Protocolo Frênulo Lingual
Protocolo Frênulo Lingual
Protocolo Frênulo Lingual
Nome: ________________________________________________________________
D.N.: _____ / _____ / ______ Idade:______anos e______meses
Data: _____ / _____ / ______ Nº do Prontuário: ____________________
Sexo: _________________________________
ANAMNESE
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3
EXAME CLÍNICO
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