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Any systemic diseases:

Select Tooth Type: Select Dentition Edentulous Permanent Mixed Primary Chief Complaint: No Yes

Number of Complaints: 1 2 3

Chief Complaints:

Suggestions:

Odontogram

Dental chart.

18

17

16

15

14

13

12

Tooth Conditions Summary

Decayed:

Missing:

Treated:

non-viable:

minor:

Normal:

Treatment Plan

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