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RADIOGRAPHIC ANALYSIS          
 BW PA: FMX   PANOREX OTHER    
  07/02/97    
             
             
GENERAL TOOTH SURVEY            
MISSING TEETH:   1, 5, 12, 16, 17, 21, 28, 32
Length of Time Missing removed at age 29,34,29,29,29,34,34,34
IMPACTIONS:   None
ROOT TIPS:   None
PEG:   None
IMPLANT:   None
PONTIC:   None
CORONAL TOOTH STRUCTURE            
CARIES   UNACCEPTABLE     QUESTIONABLE
M:   M:  
O:   O:  
D:   D:  
F:   F:  
L:   L:  
I:   I:  
MO:   MO:  
FRACTURE   None
PREVIOUS RESTORATIONS 2, 3, 4, 13, 14, 15, 18, 19, 20, 22, 29, 30, 31
PIN PLACEMENT              
  Tooth None
  Location Acceptable  
    Unacceptable Furcation None
      Pulp Chamber None
      Fluting None
  Surface: M: None
    D: None
    F: None
    L: None
    M & D: None
             
RADICULAR TOOTH STRUCTURE            
Replacement Resorption None
Internal:   None
External:   None
  Surface          M: None
  D: None
  F: None
  L: None
Severity Minimal None
  Moderate None
  Severe None
Proximity            
  Tooth Number  None
             
Root Canal System Normal 2, 3, 4, 6, 7, 8, 9, 10, 11, 13, 14, 15, 18, 19, 20, 22, 23, 24, 25, 26, 27, 29, 30, 31
             
  Calcification Minimal None
    Moderate None
    Obliterated None
  Blunderbuss   None
Root Configuration Normal 2, 3, 4, 6, 7, 8, 9, 10, 11, 13, 14, 15, 18, 19, 20, 22, 23, 24, 25, 26, 27, 29, 30, 31
             
  Excessively Short None
  Excessively Curved None
  Additional Concerns: None
             
             
RADIOGRAPHIC ANALYSIS          
             
Root Canal Treatment          
  Acceptable   18
  Questionable Short Fill None
    Inadequate Fill None
    Perforation None
  Unacceptable: Short Fill None
    Inadequate Fill None
    Perforation None
  Root Canal Material        
    Gutta Percha 18
    Silver Point None
    Paste None
   Post Placement NONE
    Acceptable None
    Questionable         
    Length None
    Diameter None
    Perforation None
    Fracture None
    Unacceptable:        
    Length None
    Diameter None
    Perforation None
    Fracture None
  Post Material Metal None
    Carbon-Fiber None
    Ceramic None
    Other: None
REMAINING TOOTH STRUCTURE            
Acceptable  2, 3, 4, 6, 7, 8, 9, 10, 11, 13, 14, 15, 18, 19, 20, 22, 23, 24, 25, 26, 27, 29, 30, 31
Questionable  None
Unacceptable Treatable  None
Unacceptable Non-Treatable  None
SUPPORTING STRUCTURE            
HORIZONTAL BONE POSITION            
WNL None
 < 2 mm  None
 < 4 mm  2, 3, 4, 6, 7, 8, 9, 10, 11, 13, 14, 15, 18, 19, 20, 22, 27, 29, 30, 31
 > 4 mm   23, 24, 25, 26
VERTICAL DEFECTS / INFRABONY: Negative
Mild  
Moderate  
Severe  
FURCATION INVOLVEMENT(RADIOGRAPHIC): 18
Class II Tooth #: 18
Class III Tooth #: None
PERIAPICAL RADIOLUCENCY            
Location  10
Size (in mm): 2
             
PERIAPICAL OPACITY              
Location  None
Size (in mm):  
APICAL ROOT RESORPTION            
Mild 7, 8, 9, 10, 23, 24, 25, 26
Moderate None
Severe None
             
OTHER   None
             
RADIOGRAPHIC TEMPOROMANDIBULAR JOINT   LEFT   RIGHT  
Joint Films Obtained?     No No
Joint Films Required?     No No
WNL        
             
TMJ RADIOGRAPH REQUIRED            
TMJ Radiograph Evaluated   LEFT   RIGHT  
Panorex        
Transcranial        
Tomography        
CT Scan        
MRI        
TMJ Radiograph Findings   LEFT   RIGHT  
Asymmetry        
Degenerative Changes        
Condylar Fracture        
Pathologic Lesion        
  Location:      
  Description:      
             
             

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