Suggestion for Tooth Chart Data Structure
I would so something like this.  I presume that your patients will visit more than once and you will need a data set for each visit.  Of course, you will need to add more columns, but this structure should allow for flexibility for reporting as well as data entry.

CREATE TABLE Teeth
(
ToothID INT NOT NULL PRIMARY KEY IDENTITY(1,1)
, ToothPosition INT NOT NULL
, ToothType VARCHAR(10) NOT NULL
)

CREATE TABLE Patient
(
PatientID INT NOT NULL PRIMARY KEY IDENTITY(1,1)
, PatientName VARCHAR(100)
)

CREATE TABLE PatientVisit
(
PatientVisitID INT NOT NULL PRIMARY KEY IDENTITY(1,1)
, PatientID INT NOT NULL REFERENCES Patient(PatientID)
, DateVisit DATETIME2 NOT NULL
)

CREATE TABLE PatientTeeth
(
PatientTeethID INT PRIMARY KEY NOT NULL IDENTITY(1,1)
, PatientVisitID INT NOT NULL REFERENCES PatientVisit(PatientVisitID)
, ToothID INT NOT NULL REFERENCES Teeth(ToothID)
, ToothCondition VARCHAR(10) NULL
, ToothRecommendation VARCHAR(10) NULL
)