EFTA00140230

# 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 |

| | | | | Reg #: | 76318-054 |
| :--- | :--- | :--- | :--- | :--- | :--- |
| | Sex: M | Race: WHITE | | Facility: NYM |
| | Provider: | DDS | | Unit: H01 |

Reviewed Health Status: Yes

Occlusion: Class I

Oral Hygiene: Fair

CPITN:

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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

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DDS

Bureau of Prisons - NYM