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Patient Info

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Last Name
Doblada
First Name
Scout Thomas
Middle Name
Birthdate
January 4, 2008
Age
16
Street
3111Ipil st,
Barangay
UPS2, San Martin De Porres
City
Country
Zip Code
Contact number
(0936) 963 9153
Procedure
4/6/22- CERAMIC ROTH 0.22 SLOT 14 NITI ul ***PANO/ CEPH CAST ANALYSIS/ PHOTO ANALYSIS 5/13/22- adj. 16 niti U/ 14 niti L reattached 12/ 35 new bracket 16/ 41 33 to 25/ 43 to 15 fox RPI distal 22/ distal 43/33 05/31/22 reattcahed 35-36 06/21/22- adj same wire/ RPI 43/33 7/29/22- U 0.016Niti; L 0.014 Niti Recement 35; Suggest use of ocs on crowded lower anteriors and copper niti/0.012Niti 8/30/22- same wire. open coil spring anterior reattached 26/ lost bracket 31 10/7/22- 16 ss upper/ 18 niti Lower/ rotate 42/ new bracket 31 11/26/22- ADJ 02/01/23- adj 05/27/23- Ortho/OP/Adj: reattach 11, U/L same wire; individual, IPR: MD of 43 07/19/23-16*16 U/16 NITI L/RPI #43 09/01/23- 16*16 ssU/ 18 niti L IPR distal 44- create space to distalize 43 11/07/23 #22 & # 44 reattached L SS 16 12/06/23-SAME WIRE/ ipr ANTERIOR TEETH LOWER/ COIL SPRING ON 43 01/10/24 - ADJ same wire reattach #46 #42 for lingual button 02/03/24 ADJ same wire LB #42- rotate 03/06/24 -same wire reattached #24/23 -change bracket #42 04/16/24 Adj 16x16 Niti U/L new buccal tube #46 RPI 41,42,31,32 05/07/24 1 bracket #36 not attached 16x16 SS U/L with NITI 14 on #42 chain #11/21 (bend) 06/12/24 Adj 16x16 NITI L 16x22 U SS IPR #43 reattached #36 07/03/24- same wire IPR 42 08/14/24 adj same wire IPR #42 09/28/24 change of #42 bracket IPR #43-41 same wire 11/15/24 same wire 01/24/25 adj same wire reattached #21 03/19/25 class II elastic rabbit 5 0z same wire 04/23/25 adj same wire
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scout_doblada.jpg
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Retain Record
Yes