namedrotterholt.com/docs/perio_chart_2.pdf · name: significant perio status legend: red —...
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Name:SIGNIFICANT FINI>J NGS: WATCH PERIO STATUS
FurcationInvolvement
Suppuration
Mobility
PD>5mmCAL/INAG
LEGEND:Red - Recession line INAG-teufficient Attached Gingiva
Each dot on the roots = 2mm of recession.Highlighted- Significam fmdmgs CAL-CfimcaJ Attadiment LossREFERRAL TO Dr For:
Pcrte Surgery Q Date<s) Site(s)
Bate MobilityCALRecessionPeefcet g