EV
Vance, Eleanor
Chart #CH-1001female • DOB: 1984-06-12👨⚕️ Assigned: Dr. Sarah Jenkins, DDSPenicillin AllergyLatex Allergy
(555) 234-5678eleanor.vance@example.com742 Evergreen Terrace, Springfield
Insurance
Delta Dental Premier
80% Dental Benefit
Ledger Balance
$185.00
Due on Account
Adult 32-Tooth Interactive Odontogram
Click any tooth or surface to update restoration, endodontics, caries, or missing status
Maxillary RightUpper Arch (Maxilla)Maxillary Left
#1
healthy
#2
healthy
#3
decay
#4
healthy
#5
healthy
#6
healthy
#7
healthy
#8
healthy
#9
healthy
#10
healthy
#11
healthy
#12
healthy
#13
healthy
#14
CRN
crown
#15
healthy
#16
healthy
Occlusal Plane
#32
healthy
#31
healthy
#30
existing restoration
#29
healthy
#28
healthy
#27
healthy
#26
healthy
#25
healthy
#24
healthy
#23
healthy
#22
healthy
#21
healthy
#20
healthy
#19
root canal
#18
healthy
#17
healthy
Mandibular RightLower Arch (Mandible)Mandibular Left
Healthy (No issues)
Decay (Active Cavity)
Existing Filling
Crown (Cap)
Root Canal (Treated)
Needs Extraction
Missing / Implant
Veneer / Protective Sealant
6-Point Periodontal Probing Matrix
Pocket depths ≥ 4mm are flagged in red (indicative of active periodontitis & bone loss)
≤ 3mm (Healthy) ≥ 4mm (Periodontitis)
#1
#2
#3
#4
#5
#6
#7
#8
#9
#10
#11
#12
#13
#14
#15
#16