EFTA00139078¶
Bureau of Prisons Health Services Dental A&O Exam¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
|---|---|
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/26/2019 07:47 |
| Sex: M | Race: WHITE |
|---|---|
| Provider: | DDS |
| Reg #: | 76318-054 |
|---|---|
| Facility: | NYM |
| Unit: | H01 |
Reviewed Health Status: Yes¶
Occlusion: Class I¶
Oral Hygiene: Fair¶
CPITN:¶
| 3 | 2 | 3 |
| 3 | 2 | 3 |
Hard and soft tissue examination performed and documented on BP618 form: Yes¶
Head & Neck/Soft Tissue within normal limits? No¶
Comments: moderate to advanced upper posterior gingival recession¶
| Decayed: | Missing: | Filled: |
| 0 | 1 | 14 |
Comments: Lower anterior crowding¶
Approved for hygiene appointment and radiographs: Yes¶
Instructed inmate how to obtain routine and emergency dental care. Oral hygiene instructions given: Yes¶
Dental A&O Screening Exam findings entered on EPSTEIN, JEFFREY EDWARD by DDS on 07/26/2019 07:47.¶
Generated 07/26/2019 08:00 by¶
DDS¶
Bureau of Prisons - NYM¶
SDNY 00017442¶
- Page 1 of 1