Today went well. I didn't have a patient scheduled this morning after trying and trying for 2 days straight. I came in and mr. solomon called a patient for me. They were able to come in, but didn't get here until 9:00. She ended up being a class 5, so I used her as an exam. I need to work on getting the distals of the back molar.
This afternoon I had another class 5. I tried the new Scan-X system. I like it. I was kind of nervous because I didn't feel like I knew what I was doing, but with a little help it went great! My patient had a weird bridge...the crown of the pontic couldn't even be seen in the x-ray...it was pretty crazy! I only missed 1 spot on her...the distal of one of the wisdom teeth. That spot gets me every time!!!!
Another week gone by and no mockboard patient. I think somebody's trying to teach me some patience....I'm holding out for next week, and if I don't have any luck then I will have to scramble to find some names to call for some screenings. :(
Thursday, January 22, 2009
Friday, January 16, 2009
Just Another Day WITHOUT a Mockboard Patient!!!
Yesterday clinic went okay. I feel like I'm getting good requirements, just not what I'm most stressed out about right now, which is a mockboard patient. I don't even have any names to call of people to screen. If anybody has any suggestions...please fill free to give them to me!
I had a new patient in the morning who was 1 quad of cl 3 and 3 quads of cl 2. He had some 8 and 9 mm pockets and he didn't even want to be numb!!! I got the cl 3 quad done and had moved to a second quad. When I was getting close to being finished the patient said he needed to be done because his jaw was too tired and it kept popping really bad. Prof. Perry said to just finish that quad next time and get it graded then because I knew if I had him check it then I would have quite a few errors.
The morning seemed to be pretty long. I had a major headache, which really made it drag on. It's just not the same when you aren't feeling up to par. I had my new loupes in clinic for the first time and I didn't even get to use them becuase of my headache...bummer! I'm hoping to try them out real soon!
In the afternoon my brother-in-law came in. I was hoping he would have had more calculus becuase he hadn't had his teeth cleaned for 8 years so that he could possibly be a mockboard patient, but no such luck. I did use him as my class 2 exam so I'm finished with my cl 2 exams...yeah!!!! He was fun to clean because the calculus pretty much just came right off with the ultrasonic. His tissues were pretty red, swollen and tender. I've never seen tissue so fluctuant in the mandibular anteriors. I RXed some Peridex for him to try to help these heal.
He had geographic tongue...of course I forgot the proper name for it, but Perry was quick to remind me of it! If any of the rest of you have forgotten it is benign migratory glossitis. Although he was kind of a woosy (I don't even know how to spell that word!) patient :) I had a ton of fun cleaning them!
Perry caught one of my errors that I've been pretty consistent with so he suggested that I need to bring the cone head a little bit more up and slanted downward instead of going straight on when taking BW's. I had been missing the bone level behind the very back molar. I tried it and it worked fabulous! I love that I get constructive critism to try to make my skills the best I can.
I had a new patient in the morning who was 1 quad of cl 3 and 3 quads of cl 2. He had some 8 and 9 mm pockets and he didn't even want to be numb!!! I got the cl 3 quad done and had moved to a second quad. When I was getting close to being finished the patient said he needed to be done because his jaw was too tired and it kept popping really bad. Prof. Perry said to just finish that quad next time and get it graded then because I knew if I had him check it then I would have quite a few errors.
The morning seemed to be pretty long. I had a major headache, which really made it drag on. It's just not the same when you aren't feeling up to par. I had my new loupes in clinic for the first time and I didn't even get to use them becuase of my headache...bummer! I'm hoping to try them out real soon!
In the afternoon my brother-in-law came in. I was hoping he would have had more calculus becuase he hadn't had his teeth cleaned for 8 years so that he could possibly be a mockboard patient, but no such luck. I did use him as my class 2 exam so I'm finished with my cl 2 exams...yeah!!!! He was fun to clean because the calculus pretty much just came right off with the ultrasonic. His tissues were pretty red, swollen and tender. I've never seen tissue so fluctuant in the mandibular anteriors. I RXed some Peridex for him to try to help these heal.
He had geographic tongue...of course I forgot the proper name for it, but Perry was quick to remind me of it! If any of the rest of you have forgotten it is benign migratory glossitis. Although he was kind of a woosy (I don't even know how to spell that word!) patient :) I had a ton of fun cleaning them!
Perry caught one of my errors that I've been pretty consistent with so he suggested that I need to bring the cone head a little bit more up and slanted downward instead of going straight on when taking BW's. I had been missing the bone level behind the very back molar. I tried it and it worked fabulous! I love that I get constructive critism to try to make my skills the best I can.
Thursday, January 8, 2009
A Beginning to an END!
Yes, it has happened. My last semester of school has officially started! Yahoo! It should feel great, but it doesn't feel that great. Instead I feel very overwhelmed! Mindy just updated me today that we have 63 days left until boards (not including sundays of course)....This was like a slap in the face! I have 63 days to know EVERYTHING since the beginning of my college days while still doing all the other bajillion things that need to be done!!!! Now that I have that off my chest I can talk about how my day went.
First day back and I must admit that I was a little bit rusty. Overall though I was very pleased how today went.
I did 2 quads of class 3 exam this morning and only missed 2 spots! I was able to get in 4 injections. I learned something very valuable today while doing my PSA. Put your finger on the occlusal plane of the max teeth, then go down the teeth until you reach bone and then pull the cheek straight out (if that makes any sense at all...) and it really opens it up! I was pulling the cheek in a weird way so it looked as if I was inserted enough for my injection but when Prof. Perry showed me what to do with the cheek it surprised me where I was at!
I was pretty nervous for this afternoon becuase my patient (returning from a year ago) has some pretty severe dental anxiety. I was able to do my nitrous P.E. and she was a class 2, which Perry encouraged me to use her as my exam. (2 exams in one day...the first day of the semester too!) I didnt end up doing injections (which I was super happy about because I watched Joni do it last year and it didn't look fun!) She was able to make it through with the N2O and some topical. I found that I was very paranoid about hurting her though becuase I didn't want to get her all wriled up. I missed 2 spots on the mand anteriors becuase I couldn't get the correct adaptation with the N2O nose in the way....Next time I need to remember to remove that for a few minutes to check this area. I felt that this appointment was much more calm than last year, which was enough to make me happy.
Better go get to my studying...where I will spend every spare second for this semester.
First day back and I must admit that I was a little bit rusty. Overall though I was very pleased how today went.
I did 2 quads of class 3 exam this morning and only missed 2 spots! I was able to get in 4 injections. I learned something very valuable today while doing my PSA. Put your finger on the occlusal plane of the max teeth, then go down the teeth until you reach bone and then pull the cheek straight out (if that makes any sense at all...) and it really opens it up! I was pulling the cheek in a weird way so it looked as if I was inserted enough for my injection but when Prof. Perry showed me what to do with the cheek it surprised me where I was at!
I was pretty nervous for this afternoon becuase my patient (returning from a year ago) has some pretty severe dental anxiety. I was able to do my nitrous P.E. and she was a class 2, which Perry encouraged me to use her as my exam. (2 exams in one day...the first day of the semester too!) I didnt end up doing injections (which I was super happy about because I watched Joni do it last year and it didn't look fun!) She was able to make it through with the N2O and some topical. I found that I was very paranoid about hurting her though becuase I didn't want to get her all wriled up. I missed 2 spots on the mand anteriors becuase I couldn't get the correct adaptation with the N2O nose in the way....Next time I need to remember to remove that for a few minutes to check this area. I felt that this appointment was much more calm than last year, which was enough to make me happy.
Better go get to my studying...where I will spend every spare second for this semester.
Tuesday, November 25, 2008
The LAST day rocked!
I'm so happy right now becuase I'm done with my clinic sessions until January!!!! YEAH! I'm even more excited becuase I was able to meet all my requirements and get everything done that I needed to!
Today went well. I saw a class 3 patient and did a half a mouth. I was able to do LA for this and pass off my subgingival irrigation PE.
This afternoon I had my friend from high school come in. It was a nice relaxing afternoon and I finally didn't feel pooped after cleaning a patient! It seems like it has been forever since I was able to clean a 1B and it was really nice! I also passed off my blood glucose PE. One thing I learned today..... with the new scanx machine in use...you have to be careful which template you choose when taking digital x-rays. I didn't even realize that was on there so I put it in the wrong template and they wouldn't pull up to print. I had to take the whole set over again! Brother! The computer didnt' like me today. A while after I had printed off my treatment plan, I went in to do my walkout, and low and behold...there was no tx plan listed anywhere in his file! It is beyond me where it went but I had to remake a whole new treatment plan...weird! I had a good time using the new intra oral camera to show my picture some really deep pits he had on his 2nd molars....technology is amazing!
It feels so nice to be done!!! You know what they say....it will all work out!
Today went well. I saw a class 3 patient and did a half a mouth. I was able to do LA for this and pass off my subgingival irrigation PE.
This afternoon I had my friend from high school come in. It was a nice relaxing afternoon and I finally didn't feel pooped after cleaning a patient! It seems like it has been forever since I was able to clean a 1B and it was really nice! I also passed off my blood glucose PE. One thing I learned today..... with the new scanx machine in use...you have to be careful which template you choose when taking digital x-rays. I didn't even realize that was on there so I put it in the wrong template and they wouldn't pull up to print. I had to take the whole set over again! Brother! The computer didnt' like me today. A while after I had printed off my treatment plan, I went in to do my walkout, and low and behold...there was no tx plan listed anywhere in his file! It is beyond me where it went but I had to remake a whole new treatment plan...weird! I had a good time using the new intra oral camera to show my picture some really deep pits he had on his 2nd molars....technology is amazing!
It feels so nice to be done!!! You know what they say....it will all work out!
Wednesday, November 19, 2008
CELEBRATION!!!
I am actually posting a day late this week, but at least I have some news to share! Today was my last day at the VA and I was able to finish up with my requirements!!!! I'm so excited! I got 2 quads of a 2 and 4 quads of a 5. No more worries for this semester!!! What a great feeling!
Yesterday went okay. I was worried sick in the morning because I hadn't been able to get a hold of my patient and I really needed her to be there...she was a class 3 exam. It was 8:20 and she still wasn't there so I decided I would help Claire with some screenings she was doing. I sat the patient in the chair to take his BP and then they called back over the intercom telling me my patient was here! Of course that would happen as soon as I sat that other patient down!!! I was soooo relieved though! I was kind of disappointed though becuase she decided she didn't want to be anesthetized because she hates shots so bad! (That's okay though, I made up for it in the afternoon!) I was able to pass of my perio files PE. I only missed 2 spots. This is a HUGE improvement! Last year when I saw her I struggled so bad, but this time around went much smoother!
In the afternoon I had my 17 year old patient coming back to finish him from last week. I was hoping he would want N2O, but he didn't...bummer. He was quite nervous and wiggly for the injections...but he made it through all TEN!!!! Let me just tell you again that he had the hardest stinkin' calculus to get off! He had a canker sore last time and it had almost tripled in size so I had the instructors take a look just to check and they thought it would be okay. Instructor Wolde recommended that he rinse with a mouthrinse made by colgate called Peroxyl that she says works really good. I hadn't ever heard of this before, so it was good to get her recommendations. Even though I was completely worn out at the end of the day, it was a good day overall!
Yesterday went okay. I was worried sick in the morning because I hadn't been able to get a hold of my patient and I really needed her to be there...she was a class 3 exam. It was 8:20 and she still wasn't there so I decided I would help Claire with some screenings she was doing. I sat the patient in the chair to take his BP and then they called back over the intercom telling me my patient was here! Of course that would happen as soon as I sat that other patient down!!! I was soooo relieved though! I was kind of disappointed though becuase she decided she didn't want to be anesthetized because she hates shots so bad! (That's okay though, I made up for it in the afternoon!) I was able to pass of my perio files PE. I only missed 2 spots. This is a HUGE improvement! Last year when I saw her I struggled so bad, but this time around went much smoother!
In the afternoon I had my 17 year old patient coming back to finish him from last week. I was hoping he would want N2O, but he didn't...bummer. He was quite nervous and wiggly for the injections...but he made it through all TEN!!!! Let me just tell you again that he had the hardest stinkin' calculus to get off! He had a canker sore last time and it had almost tripled in size so I had the instructors take a look just to check and they thought it would be okay. Instructor Wolde recommended that he rinse with a mouthrinse made by colgate called Peroxyl that she says works really good. I hadn't ever heard of this before, so it was good to get her recommendations. Even though I was completely worn out at the end of the day, it was a good day overall!
Tuesday, November 11, 2008
Not Quite What I Expected
Today went okay. This morning I saw my last 1A and finished my mockboard exam patient. I was able to pass off my desensitization PE on him. It all went well.
Yesterday my afternoon patient cancelled for today. I looked at the resource list and found a 17 year old kid who needed to come in so I called him. I figured I could possibly take a pano on him and maybe if I was lucky do sealants on his 2nd molars...on top of this I figured he would be a pretty easy 1B.
Well, I learned my lesson....NEVER make assumptions about a patient! He was a really nice boy, but....he needed to learn how to use a toothbrush.
I struggled with my x-rays a little bit (I did get a pano by the way!). We sat down in the chair and I started to probe. Unfortunately I couldn't do a very good job becuase the enourmous amount of plaque and bleeding everywhere! I couldn't believe it! He was classified as a 2 and I was thinking to myself...where did my easy patient go!? We took a lot of time to review the x-rays, discuss the infection and of course teach OHI. He was so tender when I was probing so we decided it would be best if we anesthetized him to treat him. I messed up by not having the large window of the carpule toward me, but it went okay. I couldn't believe how hard his calculus was!!! Unfortunately today I only got one quad done. Luckily I hadn't scheduled anybody for next week yet so I will be able to have him come back this semester. I also put him on some prevident to hopefully help with the decalcification that was starting on the facials of his maxillary anteriors. What a day! I'm glad it's over!
Yesterday my afternoon patient cancelled for today. I looked at the resource list and found a 17 year old kid who needed to come in so I called him. I figured I could possibly take a pano on him and maybe if I was lucky do sealants on his 2nd molars...on top of this I figured he would be a pretty easy 1B.
Well, I learned my lesson....NEVER make assumptions about a patient! He was a really nice boy, but....he needed to learn how to use a toothbrush.
I struggled with my x-rays a little bit (I did get a pano by the way!). We sat down in the chair and I started to probe. Unfortunately I couldn't do a very good job becuase the enourmous amount of plaque and bleeding everywhere! I couldn't believe it! He was classified as a 2 and I was thinking to myself...where did my easy patient go!? We took a lot of time to review the x-rays, discuss the infection and of course teach OHI. He was so tender when I was probing so we decided it would be best if we anesthetized him to treat him. I messed up by not having the large window of the carpule toward me, but it went okay. I couldn't believe how hard his calculus was!!! Unfortunately today I only got one quad done. Luckily I hadn't scheduled anybody for next week yet so I will be able to have him come back this semester. I also put him on some prevident to hopefully help with the decalcification that was starting on the facials of his maxillary anteriors. What a day! I'm glad it's over!
Tuesday, November 4, 2008
Finally some PE's!!!!
This morning we had a lab on desensitization and emergency situations. I really like that we take the time to review emergencies. I really hope I never have to deal with one in real like, but if I ever do hopefully I will be prepared!
This afternoon my patient was returning from earlier in the semester. She was 2 quads of class 2 and 1 quad of a class 5. She was so easy going and was a great patient. I was so grateful to Bossenberger who helped me to get so many PE's done! I FINALLY did some that I've been trying to do for the past month! I was ablet to do my ultrasonic, calculus removal, and accessory fulcrum. I had extra time at the end so I did my caries risk assessment PE. My patient also needed Arrestin in one spot so I did that PE! It felt so good to get that load lifted off!
One weird thing that my patient mentioned is that she was rinsing with Balsalmic Vinegar. She had sores in her mouth from the acid even. Some of the things patients come up with to do! Crazy! I had to explain to her that listerine would be much better!!
This afternoon my patient was returning from earlier in the semester. She was 2 quads of class 2 and 1 quad of a class 5. She was so easy going and was a great patient. I was so grateful to Bossenberger who helped me to get so many PE's done! I FINALLY did some that I've been trying to do for the past month! I was ablet to do my ultrasonic, calculus removal, and accessory fulcrum. I had extra time at the end so I did my caries risk assessment PE. My patient also needed Arrestin in one spot so I did that PE! It felt so good to get that load lifted off!
One weird thing that my patient mentioned is that she was rinsing with Balsalmic Vinegar. She had sores in her mouth from the acid even. Some of the things patients come up with to do! Crazy! I had to explain to her that listerine would be much better!!
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