ICOI Fellowship Candidate Case Documentation Form

Name: Xin Wei, DDS, MS, PhD                                  Date: 7/5/2014

  Pt's Initials Max/Mand Arch Date Implant(s) Placed Type of Implant Implant Surgical Dentist Ancillary Procedures Date Restored Type of Resotration Dental Lab Current Status
1 XC Mand 08/08/2006 RF XW (Xin Wei) N/A (not applicable) 03/23/2007 OD Local LF
2 KC #19 04/30/2012 RF XW ABG, GTR 02/25/2013 SCR Local SF
3 YZ #5 11/03/2011 RF XW N/A 05/11/2012 SCR Local SF
4 DF #31 03/28/2012 RF XW N/A 01/31/2013 SCR Local SF
5 BH #30 01/22/2010 RF XW N/A 06/14/2010 SCR Local SF
6 YH #2-4 10/24/2008 RF XW N/A 12/02/2009 FBR Local SF
7 LL #19 10/08/2009 RF XW N/A 09/16/2010 SCR Local SF
8 NR #8 07/13/2010 RF XW N/A 05/09/2011 SCR Local SF
9 GY #24 10/07/2009 RF XW ABG, GTR 06/25/2010 SCR Local SF
10 LZ #7,8 01/04/2010 RF XW STG 09/30/2010 SCR Local SF
11 JH #23,26 01/04/2011 RF XW N/A 06/17/2011 FBR Local SF
12 JC #H/11 03/22/2011 RF XW N/A 08/15/2011 SCR Local SF
13 MT #19 01/27/2010 RF XW N/A 03/07/2012 SCR Local SF
14 JH #4 01/27/2012 RF XW SA, ABG 09/17/2012 SCR Local SF
15 QZ #30 12/15/2011 RF XW N/A 12/19/2012 SCR Local SF
16 ZW #18 02/23/2012 RF XW N/A 01/11/2013 SCR Local SF
17 WF #5 12/26/2012 RF XW ABG, APG, GTR 03/28/2013 SCR Local SF
18 PW #8 12/28/2012 RF XW N/A 03/28/2013 SCR Local SF
19 SL #14 12/19/2012 RF XW SA, ABG 04/24/2013 SCR Local SF
20 ER #31 08/20/2012 RF XW N/A 04/26/2013 SCR Local SF

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Xin Wei, DDS, PhD, MS 1st edition 07/06/2013, last revision 07/07/2014