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Procedure	10-05-2019 > CONSULTATION = 300 > CUTTING OF DISTALIZE WIRE =300 8/17/21 adj 18ssU/L18SS box elastic fox 23-24 to 33-34 note: reattached 45/ 35 9/24/21- 45 premolarband reattached 23/31/35 18SSUL 10/26/21- ADJ reattached 35/43/46 chain upper/ rpi 41/34 chain 4 anterior lower 12/04/21- adj reattached 46/ 23 same wire/ chipmunk 13 to 43/ 23 to 33 upper anterior double chain powero 01/28/22- 18 niti U/ 16 ssL change BT 46/ lingual B 45 02/26/22- ADJ 16 SS u/L REATTCHED 21/22 04/19/22 - reattached 23/ 45 18 ss u/l 5/28/22- 18 ss UL / chain 41-31-32 07/15/22- 18ss UL/ ligature wire 41-42-31-31 08/20/22- 16.16ss U 08/27/22- PROVISION 11/21/22/12/31/41/32 FOR INCISAL EDGES RESTORATION 10/01/22 - REATTACH #23, #34, #45; RESTO #26(LINGUAL), incisal edge restoration: 11/21/22/12 16x22 U chain/ 18 ss L ind. 12/14/22- Adj/3 reattached 01/12/23- ADJ/3 REATTACHED 02/11/23- UL SAME WIRE /occlusal pads #34, #45 #21, #26, 06/27/23-22- mesial LC 11/21- polished and retouched 43- Inc/ F 41-inc/f 31- inc/f 32-inc/f 33-inc/f removal of braces OP/ polished impression U/L *for retainer *for filling 34 cervical 35 cervical 37 occlusal 07/05/23- LC 27 ooclusal Lc 17 lingual Lc 37 small side of mesial LC cervical of 35, 34 LC occlusal with caoh 47 07/26/23- request panoramic LC cusp Distolingual #37 08/09/23- Perio tx/ NSRP Q3 and 4/ 12 series PA X-ray Done 09/20/23- PERIO tx NSRP Q1 Q2 new retainers vacuumed 03/06/24 -check up and xray -implant #35 ok #36 ok 05/11/24 OP air polisher stain removal 06/14/24 3D Scanning 10/25/24 scanning 12/18/24 cementation of 2 teeth 03/29/25 Op w/ air polisher
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Retain Record	Retain Record Yes No

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