Dental Report
Date:
Patient Weight:
Pet's Name:
Breed:
Age: Sex:
Owner Name:
DH:
Medical Records:
Occlusion Type:
Behavior:
5 = Excellent 1 = Not Suitable
Oral Condition:
5 = Excellent 1 = Outside Normal Limits
Canine dental Record
Upper jaw

← Swipe to see all teeth →

Upper jaw teeth
110109108107106105104103102101 201202203204205206207208209210
Maxilla
Missing Tooth
Tooth Mobility
Compromised Crown Fracture
Uncompromised Crown Fracture
Twisted
Worn
Chipped
Retained Deciduous
Fusion Teeth
Abrasion
Attrition
Enamel Stain
Heavy Calculus Accumulation
Exposed Root Surface
Gum Recession
Gingival Hyperplasia
Red / Inflamed Gingiva
Gingival Bleeding
Suppuration (Pus)
Oral Mass / Growth
Oral Ulcer / Lesion
Other:
Other condition:
Lower jaw

← Swipe to see all teeth →

Mandible
Lower jaw teeth
411410409408407406405404403402401 301302303304305306307308309310311
Missing Tooth
Tooth Mobility
Compromised Crown Fracture
Uncompromised Crown Fracture
Twisted
Worn
Chipped
Retained Deciduous
Fusion Teeth
Abrasion
Attrition
Enamel Stain
Heavy Calculus Accumulation
Exposed Root Surface
Gum Recession
Gingival Hyperplasia
Red / Inflamed Gingiva
Gingival Bleeding
Suppuration (Pus)
Oral Mass / Growth
Oral Ulcer / Lesion
Other:
Other condition:
Disclaimer: This is a cosmetic procedure and not a veterinarian report. For an official dental examination, make sure to reach out to your veterinarian.
Oral Hygiene
Procedure Records:
Calculus:
Gingival Appearance:
Comments:
Today's procedures/ treatments:
Recommended home care:
Before and after photos:

Before

After

Next Dental cleaning in  months is suggested.
Appointment for 
Disclaimer: This is a cosmetic procedure and not a veterinarian report. For an official dental examination, make sure to reach out to your veterinarian.