r l - a2 endodontics › wp-content › uploads › 2016 › 10 › notepad-5... · 2016-10-30 ·...
TRANSCRIPT
Introducing:
Appointment Date: Time:
Referring Doctor:
Comments/Special Instructions:
UPPER
LOWER
R L1 2 3 4 5 6 7 8 9
32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
10 11 12 13 14 15 16
molars biscuspids anteriors anteriors biscuspids molars
Patient is having pain and/or swelling
Trauma
Pulp was exposed
Root canal treatment has been started
Prepare post space
3D CBCT radiograph
Briarwood Mall
S S
tate
St
A2 Endodontics
94
94
94
Lohr Rd
E Eisenhower Pkwy W Eisenhower Pkwy
E Eisenhower Pkwy
Ann Arbor-S
aline Rd
S M
ain St
23
X-ray emailed
Please call me
Evaluate and treat
Evaluate for possible retreatment or apical surgery