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Patient Info

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Last Name
Matanog
First Name
Princess Hafsa
Middle Name
Birthdate
May 25, 2010
Age
13
Street
Barangay
Upper Bicutan
City
Taguig
Country
Philippines
Zip Code
Contact number
9173266595
Procedure
03/12/22- Op Lc 11 mesial/ cervical lc 21 distal 22 distal/ mesial/ cervical 23 mesial 27 occlusal/ lingual 03/26/22- Lc 35 do/ 14 mo sealant 37/ 34/47/45 03/30/22- mbt 0.22 UPPER INSTALLED 16 NITI/ BITE PLANE LOWR/ CLASS 3 CHINCUP SELANT 14/25 06/08/22- new buccal tube 16 new bracket- 21/22/25 inclined plane permanent composite lower 7/2/22- Ints of Lower Braces, reposition # 41 #45 For buccal tube 8/16/22- SAME WIRE; UPPER LOWER IND, INSTRUCTED THE PT TO WEAR BITE PLANE 11/12/22- adj/LC 11,21,24,14 01/11/23- adj/1 reattached/xray 02/11/213- Samewire/2 reattached #14,43/Fox class 3 05/02/23- same wire UL/ Chain (Lower anteriurs) Rabbit class 3/Occlusal pad/ #44,37 Reattached #22,24,41,31 07/15/23- 18 NIti U, Same Wire, Class 3 fox/LC #12 Mesial 11, Mesial/Distal, 22 Mesial 08/09/23- 18ss U/ #12,11 Bend out/ #22 for Esthetic restoration/ #23-24 close space going to distal 09/06/23- double wiring 18ss w/ 16rc upper/fox class 3/ #41 Reattachment 10/07/23- same wire, chain L 42-32, Class 3 elastic Fox 11/11/23- Same wire upper, Lower 18ss, Chain lower, replaced bracket #41 03/01/24 -fox elastic 34 to 15 04/17/24 Bt #16 16x16 U SS lower same wire class III elastic fox 07/20/24 removal of brace LC # 11 M #21 M #13 C/M #14 F #12 M #23 C 07/25/24 LC #43 CM #42 C #32 D #33 CMD #34 CM removal of brace retainer 01/25/25 OP 02/08/25 LC #23 lingual/cervical/facial LC #12 cervical/facial 06/25/25 RCT #16 eugenol (3 canals) LC #47 O 07/07/25 RCT #16 O-18mm, M-16.5mm ,P-18.5mm-19mm 07/12/25 Obturate #16 One fil Bio-C sealer
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Retain Record
Yes