Collaborative Dental Project

Northwestern, Ontario -- Charlottetown, PEI



Form_ID:

Mental Foramen Study


Patient tracking number:
 

Validity Case?
 
Patient's Initials:
 

SEX
* 

Ortho present in radiograph
 



Measures on Left Side


1. (LEFT) IMF to IBM (From bottom of mental foramen to lower edge of mandible)
 
2. (LEFT) SMF to IBM (From top of mental foramen to lower edge of mandible)
 
3. (LEFT) Change in size of mental foramen -- from Q2 - Q1, above
 
4. (LEFT) Distance between long axis of premolars
 
5. (LEFT) Medial molar long axis to edge of mental foramen
 
6. (LEFT) Distal molar long axis to edge of mental foramen
 



Measures on Right Side


7. (RIGHT) IMF to IBM (From bottom of mental foramen to lower edge of mandible)
 
8. (RIGHT) SMF to IBM (From top of mental foramen to lower edge of mandible)
 
9. (RIGHT) Change in size of mental foramen -- from Q2 - Q1, above
 
10. (RIGHT) Distance between long axis of premolars
 
11. (RIGHT) Medial molar long axis to edge of mental foramen
 
12. (RIGHT) Distal molar long axis to edge of mental foramen
 

This case meets the required criteria:
 

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