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Last Name
CARMONA
First Name
DAN
Middle Name
BUYSER
Birthdate
December 26, 2008
Age
16
Street
35 OPAL
Barangay
DIAMOND SUBD. BARANGAY MARCELO
City
PARANAQUE
Country
PHLIPPINES
Zip Code
Contact number
09499966607
Procedure
05-25-2019 > OP = FREE 09-06-2019 > FLOURIDE = FREE 03-11-2020 > OP = 1,000 02/04/23-adj/3reattached 03/04/23-adj/18ssUL/reattached #15,45,13 4/1/23- 18ss UL/ Chain U/ individual L/ #21,32,45 reattached 05/13/23- UL - NiTi - 18 /Reattach #26, #14, #32, #45/Penguin class 2 06/27/23- Informed Consent Ortho U- SS-18 L- SS-16 IPR #13 &#23 Chain upper Reattach #33 07/26/23- same wire chain upper reattached #33 08/26/23- Same wire reattached #13 #14 *TMJ PAIN 10/07/23- 16 RC L box elastic Fox L/R Reattached #44 11/18/23- Consultation (Doc MIchelle) 12/02/23-16 RCS L/ U 18ss ***recco TADS and exo of 17/27 01/06/24 Upper and lower 16x16 NiTi chain #13-#23 buccal tube on 46 got dislodge recement next visit 02/17/24 ADJ reattach #45 lost bracket 46 ortho wax 18 NiTi lower 04/06/24 #45 same wire for exo by 1st week of june 05/04/24 Adj 16x16 L #45 reattached 06/05/24 same wire chain posterior QI/QII 07/10/24 Adj 45/44 extrude 34/35 extrude 16 ss L Exo #17 gelfoam 08/17/24 adj distalized #16 08/23/24 Exo #26 09/28/24 distalized #15 and #26 10/26/24 adj 11/23/24 Adj distalize QI/QII fox elastic 01/18/25 reattached #44 class II elastic 3 oz 02/26/25 Adj same wire reattached #34 03/22/25 class II elastic penguin crimpable hook reattached #45 05/10/25 adj reattached # 35.45 class II elastic fox 06/21/25 brace removal
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Retain Record
Yes