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Full Name
Number
Specialization
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BDS
IMPLANTOLOGIST
ORAL RADIOLOGIST
ORAL SURGEON
ORTHODONTIST
ENDODONTIST
PERIODONTIST
PEDODONTIST
PROSTHODONTIST
PUBLIC HEALTH DENTIST
Name of the patient
Age of the patient
Address of the clinic where you practice
Treatment plan
Email
Type of case
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Crowding
Spacing
Deep Bite
Increased Overjet
Openbite
Midline Shift
Edge to Edge Bite
Notes
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