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    Dental Health Card

    Uploaded by

    odessa delos santos
    This document is a dental health card used by the Department of Education in the Region II – Cagayan Valley Schools Division of Quirino, Philippines. The card contains fields to record a student's name, date of birth, age, sex, school information, and oral health conditions including the DMFT index. It also includes a diagram of the teeth to indicate issues like cavities, fillings, extractions needed, and dental work performed with dates. The card is used to document a student's dental exams and any interventions or treatments provided.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Dental Health Card

    Uploaded by

    odessa delos santos
    212 views3 pages
    This document is a dental health card used by the Department of Education in the Region II – Cagayan Valley Schools Division of Quirino, Philippines. The card contains fields to record a student's name, date of birth, age, sex, school information, and oral health conditions including the DMFT index. It also includes a diagram of the teeth to indicate issues like cavities, fillings, extractions needed, and dental work performed with dates. The card is used to document a student's dental exams and any interventions or treatments provided.

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    © © All Rights Reserved

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    XLSX, PDF, TXT or read online from Scribd

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    This document is a dental health card used by the Department of Education in the Region II – Cagayan Valley Schools Division of Quirino, Philippines. The card contains fields to record a student's name, date of birth, age, sex, school information, and oral health conditions including the DMFT index. It also includes a diagram of the teeth to indicate issues like cavities, fillings, extractions needed, and dental work performed with dates. The card is used to document a student's dental exams and any interventions or treatments provided.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    212 views3 pages

    Dental Health Card

    Uploaded by

    odessa delos santos
    This document is a dental health card used by the Department of Education in the Region II – Cagayan Valley Schools Division of Quirino, Philippines. The card contains fields to record a student's name, date of birth, age, sex, school information, and oral health conditions including the DMFT index. It also includes a diagram of the teeth to indicate issues like cavities, fillings, extractions needed, and dental work performed with dates. The card is used to document a student's dental exams and any interventions or treatments provided.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 3

    R epublic of the P hilippines

    D epartment of Education
    Region II – Cagayan Valley
    SCHOOLS DIVISION OF QUIRINO

    DENTAL HEALTH CARD


    Name: ___________________________________________ Date of Birth : _________________ Age: ________ Sex: M F
    School/ District/ Division : __________________________________________ Grade Level: ________

    ORAL HEALTH CONDITION DMFT INDEX


    Gingival condition: No. T / Decayed
    RIGHT 55 54 53 52 51 61 62 63 64 65 LEFT Normal No. T / Missing
    TEMPORARY TEETH Gingivitis No. T. / Filled
    Periodontitis Total D.M.F.T.
    Denture wearer: For Extraction
    PERMANENT TEETH

    18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28 Fixed Partial Denture For Filling


    Removable Partial Denture Total Sound teeth
    Complete Denture
    48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38 In need of Denture:
    Fixed Partial Denture
    Removable Partial Denture
    TEMPORARY TEETH Complete Denture
    RIGHT 85 84 83 82 81 71 72 73 74 75 LEFT Other oral conditions:
    Malocclusion
    with lesion
    (red/blue/black/white)

    SYMBOL FOR MOUTH EXAMINATION


    X - Carious tooth indicated for extraction (ü) - Sound/erupted Permanent/Temporary tooPFS - Pit and Fissure Sealant
    D - Carious tooth indicated for filling FPD - Fixed Partial Denture GI - Glass Ionomer
    RF - Root fragment JC - Jacket Crown Co - Composite
    M - Missing tooth RPD - Removable Partial Denture AM - Amalgan
    Un - Unerupted CD - Complete Denture F2 - Permanently filled tooth
    with recurrence of decay

    INTERVENTION / TREATMENT
    DATE Chief Complaint Intervention / Treatment Attended By

    S-SHN-022-0
    R epublic of the P hilippines
    D epartment of Education
    Region II – Cagayan Valley
    SCHOOLS DIVISION OF QUIRINO

    INTERVENTION / TREATMENT
    DATE Chief Complaint Intervention / Treatment Attended By

    S-SHN-022-0
    R epublic of the P hilippines
    D epartment of Education
    Region II – Cagayan Valley
    SCHOOLS DIVISION OF QUIRINO

    DENTAL HEALTH CARD


    Name: ___________________________________________ Date of Birth : _________________ Age: ________ Sex: M F
    School/ District/ Division : __________________________________________ Civil Status: M S W S

    ORAL HEALTH CONDITION DMFT INDEX


    Gingival condition: No. T / Decayed
    RIGHT 55 54 53 52 51 61 62 63 64 65 LEFT Normal No. T / Missing
    TEMPORARY TEETH Gingivitis No. T. / Filled
    Periodontitis Total D.M.F.T.
    Denture wearer: For Extraction
    PERMANENT TEETH

    18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28 Fixed Partial Denture For Filling


    Removable Partial Denture Total Sound teeth
    Complete Denture
    48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38 In need of Denture:
    Fixed Partial Denture
    Removable Partial Denture
    TEMPORARY TEETH Complete Denture
    RIGHT 85 84 83 82 81 71 72 73 74 75 LEFT Other oral conditions:
    Malocclusion
    with lesion
    (red/blue/black/white)

    SYMBOL FOR MOUTH EXAMINATION


    X - Carious tooth indicated for extraction (ü) - Sound/erupted Permanent/Temporary tooPFS - Pit and Fissure Sealant
    D - Carious tooth indicated for filling FPD - Fixed Partial Denture GI - Glass Ionomer
    RF - Root fragment JC - Jacket Crown Co - Composite
    M - Missing tooth RPD - Removable Partial Denture AM - Amalgan
    Un - Unerupted CD - Complete Denture F2 - Permanently filled tooth
    with recurrence of decay

    INTERVENTION / TREATMENT
    DATE Chief Complaint Intervention / Treatment Attended By

    S-SHN-022-0

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