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Last Name
Falip
First Name
Resiel
Middle Name
Birthdate
May 24, 1986
Age
35
Street
504 Gumamela St. Perpetual Vil, Bagong Tanyag
Barangay
City
Country
Zip Code
Contact number
09351234027
Procedure
2/11/22- check up- TMJ/ Ortho/ laser/ bite analysis- 70 000 /15k dp 02/24/22- mbt EPS upper installed- 16 niti u/ laser TMJ relief/ 03/2/21- cut distal wire on 16/ TMJ laser relief 3/15/22- installation of lower braces 1st adjustment upper/ 16 niti u/ 14 niti l/ tmj laser relief 04/22/22- exo 16 16 ss UL- reattached 41 tmj pain relief 05/25/22 - same wire/ coil spring to midline- lower to left tmj pain relief 11/26/22- adj 01/21/23-ADJ 04/11/23- #11,41,31,43 reattached/ 16X22 UL chain U 05/30/23- UL - same wire Resto #27 (2 surfaces) #37 - xray/ ozone/ CaOH/ Temporary filling; observe for 1wk 06/06/23- Informed consent Ozone Resto #38DO + Dycal 07/07/23-16x22 u/l ligature wire upper and lower 08/09/23- Same wire 09/12/23- ADJUSTMENT #35 distal RW # 45-44 chain 10/06/23-adjust same wire 11/24/23- same wire, Chain (ligature wire UL) **** Removal of Braces December 16, 2023 ***** 1pm 12/16/23-removal braces impression UL lingual retainers on Upper 22 to 12
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Retain Record
Yes