Ambulatoriu istoricul bolii dentare a pacientului

_________________________________ Uchetn.f.№ 43

ANAMNEZA pacienți de Ambulatoriu dentare

№ __________ ________________________________ 200 g

Inspecția cavității orale. sănătății dentare
Legendă: absent - Oh, rădăcină -. Cariile - C, pulpitis - F, parodontită -. sigiliu - C, amphodontosis - O mobilitate - I, II, III (grad), coroană - K iskusstv.zub - ȘI

______________________________________________________________________________________ condiție muscatura a mucoasei bucale. gume, procese alveollyanyh si cer _________________ __________________________________________________________________________________________________________________________________________________________________________________________ Aceste teste cu raze X și de laborator ___________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Aceste obiective de cercetare. Inspecția externă: ___________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

______________________________________________________________________________________ condiție muscatura a mucoasei orale, gingiilor si palatului alveollyanyh procese _________________ __________________________________________________________________________________________________________________________________________________________________________________________ date ray și de laborator ___________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Tratamentul _____________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Tratamentul _____________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Istoric, statut, diagnostic și tratament pentru tratamentul bolii recurente

Rezultate tratament (epicriza) __________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Instrucțiunea _________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Frecventarea medic șef al Departamentului

Istoric, statut, diagnostic și tratament pentru tratamentul bolii recurente