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Dentist referral

Your Patient Is in Good Hands

Just leave your name and contact info — our friendly team will be in touch to schedule your appointment. If it’s a dental emergency please call the office.

To be filled in by dentist

Patient is having pain, swelling, sensivity. Please Evaluate

Endodontic treatment is necessary for proper restoration of tooth

Nerve was exposed

X-Ray revealed radiolucency

Root Canal treatment was started

Post prep is indicated

Evaluation for possible opical surgery

Retreatment

CBCT

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Dentist explaining dental X-ray on a monitor to a patient in a clinic.

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