Intraoral exam: Full permanent dentition. No active caries. No restorations. All teeth clinically sound.
Periodontal: Gingiva healthy, pink, stippled. No bleeding on probing. Probing depths 1-3mm.
Occlusion: Class I molar relationship. Well-aligned arches. No signs of bruxism.
Radiographs (Bitewing + Panoramic): No interproximal caries. All teeth fully erupted. No pathology. Normal bone levels.
Soft tissue: Normal. No lesions.
Custom mouthguard (cheerleading): Inspected — in good condition, no cracks, adequate fit. Advised to replace in 6-12 months due to normal wear.