Oranguta
n dental emergence compilation project – Please fill in completely as indicated below email sheet to:
If r eporting f rom h istorical r ecords p lease f ill i n c hart b elow f ollowing t he t ooth c hart t o l abel t he t ooth a nd t he r ating s cale c opied b elow
as m uch i nformation o n t he s ame i ndividual a s p ossible n oted o n p age 1
Tooth rating scale key:
1: tooth breaks the skin
2: tooth growing
3: tooth fully emerged 4: tooth present 5: tooth missing/lost 6: Other – please describe
Date noted
Rating
Tooth
Deciduous
Permanent
Notes
DAY/month/year
scale
Oram 5/2013