Edit Record Check our patient data records. Add patient information Patient Info Profile picture Last Name First Name Middle Name Birthdate Age Street Barangay City Country Zip Code Contact number Email Procedure 05/02/23- Case: Ortho Check up for braces Preliminary impression; intraoral pictures Congenitally missing #12 Pegged laterals #22 Impacted third molars 07/07/23- same wire 14 niti u/l ligature wire 21-22 RW 24 11/18/2023- OA U: 0.016x0.22ss echain 11-21-22 to distalize; distalize 13 with echain NV: check if space enough for hanging pontic 12/19/23-same wire upper for midline recommendation: implant or fiber reinforced 01/31/24 ADJ 03/19/24 Adj 03/26/24 check up 04/27/24 Chain 11-26 all upper teeth towards left 06/14/24 same wire chain 23-26 11 to 16 08-09/6/24 Adj 10/29/24 adj same wire 12/10/24 adj same wire reattached #34 01/24/25 adj same wire Laser gingivectomy 02/01/25 recall 03/14/25 adj reattached #34,#44 closing space on 23 chain 16x22 SS U 16x16 NITI L 04/30.25 removal of lower adj upper 05/23/25 removal of brace w/ free retainer LC # (I,F) 11/27/2025 fiber reinforced pontic repair #13 01/20/2026 Denture File brenda-lyn_belmonte.jpg File 2 File 3 File 4 File 5 File 6 File 7 File 8 File 9 File 10 File 11 File 12 File 13 File 14 File 15 File 16 File 17 File 18 File 19 File 20 Retain Record Retain Record Yes No Save Your Changes
