Dental Examination

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Indices: CI: Calculus Index GI: Gingivitis Index Both scored as: 0= Absent 1= Mild 2= Moderate 3= Marked Abbreviations O: Missing tooth (circled) X: Extracted tooth FX: Fractured tooth PP: Periodontal pocket (mm) FE: Furcation exposed GH: Gingival hyperplasia GR: Gingival Recession RD: Retained deciduous AT: Attrition OM: Oral mass OD: Odontoplasty GV: Gingivoplasty XR: Radiographs taken ED: Enamel defect MT: Mobile tooth PE: Pulp exposed

Tooth 109 108 107 106 104 103 102 101 201 202 203 204 206 207 208 209CIGI

Other

Tooth 409 408 407 404 403 402 401 301 302 303 304 307 308 309CIGI

Other

Recommendations:Assessment by quadrant (grade 0-3)Right upper

left upper

Right lower

Left lower

PlaqueCalculusGingivitisPeriodontitisTooth wear

Treatment:

Date: Cat’s name: Owner: Clinician:

Age: Sex: Breed: