Tooth Record Table Template
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1Name:___________
Date:___________
Tooth record.
You have four different types of teeth in your mouth. Colour code them using this table.
Type of tooth
Number of tooth on chart
Colour
Incisors
1 and 2
red
Canines
3
blue
Premolars
4 and 5
yellow
Molars
6 and 7
green
1
1
Record missing teeth by
2
2
putting a cross on the
3
3
4
4
missing tooth.
5
5
6
6
Record fillings by putting a dot
7
7
on the filled tooth.
8
8
8
8
7
7
6
6
5
5
4
4
3
3
2
2
1 1
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Parent category: Medical