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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 ..... 7 8 9 10 2 3 4 5 6 II 12 13 14 15 16 1 LEFT RIGHT 20 21 22) (24) [251 166) 28 29 17 18 19 2021832 23 242526212822 30 31 32 COPYRIGHTED 1921 BY DRS. DAVIDSON & BARRY Mr E.W. McCoy 327 Chestnut St, Orange. PATIENT, ADDRESS U.S. Radium Corp. REFERRED BY TOOTH NO. I2. Vitality Test, (-). Translumination, negative. Xray shows what appears to bea large cyst at the apécical region of this tooth. As tooth No II. is questionable in regard to the vitality Test, Patient should report at once for further examination. 30. Vitality Test, ( - ) . Translumination, negative. Root canal, not filled. Xray shows radiolucent area around roots. I8. Vitality Test, ( - ) . Transluminatien, slight shadow. Reot canal, not filled. Xray shows radiolucent area at apex. Dental work indicated: cavities to be filled in teeth No .4, which is a vital tooth. After further examination of Patient, a report will be made definitely in regard to teeth to be extacted.