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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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Gather all necessary documents and information needed to fill out the pacific prosthodontics form.
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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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Move on to filling out the medical history section, including any previous and existing health conditions, medications, allergies, and surgeries.
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Who needs pacific prosthodontics?

01
Individuals who have missing teeth and require dental prosthetics for functional and aesthetic purposes.
02
Patients with dental conditions that require specialized prosthodontic treatments, such as complete or partial dentures, dental implants, crowns, bridges, or veneers.
03
People experiencing significant oral health issues, such as advanced tooth decay, dental trauma, or congenital dental abnormalities.
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Individuals who have undergone oral surgeries or treatments that have resulted in the need for prosthodontic intervention.
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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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Pacific prosthodontics is a specialty of dentistry that focuses on the restoration and replacement of teeth.
Dentists who specialize in prosthodontics are required to file pacific prosthodontics.
Pacific prosthodontics can be filled out online through the designated platform provided by the dental association.
The purpose of pacific prosthodontics is to gather necessary information on prosthodontic procedures and treatments for record-keeping and statistical analysis.
Information such as patient demographics, type of prosthodontic procedure performed, materials used, and outcomes must be reported on pacific prosthodontics.
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