Invisinet Quick Assessment Dentist’s Name: Patient’s First Name: Date:

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Invisinet Quick Assessment Dentist’s Name: Patient’s First Name: Date:

Transcript of Invisinet Quick Assessment Dentist’s Name: Patient’s First Name: Date:

Page 1: Invisinet Quick Assessment Dentist’s Name: Patient’s First Name: Date:

Invisinet Quick Assessment

Dentist’s Name:

Patient’s First Name:

Date:

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Invisinet Quick Assessment

Patient’s Concerns:

Oral Health Assessment

Perio risk: Low Med High (delete as reqd)

Caries risk: Low Med High (delete as reqd)

TMJ dysfunction: No symptoms or signs Signs but no symptoms Symptoms (delete as reqd)

Compliance: Low Med High (delete as reqd)

Your Provisional Treatment Plan:

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Extra Oral Front Repose

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Extra Oral Front Smiling

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Extra Oral Right Lateral View

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Extra Oral Left Lateral View

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Extra Oral Profile

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Right Lateral Smile

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Frontal Smile

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Left Lateral Smile

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Intra Oral Anterior

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Intra Oral Right Buccal

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Intra Oral Left Buccal

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Intra Oral Upper Occlusal

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Intra Oral Lower Occlusal


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Patient’s Area

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