CPITN: 3 2 3 2- 9 Head 8 Nock / Soft tissue: F: 1C7 Clessiftcatiom CLT Pain Scale: /10 Dental Prostheses at Intake: Yes 0 Type: Age: Conelien: Cr olmfeell j c, Russion la -)e--r r'"--•4=1 " i ad In i ' v i m 012Seru-e- or CiteW.: i AS Ci , I►0 Se Lle4 tntra-oral Photos Taken: