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EXAM DATE: |
09/09/2010 |
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PATIENT NAME: |
Abbott, Patricia |
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DIAGNOSIS: |
Periodontitis |
DIAGNOSTIC CODE: 123456 |
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PATIENT STATUS: |
Adult |
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PERIO STATUS: |
Chronic |
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GINGIVA: |
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Color: |
Pink |
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Texture: |
Glossy |
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Margins: |
Clefts |
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Attachment: |
Recession |
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Papillae: |
Blunted |
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Sulcus: |
Blood |
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Contour: |
Irregular |
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Suppuration: |
Mild |
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Bleeding: |
Mild |
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X-RAY: |
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Bone Loss: |
Moderate |
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Bone Defects: |
Craters |
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ORAL HYGIENE: |
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Plaque: |
Light |
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Calculus: |
Light |
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Stain: |
Light |
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NOTES: Patient says she never flosses. |
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EXAMINED BY: Kerry Henshaw, R.D.H. |
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Attached you will find my chart of the probing depths. I hope this helps speed the consultation process and the approved payment. Sincerely, Dennis D. Smith, D.D.S. |
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