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Last Name
Bastida
First Name
Ana Theresa
Middle Name
n/a
Birthdate
October 10, 2003
Age
20
Street
C5 La huerta Parañaque Citu
Barangay
lauerta
City
Paranaque
Country
Philippines
Zip Code
1231
Contact number
09087557892
Procedure
12/08/21- Lc 36 ob+ caoh/ 46 ob 12/15/21- ortho treatment mbt 0.22 slot 16niti UL cast analysis/ intra oral/ extra oral photos *req:ceph- 50,000 (DP 5000- 10%= 4500) balance: 45, 000 2/16/22- 16 niti U/ 18 niti L/ fox elastic 13- 43/ 23-33-move to midline 12/22 5/11/22- 18 ss UL/ closing space lower anterior. mesial 11/21 cinch out ***check up on lump below chin referred to Ent- dr lao 8/3/2022- Adj 11/30/22- adj 05/12/23- U/L same wire; reattach #46 08/18/23- same wire extrude 22 23 09/26/23 same wire. chain 36-46 fox elastic on posterior premolars reattachment 45/ 24 11/18/23-ADJ u&l 0.016NiTi Recement 15 and 45 12/15/23- 16ss L/ 18ss u chain upper RW 11/21 on mesial 01/27/24 16 ss upper box elastic canine to premolar all quadrants- rabbit 02-03/17/24 16x16 lower SS same wire upper 04-17-24 Same wire elastic chipmunks on #13 to 44-45 #23 to 34-35 09/24/24 elastic chipmunk chain uupper ind.;lower 01/21/25 same wire chain L 02/26/25 adj chain L elastic box rabbit 50z 03/29/25 Adj 16x16 NITI L lingual button #34,35,44,45 S- elastic fox 3.5oz Reattached #34 05/20/25 16x16 NITI U S-elastic QI/QIV-rabbit box elastic QIII/QII-rabbit 08/30/25 box elastic penguin canine to canine S-elastic chipmunk 02-03-26 Adjustment Meds: clindamycin (2)
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Retain Record
Yes