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PHONE ORANGE 1894
L. R. LIVINGSTON, D. D. S.
7 PROSPECT STREET
EAST orange, N.J.
REPORT OF DENTAL EXAMINATION
June I5, I925.
Jodi
Mary
11
1
3
12 12 13 14 15 16
2
RIGHT
LEFT
23
24
17
18
19
2021
30
31
32
COPYRIGHTED 1921
BY DRS. DAVIDSON & BARRY
PATIENT Miss D. Tallet
ADDRESS 275 High St, Orange.
REFERRED BY U.S. Radium Corp.
TOOTH NO.
3. Vitality Test, (-). Translumination, negative. Xray shows
roots only. Crown is broken off.
I4. Vitality Test, (-). Translumination, negatime. Xray shows
roots only. Crown is broken off.
30. Vitality Test, (-). Translumination, negative. Xray shows
roots only. Crown is broken off.
The remaining teeth are vital.
Dental work indicated: Extract No 3, I4, 30. Cavites filled
in No 2, 5, 8, 15,31, 20. General prophylacsis.
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"ocrText": "PHONE ORANGE 1894\nL. R. LIVINGSTON, D. D. S.\n7 PROSPECT STREET\nEAST orange, N.J.\nREPORT OF DENTAL EXAMINATION\nJune I5, I925.\nJodi\nMary\n11\n1\n3\n12 12 13 14 15 16\n2\nRIGHT\nLEFT\n23\n24\n17\n18\n19\n2021\n30\n31\n32\nCOPYRIGHTED 1921\nBY DRS. DAVIDSON & BARRY\nPATIENT Miss D. Tallet\nADDRESS 275 High St, Orange.\nREFERRED BY U.S. Radium Corp.\nTOOTH NO.\n3. Vitality Test, (-). Translumination, negative. Xray shows\nroots only. Crown is broken off.\nI4. Vitality Test, (-). Translumination, negatime. Xray shows\nroots only. Crown is broken off.\n30. Vitality Test, (-). Translumination, negative. Xray shows\nroots only. Crown is broken off.\nThe remaining teeth are vital.\nDental work indicated: Extract No 3, I4, 30. Cavites filled\nin No 2, 5, 8, 15,31, 20. General prophylacsis."
}