Извънболнична дентална история на заболяването на пациента

_________________________________ Uchetn.f.№ 43

Извънболнична, разказа пациенти стоматологични

№ __________ ________________________________ 200 гр

Проверка на устната кухина. денталното здраве
Легенда: отсъства - О, корен -. Кариес - C, пулпит - F, периодонтити -. уплътнение - C, amphodontosis - А мобилност - I, II, III (степен), корона - K iskusstv.zub - И

______________________________________________________________________________________ ухапване състояние на устната лигавица. смоли, alveollyanyh процеси и небе _________________ __________________________________________________________________________________________________________________________________________________________________________________________ Тези рентгенови и лабораторни тестове ___________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Тези обективни изследвания. Външна проверка: ___________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

______________________________________________________________________________________ ухапване състояние на устната лигавица, венците и небцето alveollyanyh процеси _________________ __________________________________________________________________________________________________________________________________________________________________________________________ рентгенови данни и лабораторни ___________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Лечение _____________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Лечение _____________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

История, състояние, диагностика и лечение за лечение на рецидивиращо заболяване

Лечение резултати (епикризи) __________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Инструкция _________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Лекуващият лекар Ръководител катедра

История, състояние, диагностика и лечение за лечение на рецидивиращо заболяване