SONS Ocdus!on: 5 1 2 3 4 5 8 7 e 0 10 11 12 13 14 15 18 § —2 3 31 30 28 28 27 28 25 2123 22 21 20 19 • 10 17 CC tog Oral Hygiene: Good Fah Ye« CPITN: 3 z Head & Neck / Solt Tissue: • D: mc 1 F: (-1 Classification: CL Pain Scale: Tia Dental Prostheses at intake: c, Yes No Typo: