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[PDF] Butler Family Dentistry Dental History
Butler Family Dentistry Dental History Name: DOB: When was your last dental visit? When was your last cleaning? Have you ever had Periodontal Treatment?
[PDF] BUTLER UNIVERSITY • DEPARTMENT OF THEATRE
The combination of Theatre and Pre-Dentistry will fulfill the following Areas requirements of the Butler University Core Curriculum; theatre majors are
[PDF] BUTLER UNIVERSITY • DEPARTMENT OF ART
The Pre-Dentistry curriculum fulfills the requirements for a Chemistry minor; a Chemistry major can be earned by adding MA 106 (Calculus and Analytical Geometry
[PDF] Post Operative Instructions for DEEP FILLINGS
Dr Butler needs to remove the active decay from your natural tooth structure and Make sure you visit your dentist every 6 months to have a cleaning and
[PDF] William W Turner, DMD Jason W Butler, DMD
It got him interested in dentistry, and later in his youth he even shadowed some of the staff at Croasdaile Dental Arts “It was that defining moment that I
[PDF] Leslie J Butler DDS, MSD 801 E Chapman Avenue, Suite 226
What did you like most about any dentist you have seen? Thank you for choosing Butler Pediatric Dentistry for your child's dental care
[PDF] Essex Coast Dental Foundation Training Scheme
As a Foundation Dentist you have available a wealth of expertise and experience to draw upon to help you to solve your problems
[PDF] Fourth-Year-DMD-Travel-Clinics-Alumni-Pay-Their-Experiences
Courtney Butler DMD 2013 pain or fear, they now tug on the scrubs of UBC Dentistry student volunteers, Now a dentist in North Vancouver, Butler
[PDF] Preventive Plan General Dentist Directory
Butler Dental AssociatesHA 327 Forest Grove Rd Coraopolis, PA 15108 (412) 331-2620 #1538 C Timothy Lipp, D M D HA 1 Robinson Plaza
[PDF] My Visit to the Dentist - Jamestown Family Dental Clinic
Instructions: Read the social story with your child to learn the routine Your child may also read the story independently Today I am going to the dentist
Butler Family Dentistry Dental History
Butler Family Dentistry Dental History Name: DOB: When was your last dental visit? When was your last cleaning? Have you ever had Periodontal Treatment?
- PDF document for free
39427_7Dental_hx_form.pdf Butler Family Dentistry
Dental History
Name: ____________________________________ DOB: ___________________ When was your last dental visit? ___________________________ When was your last cleaning? _____________________________ Have you ever had Periodontal Treatment? YES/NO If yes, when? _____________ Have you ever had Orthodontic Treatment? YES/NO If yes, when? _____________Do you have or ever had partials?
YES/NO If yes, when did you get them? ______________ Do you have or ever had dentures? YES/NO If yes, when did you get them? ______________Do you have any of the following:
Pain in jaw joints YES/NO Sensitivity in teeth or gums YES/NOPain i
n ear YES/NO Are you missing any teeth YES/NO Tooth pain YES/NO Do you have cracked or chipped teeth YES/NOBleeding gums YES/NO
Pain with chewing YES/NO Do you snore YES/NO Do you grind or clench your teeth YES/NOAre you interested in w
hitening your smile?_________________Appointment/Cancellation Policy
We do ask for 48 hours' notice for cancellations or rescheduling appointments. If you cannot make an
appointment, please call the office to let us know. If you do not show to an appointment or cancel with
less than 24 hours' notice, there will be a $35 missed appointment fee. ____________________________________ ________________________