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Patient Info

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Last Name
Bicunia
First Name
Jennifer
Middle Name
n/a
Birthdate
December 11, 1991
Age
33
Street
n/a
Barangay
n/a
City
n/a
Country
n/a
Zip Code
n/a
Contact number
09204182528
Procedure
12/17/22-OP/LC 12/18/22- Installment of Braces 01/18/23- adj 02/04/23-RCT/XRAY/1 lost Bracket 18mm and 19mm 04/17/23- same wire 05/28/23- U - same wire #23 - RW mesial; coil spring b/w #21-##22 L - SS - 16 ; chain #32-#42 06/24/23- Informed consent Ortho U- NiTi -18 extended to molar bands L- Same wire Requesting quotation for RCT of #22 *Obturate by Doc. Ali Last First week of march/ 18mm and 19mm 07/22/23- 18ss upper close space on 21-22 lower 18niti 08/18/23- Wire 18 NiTi Lower/ Same wire Upper/ Chain 13-22 08/26/23- RCT #21- 22mm #22-2mm , 24 PD- 6mm Mesial/EUGENOL 08/30/23- #21- 22mm- Pulp de.#22-22mm- Canphenol #21- 30mm File, #22 - 30mm File 09/05/23 RCt #21- pulp devitalizer #22- caoh paste Adjustment 18ss upper to left (for midline) 16ss with loop class 3 elastic fox 09/13/23- Laser (RCT) #21, #22 Obturation master core 35 at 22mm Sealer: Bio C- Sealer TF #21, 22 9/20/23- obturation 21 mastercone 35 +TF 10/10/23 LC lingual of 22/21 Adjustment same wire Coil spring 23- 22 class 3 elastic fox 11/04/23- same wire U, 18 SS L, Coil spring 22-23 11/11/23- Exo #12, Ozone 12/08/23-same wire, upper to midline towards left 12/15/23- reattachment of bracket 35 12/22/23- new bracket 35 01/23/24- no BT 37 adjustment upper to left lower to right 03/17/24 16x16 SS lower same wire upper class 3 elastic chipmunk 04/13/24 adj coil spring #17-15 extrude 12/22 05/11/24 same wire chipmunk elastic om L/R Q. 06/22/24 same wire 08/03/24 reattached #22 adj same wire 08/31/24 same wire reaattached #31 lower Niti 16 11/16/24 18 ss l 11/23/24 Reattached buccal tube #27 12/13/24 adj same wire 01/18/25 Adj chain L 16x16 SS U/L class III chipmunk 05/31/25 adj same wire class II elastic rabbit 5oz reattached molar band #26 07/30/25 ADJ 01/07/26 Same Wire Class lll elastic - rabbit 5oz
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Retain Record
Yes