3 2- 3 Head & Neck / Soft Tissue: O: C 7 Fill Classi.5cafion: CL_rr Pain Scale: /10. Dental Prostheses at Intake: Yes No Type: A,ge: Caufaicn: Comml .k rim r-toz SS / CIO 14.., 0 0- O--‘,..cei 017Sald Le^ ni ,r_15,1lAi • or C/o-OAJAI plosefik-4 Intra-oral Photos Taken: Yes 0