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Patient Info

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Last Name
Borja
First Name
Jan Michael
Middle Name
Dela Cruz
Birthdate
July 6, 1993
Age
25
Street
Chino roces
Barangay
.
City
Cavite
Country
Philippines
Zip Code
1231
Contact number
9998836800
Procedure
01/16/20 #18 niti lower #41 RW (distal) 09/17/21- exo 16/ upper for removal lower teeth- 34^ 16*16ssL 4/21/22- Implant #16 4.3 x 10mm with sinus lift #36 4x3 x 10mm under Iv CS 09/06/22 peri implantitis/ currettage and debridement/ ozone/ CGC/PRF/ bone filler- bio oss 025g 10/5/22 - CHECK UP; PRESCRIBED VIT D 1000IU; 0.9%NSS; ORAHEX 11/04/22-2healing Ab. 12/13/22- Pick up impression 12/24/22- IntsofCrown 5/06/23- Odontectomy tooth #12/Compound odontoma removal GBR-double oss cancellous and cortical bone 1cc and .25 cc with xenograft .25g/PRF-GTR Trapezoidal flap under IV conscious sedation non resorbable suture-nylon Specimen histopathology 05/20/23- removal of suture/ozone therapy/LC 46 mesial, Occlusal, buccal removal of amalgan 46 06/29/23- check up/xray/rem bal 3200 08/25/23-#12 Build Up/ Lingual retainer/OP 3200 BALANCE USED 04/19/24 check up LC #36 Occlusal of crown #26 lingual pit 05/25/24 3D scanning 10/04/24 #12 4mmx 11.5mm w/ incidental graft 1CGF 3 PRF membrane Odontectomy #38 10/12/24 attachment of temporary teeth 03/14/25 install healing abutment OP 05/01/25 3D scanning #12 full contour top abutment O/D: 5 G/H: 3MM A/H: 8MM 01/31/26 LC#37-B OP w/polish
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Retain Record
Yes