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Patient Info
- Profile picture

- Last Name
- CARMONA
- First Name
- DAN
- Middle Name
- BUYSER
- Birthdate
- December 26, 2008
- Age
- 16
- Street
- 35 OPAL
- 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