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Dr Ashok Sethi
33 Harley Street
London W1G 9QT

Tel: 020 7636 5676
Fax: 020 7436 8979
info@ashoksethi.co.uk
the practice dental implants reconstructing bone treatment schedule testimonials professionals
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Introduction 
The Way Implants Work 
Why Replace Missing Teeth? 
Single Tooth  
Larger Gaps  
Upper Jaw  
Lower Jaw  
Bridges  
Dentures  
FAQ  
Referrals
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PATIENT DETAILS
Patient Name
Address
Tel. No. Home
Tel. Work
DOB
Date
I should be grateful if you would examine the above patient and carry out any implant and reconstructive treatment you consider necessary.
Missing Teeth  
18
8		 17
7		 16
6		 15
5		 14
4		 13
3		 12
2		 11
1		 21
1		 22
2		 23
3		 24
4		 25
5		 26
6		 27
7		 28
8
8
48 		7
47 		6
46 		5
45 		4
44 		3
43 		2
42 		1
41 		1
31 		2
32 		3
33 		4
34 		5
35 		6
36 		7
37 		8
38
Email
Reason for Referral
Treatment Option Surgical & Restorative Treatment
  Surgical Only
  I'm qualified to and am familiar with the restorative aspect of implant dentistry and would like to take the responsibility for carrying out the restorative treatment.
Relevant Medical History
Relevant Clinical Details

DENTIST DETAILS

  
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