Note Template
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School
Roseman University of Health Sciences *
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Course
5421
Subject
Medicine
Date
Feb 20, 2024
Type
docx
Pages
2
Uploaded by Educator210917
Bonding Visit:
Eye protection, NOLA retraction, pumiced, 37% phosphoric acid etch for 15-20 seconds, rinsed and dried, bonding agent (3M Transbond/Reliance Assure Plus), 3M Transbond XT. AO MBT 0.022 slot brackets Bond U (state teeth), L (state teeth). Light cured. Bite turbo placed on _____.
Patient’s behavior (Patient did well./Patient apprehensive but did well after coaxing.)
Foods to avoid discussed. Care and brushing instructions given. Appliance Delivery (RPE, MARA, TB):
Separators were still present on ____.
Appliance fit (well/ok, but…/poorly). Cemented with (Ketac/BL)
Instructions: Adjustment Visit: (Alignment)
U: All teeth aligned except___. SST/Xtied: L: All teeth aligned except____. SST/Xtied:
Adjustment Visit: (Bite Correction)
Class ____ canine and Class _____ molar (Rt)
Class ____ canine and Class _____ molar (Lt)
OB:
OJ:
Instructions:
Adjustment Visit (Detail)
U: L:
Time to DB:
Debond Scan (Evaluation):
Patient presents with (mom/dad/others). Reviewed pre-op records and treatment objectives. Pros and cons of various retainers discussed. Patient wishes to have (Essix/Hawley/Fixed) in the upper arch and (Essix/Hawley/Fixed) in the lower arch. Parties very happy with results and consents to proceed with retainer fabrication. They understand that any broken brackets between now and day of braces removal may lead to
undesired tooth movement and the inability to remove braces at that time and/or the need to remake retainers at the patient’s cost. Parties also understand that they must keep their braces removal appointment scheduled or if rescheduled in a timely fashion (within 2 months). Scanned U and L arches. PC all teeth U and L. Elastics: Debond (Braces Removal):
Patient very happy with results and consents to debond. Braces, wires, bands and any appliances removed. Adhesive removed and teeth polished by Dr. Chu.
U _____ and L ______ delivered. Fixed delivery: NOLA retraction, Retalium wire festoon to teeth, held with floss. Total etch with 37% phosphoric acid for 15-30 seconds, established good isolation, bonding agent (3M Transbond/Reliance Assure Plus), Flowable composite (brand). Light cured. Checked for security. Instructions: Removable retainer is to be worn 22-23 hours/day, 7 days a week for 6 months, after which nightly for life. Superfloss recommended to be used nightly with permanent retainers. Care instructions given. Patient asked to call or return ASAP if retainers are damaged, broken, or lost. Photos, pano & ceph taken.
Patient instructed to return in 6 weeks for retainer check. Advised patient to bring retainers at that appointment. Retainer Check:
U ______
L _______
Instructions:
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