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Chief Concerns
Crowded Teeth    Spaced Teeth    Missing Teeth
Protrusive Teeth    Retrusive Teeth    Crossbite
Openbite    Deep Overbite    Underbite
Overjet    Facial Growth    TMJ Dysfunction
Tooth Alignment for Crown and Bridge.   
Other:  
Please indicate area of concern

Permanent Teeth:
Upper RightUpper Left
8┘ 7┘ 6┘ 5┘ 4┘ 3┘ 2┘ 1┘ └1 └2 └3 └4 └5 └6 └7 └8
8┐ 7┐ 6┐ 5┐ 4┐ 3┐ 2┐ 1┐ ┌1 ┌2 ┌3 ┌4 ┌5 ┌6 ┌7 ┌8
Lower RightLower Left

Baby Teeth:
Upper RightUpper Left
E┘ D┘ C┘ B┘ A┘ └A └B └C └D └E
E┐ D┐ C┐ B┐ A┐ ┌A ┌B ┌C ┌D ┌E
Lower RightLower Left
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Serving Northwest Calgary, Alberta for 30 years

Hoffman & Wolk Orthodontics
Dr. Barry Hoffman and Dr. Ron Wolk
#201 Northland
Professional Building
4600 Crowchild Trail N.W.
Calgary, Alberta T3A 2L6
Phone: (403) 286-2402
Toll Free: (888) 414-4540
Fax: (403) 247-9230