Medical Record

Name

: Miss Lisa, 8 yo

Gender

: Women

Address

: BSD Tangerang Indonesia

Working Diagnosis

: Crowded teeth at the upper and lower jaw

We treat this patient with removable devices appliance

23/01/10: make dental impression at upper and lower jaw and Panoramic- cepalometri
imaging
06/02/10: application of removable devices at the upper and lower jaw
06/03/10: from the follow up, the upper jaw was expansion, the lower one was fracture.
Make dental impression at lower jaw for the 2nd times
13/03/10: application of removable devices at lower jaw
10/04/10: from the follow up: upper and lower jaw was expansion
12/05/10: from the follow up: upper and lower jaw was expansion
12/06/10: from the follow up: upper and lower jaw was expansion

Thank you very much for the attention

Jakarta , June 18th 2010

Examiner

( Drg. Adiputra spKGA )