Patient Risk Evaluation Program
Please fill in all questions to the best of your ability. At the end when you "Submit Patient Profile", you will receive an explanation as to how each of the medical factors affect the dental implants. These explanations are not absolute but only the best explanations based upon recent medical literature and the clinical experience of several leading implantologists.
* Patients Name, Age , Sex and Weight must be entered.
Indicates required field
History of Periodontal Disease
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