechanics) None  
                   
RISK ASSESSMENT             MODERATE    
                 
PROGNOSIS: Generalized (Remaining Teeth)         POOR    
    Good   Fair   Poor   Hopeless  
PROGNOSIS: Specific (Individual Teeth) 6, 11, 21-28 5, 7-10, 29 3, 12, 13, 15, 18-20, 31 2, 4, 14, 30  
Text Box: Erosion
Not Answered     Negative     Minimal     Moderate     Severe     
      Text Box: Caries
Not Answered     Negative     Incipient     Moderate     Severe    
         
                   
Text Box: Material Type: Direct Restoration
Not Answered     No Direct Restoration     Temp Filling     Amalgam     Composite     Gold     
      Text Box: Material Type: Indirect Restoration
Not Answered     Indirect Resin     Gold     Metal Ceramic     All Ceramic     Interim    
 
         
                 
Patient Name: Benavides,Mark   Birthdate: 3-Feb-1940 66 Years        
FUNCTIONAL (Joint, Bite, and Chewing)