2022年10月22日 · PDA Bldg., Ayala Avenue, Cor. Kamagong St., San Antonio Village, Makati City 1203 (632) 8890-4609; 8897-8091 +63 917 685 6800; 922 884 1390 [email protected] For Membership Related Queries: [email protected] 0917-685801 / 0922-8841392 For Accounting Related Queries: [email protected]

DENTAL RECORD CHART Date: INTRAORAL EXAMINATION S TEMPORARY Name: Age: Gender :M/F Legend: 000 Surgery X Extraction due to Caries XO Extractjon due to Other Causes X-ray Taken: Penapical (Tth NO.: Panoramic Cephafomøtric Occlusal (UpperlLower) Others: óoòoc;oòo 00000000 TEMPORARY Restorations & prosthetics Am - Amalgam Filling

Click to view and download the revised Philippine Dental Association Dental Chart.

DENTAL RECORD CHART Date: 00 INTRAORAL EXAMINATION S TAT us RIGHT TEMPORARY TEETH Name: Age: Gender :M/F Legend: óoóoooóo 00000000 TEMPORARY 85 HA 83 Surgery X - Extraction due to Caries XO Extraction due to Other Causes X-ray Taken: Periapical (Tth No.: Panoramic Cephalometric Occlusal (Upper/Lower) Others: STATUS …

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PDA Dental Chart - Free download as Word Doc (.doc), PDF File (.pdf), Text File (.txt) or read online for free. The document appears to be a medical history form asking patients to check off any medical conditions they have experienced and sign at the bottom.

PDA Dental Chart.pdf - Free download as PDF File (.pdf), Text File (.txt) or read online for free. This document contains a patient information record and medical history form for a dental practice. It collects personal information such as name, birthdate, contact details, insurance and …

PDA Dental Chart.pdf - Free download as PDF File (.pdf) or read online for free.

PDA Bldg., Ayala Avenue, Cor. Kamagong St., San Antonio Village, Makati City 1203 (632) 8890-4609; 8897-8091 +63 917 685 6800; 922 884 1390 [email protected] For Membership Related Queries: [email protected] 0917-685801 / 0922-8841392 For Accounting Related Queries: [email protected]