Your Name Here, DDS/DMD Month 30, 2013. Patient’s Chief Complaint.

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Presentation transcript:

Your Name Here, DDS/DMD Month 30, 2013

Patient’s Chief Complaint

Medical History

Dental History (chronologically how they’ve gotten to this point)

Medications

Preexisting Implant Information (type, size, when they were placed)

Diagnosis Perio: Dentition: TMD/MFP:

Diagnostic Notes

Patient Photos Full face smilingFull face profile

Patient Photos Close up smileClose up profile Patient Photos

Tipped down smileRest position Patient Photos

Retracted - teeth apartRetracted - MI Patient Photos

Upper occlusalLower occlusal Patient Photos

CBCT Scan

X-rays

Panograph

Patient Chart

Tentative Treatment Plan