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Last Name: Bayani

First Name: Marian Desiree

Middle Name: Sarno

Birthdate: February 24, 2002

Age: 17

Street: Blk 2 lot 26

Barangay: greatwoods Highland Molino lll

City: bacoor cavite

Country: PHILIPPPINES

Zip Code

Contact number: 09458352924

Email: msbayani32@yahoo.com

Procedure: 08/28/21- adj rabbit/ penguin all lower to left 42 09-25-21-adj rabbit - all lower to left 43 to left 02/12/21 OP ADJ. 16x16 Enmass class ll elastic - fox lower ss (to left) 10/30/21-43 to left/ class 3 elastic rabbit- crimpable hook to upper 6s 12/08/21- ADJ 16X16 SS UL/ CHIPMNK- 13TO 43/ PENGUIN 23-25 TO 33-34-35-36 2/5/22-same wire/ button 33/34/35 to 23/25/26 s elastic rabbit/ cross elastic penguin 44 to 12 03/12/22 - adj. same wire upper/ 18 ss lower/ penguin 43 to 23/ 33 to 26/ all lower to left/ lingual button 33/34/35 s elastic to 23/25- fox 05/07/22 - same wire upper/ lower 16x16 niti button S- elastic on 33/34/35 chipmnk elastic on 44 to 12- rabbit 6/24/22- same wire upper/ 18ss lower/ rabbit 45 to 12 CH/ rabbit 33 to 26/ chipmnk S-elastic 34 to 23/ 35 to 25 8/6/22- same wire/ rabbit 33-26/ chipmnk 45 to 12 9/24/22- UL SAME WIRE, U INDIV, L CHAIN #43 - #36, I NDIV #44#45, CHIPMUNK, MONKEY 11/05/22-adj 01/14/23-adj 04/1/23- UL same wire/Reattached #15 5/06/23-UL same wire; chain 3rdQ; reattach molar band 06/10/23- Informed Consent Ortho UL same wire Chain #42-#36 Penguin #33 - #26; Monkey #43 - # 23 Resto #27DO 07/29/23-relapse on lower RQ/ Same wire U/ 16 ss L/ Penguin 43 to 33 to 23/ CHIPMUNK 43 TO 13 TO 14 08/26/23- rw #42 Distal Cross elastic monkey Chipmunk - S elastic #35,34 Triangle #13,44,43 09/30/23- S elastic 34/35 chipmunk/ rabbit 33 to 26/ 45 to 13 same wire 11/03/23- 16x16 ss U #21-22 extrude same wire on L 12/08/23- 16X 22 SS ul/ Settling bite/ elastic penguin and fox 01/13/24 ADJ same wire combination of elastic (chipmunk + penguin on posterior left) stable bite\(for removal by march/april) 02/17/24 ADJ same wire box elastic rabbit 03/23/24 same wire stabilization of ligature wire penguin cross elastic(left and right quadrant) front trapezoid 13/23 43/33 04/20/24 removal of brace reconstruction of canine 13/23 after 6 months recall LC #25 distal 09/28/24 Recall of reconstruction of canine 02/01/25 3 cycle teeth whitening OP initial shade A3 post procedure shade A1