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Initial Periodontal
Data Base and Recommendations
Organize essential perio tissue
documentation and treatment planning
Use this form to document existing conditions, pathology,
and treatment recommendations for periodontal case planning. Use the columns
for notations to make data collection and planning quick and accurate. A
"little story" can be documented for each and every tooth or tooth area.
Electively the tooth diagrams can be used for tissue or bone height. Use the
C-103R Comprehensive Periodontal Examination form (C103R) for complete
periodontal charting. This form becomes the blue print for your periodontal
treatment plan.
FORM FEATURES
| C-303R |
Initial Periodontal Data Base and Recommendations |
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$18.00 / 200
$34.00 / 400
$64.00 / 800 $120.00 /
1600 |
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Sample Form in PDF format
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