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DIAGNOSTIC OPINION            
Patient Name: Benavides,Mark   Birthdate: 4-Aug-1955 47 Years                    
PERIODONTAL ( Gum and Bone)                            
                               
Periodontal Classification: Severe AAP IV   Modified by:                
                       
Site Specific Bone Loss: 2, 3, 14, 15, 18, 19              
Horizontal Bone Loss: 2, 3, 4, 6, 7, 8, 9, 10, 11, 13, 14, 15, 18, 19, 20, 22, 23, 24, 25, 26, 27, 29, 30, 31              
                 
Aggressive Periodontitis   Negative            
Secondary Occlusal Traumatism 23, 24, 25, 26            
Abrasion   2, 3, 4, 6, 11, 13, 14, 22, 23, 24, 25, 26, 27, 29, 30  
Recession   2, 3, 4, 6, 7, 8, 9, 10, 11, 13, 14, 15, 18, 19, 20, 22, 23, 24, 25, 26, 27, 29, 30, 31  
Edentulous Ridge Considerations                          
Posterior Bite Collapse   Negative              
Missing Teeth (due to Periodontal Disease) None              
Remaining Teeth   2, 3, 4, 6, 7, 8, 9, 10, 11, 13, 14, 15, 18, 19, 20, 22, 23, 24, 25, 26, 27, 29, 30, 31              
Oral Pathology   Negative              
Impaction   None              
Other   Negative              
IntraOral Exostosis / Tori  Not Answered              
Root Proximity   None              
                               
RISK ASSESSMENT             HIGH                
                               
PROGNOSIS: Generalized (Remaining Teeth)         FAIR                
    Good   Fair   Poor                  
PROGNOSIS: Specific (Individual Teeth) None 2, 3, 4, 6, 7, 8, 9, 10, 11, 13, 14, 15, 18, 19, 20, 22, 27, 29, 30, 31 23, 24, 25, 26                
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: 4-Aug-1955 47 Years                    
BIOMECHANICAL (Tooth Structure)                          
                             
                               
Caries   20              
Questionable Caries   None              
Defective Restorations   20              
Questionable Restorations 3, 13, 14, 15, 18, 19, 29, 30              
Structural Compromises   2, 3, 4, 13, 14, 15, 18, 19, 20, 29, 30, 31              
Irreversible Pulpal Pathology None              
Questionable Pulpal Pathology 10              
At Risk For Root Canal   2, 3, 14, 15, 19, 30              
Completed Root Canal Treatment Concerns None            
Completed Root Canal Treatment Acceptable 18              
Root Resorption   None                
Erosion   6, 7, 8, 11, 13, 20, 22, 23, 24, 25, 26, 27              
Margin Location Concerns None              
Missing Teeth (due to Biomechanics) None              
                             
RISK ASSESSMENT             MODERATE                
                             
PROGNOSIS: Generalized (Remaining Teeth)           GOOD                
  Good   Fair   Poor   Hopeless              
PROGNOSIS: Specific (Individual Teeth) 4, 6, 7, 8, 9, 11, 13, 18, 22, 23, 24, 25, 26, 27, 29, 31 2, 3, 10, 14, 15, 19, 20, 30 None None              
Text Box: Erosion Not Answered     Negative     Minimal     Moderate     Severe           Text Box: Carious Restorations (Tooth Structure) 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: 4-Aug-1955 47 Years                    
FUNCTIONAL (Joint, Bite, and Chewing)                          
                             
                               
  Minimal   Moderate   Severe                  
Attrition (WEAR) / Normal Force 6, 11, 13, 20, 22, 23, 24, 25, 26, 27 7, 8, 9, 10 None                
Abnormal Attrition/ Bruxism/ Excessive Force None None None                
Abfraction   None None None                
Primary Occlusal Traumatism 10                          
Temporomandibular Disorder                            
TMJ Range of movement                              
  Maximum Opening 48 mm Within normal limits                      
Range of motion (horizontal) Within normal limits                        
  Deviation on Opening None                          
  Left Joint Right Joint                    
Symptomatic Concerns   Negative Negative                    
Joint Sounds   N/A N/A                    
  Crepitus N/A N/A                    
Popping N/A N/A                    
  Load Test   Negative Negative                    
Immobilization Test   Negative Negative                    
                               
Head & Neck Muscle Discomfort No                          
Abnormal Neuromuscular Habits Negative     FUNCTION                  
      Acceptable Function No                
        Constricted Chewing Pattern Yes                
      Occlusal Dysfunction No                
            Parafunction (Sleep Bruxism) No                
Other         Neurologic Disorders No                
Occlusal Vertical Dimension Acceptable                          
Missing Teeth (due to Function) 1, 5, 12, 16, 17, 21, 28, 32                        
                               
RISK ASSESSMENT             MODERATE                
                               
PROGNOSIS: Generalized (Remaining Teeth)         FAIR                
                               
  Good   Fair   Poor                  
PROGNOSIS: Specific (Individual Teeth) 2, 3, 4, 6, 11, 13, 14, 15, 18, 19, 20, 22, 27, 29, 30, 31 7, 8, 9, 10, 23, 24, 25, 26 None                
PROGNOSIS: Specific (Indirect Restorations) Wear Characteristics May Be Misleading Because Of Restorative Material3, 13, 14, 15, 18, 19, 29, 30              
                               
Patient Name: Benavides,Mark   Birthdate: 4-Aug-1955 47 Years                    
DENTOFACIAL (Smile Characteristics)                          
                             
COLOR   Alteration planned                        
Developmental Disturbances Negative                          
                               
FACIALLY RELATED TOOTH POSITION Acceptable   Alteration planned                    
1. MAXILLARY INCISAL EDGE POSITION 6, 11 7, 8, 9, 10                    
                 
2. MAXILLARY POSTERIOR OCCLUSAL PLANE 4, 13 2, 3, 14, 15                    
                 
3. MANDIBULAR INCISAL EDGE POSITION None 22, 23, 24, 25, 26, 27                    
                 
4. MANDIBULAR POSTERIOR OCCLUSAL PLANE None 18, 19, 20, 29, 30, 31                    
                 
                               
INTRA ARCH TOOTH POSITION (Arrangement and Form): Increased Risk                      
                               
Tooth Shape   Square   Ovoid   Triangular                  
    6, 7, 8, 9, 10, 11, 22, 23, 24, 25, 26, 27 None None                
                             
    Acceptable/Alteration Left/Right Magnitude                    
Midline Position   Acceptable None 0                    
MIdline Inclination   Acceptable None                      
                             
Crowding/Overlap   Acceptable: 23, 24, 25, 26                          
Diastema   None                          
Rotations   None                          
Missing Teeth (due to Dentofacial) None                          
                               
GINGIVAL TISSUE ASSESSMENT Maxillary     Mandibular                    
Lip Dynamics   Medium Acceptable Medium Acceptable                
Horizontal Symmetry   Acceptable Acceptable                
Scallop / Form   Flat   Normal   High                  
  22, 23, 24, 25, 26, 27 6, 7, 8, 9, 10, 11 None                
                               
PATIENT'S VISION Comprehensive Care                
  Esthetics                
Function                
RISK ASSESSMENT       MODERATE                
                             
PROGNOSIS: Generalized (Remaining Teeth)           FAIR