My morning patient was a class 3. She was missing a lot of teeth, so it was just 3 quads. For the most part her calculus came off pretty easily, but there were some spots that were very tenacious. I was able to pass of my perio file PE. She was really sensitive, but didn't want to be numb. She didn't even know what floss was. I talked to her about it and showed her how to use it. She kept asking for more things she could do to fix the infection in her mouth; she seemed interested when I was teaching her. Hopefully she will use it.
My afternoon patient was a class 5. She fell three weeks ago and hit her face on a step. Her teeth were mobile and she had a draining fistula. I took a PA. She has what looks like a periapical abcess. Dr. Anderton looked at it and said that she probably needs a RCT. He also adjusted the crown on the tooth that was the most mobile so she wouldn't be biting on it as heavily and it would be able to heal and tighten. Her tissues everywhere else looked so much better than they did last semester. She has been taking much better care of her teeth.
Thursday, November 20, 2008
Monday, November 17, 2008
11-12-08
My 8:00 pt no showed, so I was very grateful that we had 9:30 patients. My 9:30 pt came an hour early, yeah! It worked out so good. He was glad to be able to be seen so early. He turned out to be a class 3. He was a hard patient. Some of his teeth were going to be extracted after his cleaning. I got 2 quads done; I was able to do 5 injections. They went really well. I'm feeling a lot more confident with injections now.
My afternoon patient was a class 2. He had one tooth that was sensitive to pressure. I took a PA. There was a very small radiolucency at the apex of the tooth, so he was scheduled for endo testing.
My afternoon patient was a class 2. He had one tooth that was sensitive to pressure. I took a PA. There was a very small radiolucency at the apex of the tooth, so he was scheduled for endo testing.
11-11-08
Today was very productive. I just had a 1b in the morning, but I got 3 PE's done. I did the diagnodent, air-powder polish, and caries risk assessment. I also did a set of bitewings. My patient did not like the air-powder polish. She had braces on her bottom teeth, so I just used it on the buccal of her mandibular teeth. She didn't like spitting in a cup for 5 min, but she was interested in the results of her CRA.
My afternoon patient was a class 5. I also did a FMX and the blood glucose PE. It took a while to get started because we had to look something up about premed, and I had to call his physician. It all worked out though and the apt went very well. I didn't miss anything.
My afternoon patient was a class 5. I also did a FMX and the blood glucose PE. It took a while to get started because we had to look something up about premed, and I had to call his physician. It all worked out though and the apt went very well. I didn't miss anything.
Friday, November 14, 2008
11-4-08
My patient in the afternoon was a class 5. I was able to do BWX and my arestin PE. I missed one spot on her. There was a piece of calculus apical to a crown margin that I didn't feel. Once Prof. Alexander showed me where it was it was easy to feel.
My patient had a lesion on her tongue. Dr. Anderton looked at it and said it wasn't anything to worry about, but to make a good note to compare it at her next apt. This was the first time I've ever had a patient with a lesion that needed to be looked at.
My patient had a lesion on her tongue. Dr. Anderton looked at it and said it wasn't anything to worry about, but to make a good note to compare it at her next apt. This was the first time I've ever had a patient with a lesion that needed to be looked at.
11-4-08 Lab
In our lab we went over emergency situations, including an earthquake and medical problems. It was helpful; it's good to know what to do if there is an emergency, and the more practice the better.
We also learned about subgingival irrigation and desensitization; those were really easy. We tried some different kinds of varnish. Neither of them stayed on as well as vanish does. I didn't like them.
We practiced wheelchair transfers. That was fun. We have a lot of wheelchair patients at the VA, so it's something that is very important for us to go over. It wasn't quite realistic because none of us were very hard to lift, but it was still good practice.
We also learned about subgingival irrigation and desensitization; those were really easy. We tried some different kinds of varnish. Neither of them stayed on as well as vanish does. I didn't like them.
We practiced wheelchair transfers. That was fun. We have a lot of wheelchair patients at the VA, so it's something that is very important for us to go over. It wasn't quite realistic because none of us were very hard to lift, but it was still good practice.
Tuesday, November 4, 2008
10-29-08
My 8:00 pt didn't show up. Kem found a patient for me in dental though, so I was able to see a pt. He was a class 5. I saw him earlier this semester, so he had no calculus.
I got another pt at 9:30. He was a class 3. He hadn't had his teeth cleaned since the 50's. His calculus was so tenacious. He was a really hard patient; it was good practice.
In the afternoon I had a 1b. He had a lot of calculus on his mand. ant. linguals, but that was pretty much all. There was just a little bit in the rest of his mouth. I'm glad I had a really hard patient at 9:30, because my other patients today were very very easy.
I got another pt at 9:30. He was a class 3. He hadn't had his teeth cleaned since the 50's. His calculus was so tenacious. He was a really hard patient; it was good practice.
In the afternoon I had a 1b. He had a lot of calculus on his mand. ant. linguals, but that was pretty much all. There was just a little bit in the rest of his mouth. I'm glad I had a really hard patient at 9:30, because my other patients today were very very easy.
Monday, November 3, 2008
10-28-08
I had a class 2 in the morning. I was also able to do a FMX. I need PA's really bad, so that was good. My bitewings turned out aweful, but my PAs were really good. I was able to get all of the 3rd molars in.
In the afternoon my pt didn't show up. I tried calling her and she didn't answer. Luckily Lindy's pt brought her husband with her in hopes that someone would be able to see him. He was 2 quads of a 2 and 2 quads of a 5. I was also able to get 3 PE's done, so it was a good day. He was kind of upset about the health history. He didn't see what my questions had to do with anything. I explained the impact oral health had on the body and vice versa. He was still really ornery about it. Once I was done with the OD he was really nice though.
In the afternoon my pt didn't show up. I tried calling her and she didn't answer. Luckily Lindy's pt brought her husband with her in hopes that someone would be able to see him. He was 2 quads of a 2 and 2 quads of a 5. I was also able to get 3 PE's done, so it was a good day. He was kind of upset about the health history. He didn't see what my questions had to do with anything. I explained the impact oral health had on the body and vice versa. He was still really ornery about it. Once I was done with the OD he was really nice though.
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