invisinet quick assessment dentist’s name: patient’s first name: date:
Post on 04-Jan-2016
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Invisinet Quick Assessment
Dentist’s Name:
Patient’s First Name:
Date:
Invisinet Quick Assessment
Patient’s Concerns:
Oral Health Assessment
Perio risk: Low Med High (delete as reqd)
Caries risk: Low Med High (delete as reqd)
TMJ dysfunction: No symptoms or signs Signs but no symptoms Symptoms (delete as reqd)
Compliance: Low Med High (delete as reqd)
Your Provisional Treatment Plan:
Extra Oral Front Repose
Extra Oral Front Smiling
Extra Oral Right Lateral View
Extra Oral Left Lateral View
Extra Oral Profile
Right Lateral Smile
Frontal Smile
Left Lateral Smile
Intra Oral Anterior
Intra Oral Right Buccal
Intra Oral Left Buccal
Intra Oral Upper Occlusal
Intra Oral Lower Occlusal
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