Free · Unbranded · Medical records
A landscape dental chart with every tooth drawn and numbered in the modified Triadan system: a full canine page and a full feline page. Each tooth gets mobility, probing depth, and findings boxes, with staging, procedures, and home care below.
Unbranded: no logo or linksNo account neededPrint at 100% on US LetterUpdated
What’s on the form
Every permanent tooth drawn and numbered (42 for dogs, 30 for cats), charted as if facing the patient, with a dashed midline.
Mobility (M0–M3), probing depth in millimetres, and a findings or treatment code for every tooth, upper and lower.
Cross through a tooth on paper, or click it online to mark it missing or extracted.
Periodontal stage, calculus and gingivitis indices, occlusion, and oral masses or other soft-tissue findings.
A table for tooth, procedure, technique, and notes, so the chart doubles as the procedure record.
Recommended home care and the next dental recheck, ready to copy into discharge instructions.
Fill in online
Every line on the form is editable right here. When you’re done, print it or choose “Save as PDF” in the print dialog. Everything stays in your browser.
Click any line to type, or add your logo. Nothing is uploaded or saved.
Using it well
Probe and record every tooth before scaling. Calculus hides pockets, and post-scaling findings are easy to mix up with pre-existing ones.
Much of dental disease sits below the gumline. Note radiograph findings on the same chart so the extraction decision is documented with its reason.
Agree on abbreviations as a team and print the key on your copies. A chart is only useful if the next person reads it the same way.
Printing, editing, and what the form does and doesn’t cover.
A three-digit tooth numbering system. The first digit is the quadrant (1 upper right, 2 upper left, 3 lower left, 4 lower right) and the last two digits are the tooth position from the midline (01–03 incisors, 04 canine, then premolars and molars). It lets the same numbers work across species even when teeth are missing.
Cats have fewer premolars and molars than dogs. Triadan numbers stay tied to position, so absent positions are skipped: there is no 105 or 110 in the upper jaw, and no 305, 306, 310 or 311 in the lower jaw.
Adult dogs normally have 42 permanent teeth and adult cats have 30.
Many practices follow the American Veterinary Dental College (AVDC) nomenclature, for example M1–M3 for mobility and F1–F3 for furcation exposure. Whatever you use, keep it consistent across the team.
2 pages, US Letter, portrait
A consent form for dental cleanings under anesthesia. Its key feature is the extraction decision: the client chooses up front whether to call first, approve extractions up to a set amount, or decline, so nobody is chasing a phone call with the patient under anesthesia.
2 pages, US Letter, landscape
A landscape anesthesia record built the way monitoring actually happens: pre-anesthetic checks and every drug on page one, then a 5-minute vitals grid, the procedure timeline, and recovery on page two.
2 pages, US Letter, portrait
A take-home sheet clients can actually follow: what was done, every medication with dose and timing, feeding and activity rules, incision care, and a clear list of signs that mean "call us now".
A starting point, not legal or clinical advice. VetStack’s forms are general templates. Requirements for medical records, consent, and controlled substances vary by state and practice, so review the wording with your practice’s attorney and check your state veterinary board’s rules before adopting a form as standard.