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PACIFIC PROSTHODONTICS Frankie Sulaiman D. D. S. M. S. Practice limited to Prosthodontics Maxillofacial Prosthetics www. Northwestsmile. com PATIENT REFERRAL INTRODUCTION Date Patient s Name Home Phone Business Phone Referring Doctor Type of Evaluation Requested Comprehensive Prosthodontic Evaluation Limited Prosthodontic Examination Implant Treatment Removable Prosthesis Partial / Complete / Immediate Denture Fixed Prosthodontics Crowns / Veneers / Bridge Restorative treatments...
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Start by providing your personal information, such as your name, address, contact details, and date of birth.
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Who needs pacific prosthodontics?
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Individuals who have missing teeth and require dental prosthetics for functional and aesthetic purposes.
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Patients with dental conditions that require specialized prosthodontic treatments, such as complete or partial dentures, dental implants, crowns, bridges, or veneers.
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People experiencing significant oral health issues, such as advanced tooth decay, dental trauma, or congenital dental abnormalities.
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Patients with temporomandibular joint disorders or other conditions affecting the jaw joint and surrounding structures.
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Anyone seeking comprehensive dental rehabilitation or smile makeovers to enhance their overall oral health and appearance.
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Individuals with functional or cosmetic concerns regarding their existing dental prosthetics, requiring professional evaluation and potential modification or replacement.
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What is pacific prosthodontics?
Pacific prosthodontics is a specialty of dentistry that focuses on the restoration and replacement of teeth.
Who is required to file pacific prosthodontics?
Dentists who specialize in prosthodontics are required to file pacific prosthodontics.
How to fill out pacific prosthodontics?
Pacific prosthodontics can be filled out online through the designated platform provided by the dental association.
What is the purpose of pacific prosthodontics?
The purpose of pacific prosthodontics is to gather necessary information on prosthodontic procedures and treatments for record-keeping and statistical analysis.
What information must be reported on pacific prosthodontics?
Information such as patient demographics, type of prosthodontic procedure performed, materials used, and outcomes must be reported on pacific prosthodontics.
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