I got my sealant PE and airpowder polisher PE done this am. It was very nice. I didn't even have to redue any of the sealants and the child was 6 years old. I was very happy with things. My afternoon pt made me a little nervouse because I felt like the only reason she was here was to find out about the program not because she wanted her teeth cleaned. It was okay and I got through the morning.
My peer pal was with me this afternoon and I was grateful that she was. It is nice when you have someone to help you chart. I really liked having her here, but xrays did make me a little nervous. I don't really like taking them anyway, and on top of that my peer pal is the TA for her class. She really knows what she is doing. I was happy that I didn't need to retake any xrays!!!!! The cleaning went well and I was happy for my patient. Class V and nice man.
All in all-- Good way to end the semester!!!!
Thursday, December 3, 2009
The Last Day Of VA
Today went well. I really wanted something to go smoothly. I wasn't thinking that I would have an extra patient seated in my chair in the morning. My first patient was very kind, easy to work on, and ended up being one quad of a III. My second patient was brought over by the dentist and I was able to get his perio charting done and one quad of a class III. It was great.
My afternoon was not suppose to be a patient becuase one cancelled but someone came in. He had been cleaned just 2 weeks earlier. There was some confusion with the scheduling. I was able to perio chart him, though, because it was not in the system at all. I then just polished and flossed. He was nice guy and it was an easy afternoon.
Very good day!!!
My afternoon was not suppose to be a patient becuase one cancelled but someone came in. He had been cleaned just 2 weeks earlier. There was some confusion with the scheduling. I was able to perio chart him, though, because it was not in the system at all. I then just polished and flossed. He was nice guy and it was an easy afternoon.
Very good day!!!
Great Day!!!
I loved my patient today. I was so grateful for her. She is here from Texas for the holiday and was the cutest thing. I really enjoyed my time with her and I was able to speak to her a lot about her OH. I felt that I really had a good impact on her. She asked me a lot of questions and I really felt like I was able to answer all of them and answer them well. She also ended up being 1 quad of a class III and 3 quads of a V. I was really excited for the qualifications as well.
What a great way to end things before the holiday!!!!
What a great way to end things before the holiday!!!!
Thursday, November 12, 2009
Good Day!!
Well, I can't complain about today. Things went very well and I saw the two cutest patients ever. My morning patient ended up being 3 quads of a class three which I wasn't expecting. He also had the most interesting bridge on the mandibular anteriors. It was a great experience to get to clean.
My afternoon patient was a class 5 but with the most tenacious calculus on the lower anteriors. I truly can't explain how hard it was. I would go to do a working stroke and my scaler would just stop when I hit the calculus. I was really using some of the most pressure that I ever have. It took me about 40 minutes to scale and 35 was on the lower anteriors alone. I was able to use the perio files like I have not used before on calculus. I was able to use them this morning on a composite overhang as well. It was a great experience.
All in all, a good day!
My afternoon patient was a class 5 but with the most tenacious calculus on the lower anteriors. I truly can't explain how hard it was. I would go to do a working stroke and my scaler would just stop when I hit the calculus. I was really using some of the most pressure that I ever have. It took me about 40 minutes to scale and 35 was on the lower anteriors alone. I was able to use the perio files like I have not used before on calculus. I was able to use them this morning on a composite overhang as well. It was a great experience.
All in all, a good day!
Thursday, November 5, 2009
I have the CUTEST mom!!!
So my mom came in this morning. She was so funny and cracking me up the whole time. She didn't need x-rays, but she insisted on 2 PA's. She didn't need anesthesia, but insisted on an IA and LB. She didn't need a sealant, but insisted that she did in order for me to use the diagnodent. I didn't do the sealant. She did need Arestin, but insisted... that is where I drew the line. I told her she didn't need it. I told her that my instructor wouldn't go for it. She insisted that I ask, and tried to convince my instructor that she needed it. All in all, however, she got a lot done today that was not necessary just to be a peach and help me with my requirements. I do love her and and soooooooooooooooooo grateful to have her!!!
Thursday, October 29, 2009
Very different than expected
Well, my day started with thinking I was going to have a class 3 in the morning and a class 2 in the afternoon. My class 2 cancelled and I was only able to reschedule a 1B. It was okay and I did get a couple of xrays but nothing that was substantial. My morning class 3 was a no show. We called him at 10 after 8:00 and he said that he was just running 30 min late, so I waited. At 15 to 9:00 we called back and he said that he was on is way- "I am in West Valley. I will be right there." I know, that is pretty comical. I called Jake and he came up, again 1B. I was able to get a couple of things done this am. I passed off my glucose testing because Brad is diabetic and Jake was kind enough to let me stick him with a needle. I gave him a PSA and an IA. He was too kind. SOOOOO... a class 3/2 day turned into two 1B. Do I need to say more?!!
Monday, October 26, 2009
MOCK BOARD
Well, what can I say about today. I was actually feeling fine all day, not nervous. I can tell you that there was joy in my heart when I saw my patient walk through the door, but it wasn't relief of nerves just happiness.
I can tell you that it was interesting cleaning my patient. I thought that I was very thorough in my cleaning. I ultrasoniced for about 30 minutes then hand-scaled the entire area, and was feeling good about things until I went in with my explorer. There were four areas of radiographic calculus on my patient and I missed all four of those areas when I was cleaning. As I started to work on them it felt like they were a permenant fixture on the tooth. I didn't think that I was going to be able to get them off. Well, I worked and worked using lateral pressure like I didn't think was possible in order to get them off. Things were going okay until I got to the mesial of #14. My patient had very bulbous crowns- I know that doesn't sound like much but until you are in with a scaler trying to pull off a piece of "permenately cemented on calculus" from under the rounded, overhanging, contour of a bulbous crown it starts to mean something. I truly didn't think that I was going to be able to get it off. I tried every posterior instrument I had out on my tray and even a couple of anterior instruments but everytime that I pulled coronally it felt like I was hitting contact and I couldn't pull horizontally because of that little aspect called gingiva. At one point I thought that I would just send her over with the error and accept the fact that somethings are impossible. The more I thought about it, however, the more determined I was to get it off. Well, let's just say that I didn't think a 1/2 gracey could be angled quite the way that I did and I definately didn't think that I would ever use enough lateral pressure that I would be bending my instrument. I discovered that both of those things are possible.
The nerves came when I sent my patient over for scale check. I have actually never been that nervous since being in the program, and I must say that Prof Alexander has some kind of sense of humor when it comes to talking to people about areas missed when scaling. I will just leave that story alone for now...
All in all, it was a good day. I ended up getting my four areas of radiographic calculus off my patient. In fact, I didn't miss any areas which felt great!!!!
Good day, today!
I can tell you that it was interesting cleaning my patient. I thought that I was very thorough in my cleaning. I ultrasoniced for about 30 minutes then hand-scaled the entire area, and was feeling good about things until I went in with my explorer. There were four areas of radiographic calculus on my patient and I missed all four of those areas when I was cleaning. As I started to work on them it felt like they were a permenant fixture on the tooth. I didn't think that I was going to be able to get them off. Well, I worked and worked using lateral pressure like I didn't think was possible in order to get them off. Things were going okay until I got to the mesial of #14. My patient had very bulbous crowns- I know that doesn't sound like much but until you are in with a scaler trying to pull off a piece of "permenately cemented on calculus" from under the rounded, overhanging, contour of a bulbous crown it starts to mean something. I truly didn't think that I was going to be able to get it off. I tried every posterior instrument I had out on my tray and even a couple of anterior instruments but everytime that I pulled coronally it felt like I was hitting contact and I couldn't pull horizontally because of that little aspect called gingiva. At one point I thought that I would just send her over with the error and accept the fact that somethings are impossible. The more I thought about it, however, the more determined I was to get it off. Well, let's just say that I didn't think a 1/2 gracey could be angled quite the way that I did and I definately didn't think that I would ever use enough lateral pressure that I would be bending my instrument. I discovered that both of those things are possible.
The nerves came when I sent my patient over for scale check. I have actually never been that nervous since being in the program, and I must say that Prof Alexander has some kind of sense of humor when it comes to talking to people about areas missed when scaling. I will just leave that story alone for now...
All in all, it was a good day. I ended up getting my four areas of radiographic calculus off my patient. In fact, I didn't miss any areas which felt great!!!!
Good day, today!
Tuesday, October 13, 2009
I am never going to get anything done
I was kind of frustrated today at the VA. I really need to see a class 2, so that I can get my exam done and I need to have the calculus present in order to pass of PE's that I have wanted to do and have had out on my counter every clinic session since the first week of clinic. Again, NOTHING!!!! My morning patient today was crazy. I know that I should not say things like that but there is just no other way to say it. He was crazy with a capitol "C." For everything that I went through with him this morning it still was only 2 quads of a 5 and I had about 4 errors and I have not missed that many spots all year. It was just not the best way to start the day.
My afternoon patient was quite interesting in and of himself. The x-rays took much longer because of the suspension in the tube head arm. It kept drifting and I tried everything. My patient was getting frustrated and I could tell that it was not going to be the best day. He was also severely diabetic and didn't eat lunch. He really needed to have a short appointment, but he needed xrays, and exam and complete perio charting done. After I was done probing he asked if the charting was part of the cleaning and informed me that he only wanted to be cleaned. To make things better he told me that he needed to be about of the office by 2:30 and it was 1:45 by this time. I rushed to get everything done but was unable to finish my charting. I kind of received a lecture for that after, which was just frosting on the top of the cake!!!!
No class 2, no PE's, and quite a day!!!!
My afternoon patient was quite interesting in and of himself. The x-rays took much longer because of the suspension in the tube head arm. It kept drifting and I tried everything. My patient was getting frustrated and I could tell that it was not going to be the best day. He was also severely diabetic and didn't eat lunch. He really needed to have a short appointment, but he needed xrays, and exam and complete perio charting done. After I was done probing he asked if the charting was part of the cleaning and informed me that he only wanted to be cleaned. To make things better he told me that he needed to be about of the office by 2:30 and it was 1:45 by this time. I rushed to get everything done but was unable to finish my charting. I kind of received a lecture for that after, which was just frosting on the top of the cake!!!!
No class 2, no PE's, and quite a day!!!!
Double Booked and Mock Board Take 2
Well, I have bothered Mr Solamon so many times this week I believe that he truly is tired of hearing from me. He was able, however, so get my Mock Board patient to agree to come in. This means that my afternoon was double booked again. I was not sure what to expect from my first afternoon patient but I was pretty sure that he was going to be a 1B. I thought that I would for sure be able to get him in and out in 1 hour. I was a bit taken back, however, and I do believe that he has used Meth a few times in his past. I had not seen anything like his mouth up to that point. It was a very good experience for me and he was great to work with, but it was not quite what I was expecting especially coming off an appointment like I had in the morning. My patient was a little "much to handle." Some days I think that the planets are so far from being aligned that they are in different galaxies.
Anyway, I started my Mock Board patient late again, and I really did have to hurry it get the right side of her mouth done. I was grateful, however for the opportunity to work on her before the exam because her crowns are very bulbous and it was a good opportunity to get in there to see how to adapt my scalers in order to reach her interproximal areas.
WHAT A DAY!!!
Anyway, I started my Mock Board patient late again, and I really did have to hurry it get the right side of her mouth done. I was grateful, however for the opportunity to work on her before the exam because her crowns are very bulbous and it was a good opportunity to get in there to see how to adapt my scalers in order to reach her interproximal areas.
WHAT A DAY!!!
BAD NEWS
I was suppose to bring my Mock Board patient in today so I could finish her OD and clean the right side of her mouth since it is the left side that I am using for Mock Board. She CANCELLED on me! I could not have been more stressed. I don't have room in my schedule to bring her in before the Mock Board unless I double book myself again and I am not sure if that will be possible with the patients that I have on my schedule for the next week, and on top of that she CANCELLED!! How am I suppose to know if she is reliable enough to show up on the day of the Mock Board. If she doesn't come there is no way for me to get an A in clinic and I won't have that practice for the board.
Life today is not the best I have experienced!
Life today is not the best I have experienced!
Double Booked and Mock Board
Today was my first experience seeing 2 patients in one day. I had a bit of some miscommunication with my schedule, so I had two patients scheduled this afternoon. I must say that I was very nervous and was not sure exactly how I was going to handle things. I knew that my second afternoon patient was going to have some kind of perio but I was not sure to what extent and my first afternoon patient, I thought, was going to be a 1A but ended up being a 1B because he no longer had mixed dentition. I told myself that I was going to be able to get him in and out in 1 hours. I was able to do that, but I didn't take into account take-down and set-up of my operatory. Needless to say, I was running a bit late pulling my last patient back into the chair. It was worth the weight, however, she qualifies for Mock Board. I wasn't able to get her OD done, though, after I took all of her x-rays. I am going to have to borrow all 4 teeth in order to get her to qualify which means that I had to take my 4 BWX and 8 PA's today. Happy, however, that I was able to find her.
Oh, what a day!!!
Oh, what a day!!!
Power Outage
Surprise!!!! What do you do in a dental clinic when the power goes out? I run to my locker and try to open my lock for 15 minutes to get my head lamp. I have wondered to now if it was a good investment for me to buy the head light when I bought my loupes, but they were worth their weight in gold today when the power went out in the clinic. My afternoon patient was a 1B and I really didn't want to have to reschedule him, make him come back, and I didn't have any space in my schedule until November. I was not able to use my ultrasonic and he was a pretty heavy 1B, but I was able, unlike others, to continue with treatment because I had my light. I pulled it out, grabbed my scaler, and went to work. I was able to get everything done and Prof Bossenberger told me that I won the Boy Scout award for the day.
What an experience!!!
What an experience!!!
Class 3 Exam
I was not quite expecting the day that I had today. My moring patient no showed on me and I spent 1 hour trying to find someone to come in. My dad wasn't feeling well, but he was a peach and hussled up so that I would at least have someone in my chair this morning. I had his 3 quads to finish and since they carried over from last semester he was considered a class 2. I was able to finish but I felt a little rushed since I started 1 hour late.
My afternoon was just as much a surprise. My patient originally came in as a class 3 but the last few times she was in the clinic she was a class 5. In other words, I was expecting to see a class 5 this afternoon, but it had been a while since she was in. When I took radiographs there was radiographic calculus everywhere. With the bond loss that was already there and the calculus that was present, she was a class 3. I declared her an exam and was able to get 4 quad done in the one appointment. She was a sweet lady and very cooperative. I felt very good about things before the scale check and the exam did go well.
The day was a surprise but it ended up being a good surprise.
My afternoon was just as much a surprise. My patient originally came in as a class 3 but the last few times she was in the clinic she was a class 5. In other words, I was expecting to see a class 5 this afternoon, but it had been a while since she was in. When I took radiographs there was radiographic calculus everywhere. With the bond loss that was already there and the calculus that was present, she was a class 3. I declared her an exam and was able to get 4 quad done in the one appointment. She was a sweet lady and very cooperative. I felt very good about things before the scale check and the exam did go well.
The day was a surprise but it ended up being a good surprise.
Thursday, September 3, 2009
Good Day
Well, today went well. I saw two children this morning and they were the cutest kids ever. The little girl was 5 and the little boy was 2. To be honest, I was a little nervous about the 2 year old. You never know how they are going to respond or behave. He was great. The only problem that we had was the prophy angle and hand piece. It was no problem, however, because I tooth brush polished and it was just like I was brushing Lincoln's teeth. It went well.
My afternoon patient was good as well, but didn't offer much in terms of qualifications. I had one quad left to do from a patient last semester. I tried to get a second patient to come in but I couldn't find one, so I just took my time with my patient and it went well.
All in all a good day.
My afternoon patient was good as well, but didn't offer much in terms of qualifications. I had one quad left to do from a patient last semester. I tried to get a second patient to come in but I couldn't find one, so I just took my time with my patient and it went well.
All in all a good day.
Monday, August 31, 2009
Being Back
Well, I, like so many others, found it very weird to be back in clinic. It is hard to take 4 months off and then get back into the swing of things. I had to remember how to hold my instrument, what angles to use, which end of the instrument to use, etc. I am glad that I did have a day to reorient myself before I have to see a patient. Though it was nice to have that opportunity, I can still say that I don't feel quite ready to see a patient again. I am very nervous about going to the VA, even though everyone has said that it was a wonderful experience.
Wednesday, April 22, 2009
LAST DAY!!!
So, yesterday Prof Costley came in and said that there was a lady that was worked on, but the senior working on her wasn't able to finish. I was told that everything was done outside of 3 quads of scaling. Well, when I arrived today the story changed a little. There was really nothing done but her probe depths. It took quite a while to figure out what was going on because I was getting conflicting stories. She was also 100% Spanish speaking. So I had to do and OD and try to scale 4 quads of a 2 in order for her to be ready for her DMD appt on May 3. When I finally got to the cleaning I started to discover many areas where there were tooth anomalies. I also was able to learn some new angles of scaling because of the way her teeth were. She had two retained root tips and missing #8,9. I got very creative today with my fulcrums. I did finish though, and it was a great experience!!!!
It was a good last day!
It was a good last day!
Wednesday, April 15, 2009
The end of a 3
What a day!!!! I can say that I have never quite had an experience like I did today. I always go into things with great optimism and then my hope are crushed as I start working and realize that my goals are not going to be so easily obtained. That is definately the scenario in which I found myself today.
I came in this morning booked for the entire day, but that quickly became a nonreality when my first patient no showed. I called her at least a dozen times and was not able to talk to her and never heard back. I guess she really wasn't that interested in coming in to get a cleaning even though she made it seem like a dier emergency that she get in as soon as possible.
Then about 1 1/2 hours before clinic my class 3 called to cancel. She told me that her children were sick. At that point I was very torn. I know how it is to have sick kids. It is horrible because they are miserable. On the other hand, I really was needing to finish her 3 quads today because Hailey asked me if she could have my chair on Monday. Her class 3 was coming in and it was the only time she had to see him. I told her that I would try my very best to get done so she could have my chair. Like I said, I was torn... I did make the decision though to press the issue with my class 3. I told her that my grade and me passing the semester depended on her coming in. I asked if there was anyone who could watch her children for her while she came in. She said that she would call her brother and then call me back. An hour later I still had not heard from her, so I called and she said that she was on her way.
When she arrived the fun really started... She was very high maintenance to say the least, and her calculus was really tenacious. She had a harder time getting numb, and then when I started scaling I had a hard time even seeing, let alone to position myself to be able to remove the calculus. My patient was a larger woman and my chair would not go down as far as I needed it to. I was straining with my shoulder and my wrist to be able to get to the areas that I needed to work on. I asked Prof Costley to come over and help me, and it was a good decision. After she left I felt much better about how I was working. When I finished my first quad (UL) that is when the fun really started. I knew that I was going to need some extra time so I asked Prof Costley for a time extention. I explained the situation about Hailey and why I wanted to finish today and she agreed to let me have some time. There was an hour left, but I knew that it would take longer than that because I was having to stop every so many minutes to let her rest and and rinse her mouth. She insisted on watching me clean but the blood was making her sick. I had to stop and rinse her after about every other tooth. She also said that she was still feeling a lot of the cleaning even though we numbed her. It made it difficult for me to use the ultrasonic because every time I went subgingival she said that it was hurting too much to keep going. I was able to use the instrument for the supragingival calculus but then had to go back with my hand scalers for all of the subgingival calculus. I was pulling off huge chunks of black calculus with every tooth. I definately got my workout. By the time I got to the last quad I was very tiered. Prof. Costley really numbed her for this last quad and she couldn't feel a thing but she also kept choking on the water from the ultrasonic. I worked as fast as I could and still be thorough with my cleaning. We finially finished after she almost threw-up on me because of the prophy paste, and walked her out at 4:00 pm. I was only 45 minutes late, scaled for 87 minutes, and missed 9 spots of calculus. To say the least, I was not feeling that great about myself when I was done.
It was a hard day, but I learned a lot and was greatful for all of the experience that I had today. It was no where near any other day that I have had in clinic.
I came in this morning booked for the entire day, but that quickly became a nonreality when my first patient no showed. I called her at least a dozen times and was not able to talk to her and never heard back. I guess she really wasn't that interested in coming in to get a cleaning even though she made it seem like a dier emergency that she get in as soon as possible.
Then about 1 1/2 hours before clinic my class 3 called to cancel. She told me that her children were sick. At that point I was very torn. I know how it is to have sick kids. It is horrible because they are miserable. On the other hand, I really was needing to finish her 3 quads today because Hailey asked me if she could have my chair on Monday. Her class 3 was coming in and it was the only time she had to see him. I told her that I would try my very best to get done so she could have my chair. Like I said, I was torn... I did make the decision though to press the issue with my class 3. I told her that my grade and me passing the semester depended on her coming in. I asked if there was anyone who could watch her children for her while she came in. She said that she would call her brother and then call me back. An hour later I still had not heard from her, so I called and she said that she was on her way.
When she arrived the fun really started... She was very high maintenance to say the least, and her calculus was really tenacious. She had a harder time getting numb, and then when I started scaling I had a hard time even seeing, let alone to position myself to be able to remove the calculus. My patient was a larger woman and my chair would not go down as far as I needed it to. I was straining with my shoulder and my wrist to be able to get to the areas that I needed to work on. I asked Prof Costley to come over and help me, and it was a good decision. After she left I felt much better about how I was working. When I finished my first quad (UL) that is when the fun really started. I knew that I was going to need some extra time so I asked Prof Costley for a time extention. I explained the situation about Hailey and why I wanted to finish today and she agreed to let me have some time. There was an hour left, but I knew that it would take longer than that because I was having to stop every so many minutes to let her rest and and rinse her mouth. She insisted on watching me clean but the blood was making her sick. I had to stop and rinse her after about every other tooth. She also said that she was still feeling a lot of the cleaning even though we numbed her. It made it difficult for me to use the ultrasonic because every time I went subgingival she said that it was hurting too much to keep going. I was able to use the instrument for the supragingival calculus but then had to go back with my hand scalers for all of the subgingival calculus. I was pulling off huge chunks of black calculus with every tooth. I definately got my workout. By the time I got to the last quad I was very tiered. Prof. Costley really numbed her for this last quad and she couldn't feel a thing but she also kept choking on the water from the ultrasonic. I worked as fast as I could and still be thorough with my cleaning. We finially finished after she almost threw-up on me because of the prophy paste, and walked her out at 4:00 pm. I was only 45 minutes late, scaled for 87 minutes, and missed 9 spots of calculus. To say the least, I was not feeling that great about myself when I was done.
It was a hard day, but I learned a lot and was greatful for all of the experience that I had today. It was no where near any other day that I have had in clinic.
Monday, April 6, 2009
Class 3
So today was my big day. My first experience with a class 3, and I must say... I now understand why it might take 4 actual appointments to clean one mouth. When I first heard that 4 appointment might be needed I didn't think that it was possible. Well, I learn something new everyday. It took me over 30 minutes to clean one quad and I still don't feel 100% confident about what I did today. The patient was even numb and it didn't quite go the way that I was expecting it to. I thought I could just get in there and work with no problems, but my patient was definately telling me otherwise. She said that she could still feel things and I am not sure if that is true or if it was just the pressure that was bothering her, but I can say that it was a high maintenance appointment. I was only able to get one quad done and I really wanted to be able to get to half of the mouth, but there is always Wednesday, right?
I did finish my last PE today, though, and it feels great to have all of those out of the way!
I do hope that I will be able to work well on Wednesday, so that she doesn't have to come back, but there is only so much that I can do.
I did finish my last PE today, though, and it feels great to have all of those out of the way!
I do hope that I will be able to work well on Wednesday, so that she doesn't have to come back, but there is only so much that I can do.
Score: Kara 0, Calculus 1
My patient on Wednesday taught me a couple of things about humility. She was just a class two which I have now done multiple times here in the clinic. They have all gone well for the most part. I decided that I didn't want to use the ultrasonic because I wanted to really be able to feel the calculus and see if I could get it off myself. I have now decided that the ultrasonic is a magic tool and I don't know if I would ever try to clean another 2 like that one without it. There was subgingival, interproximal, radiographic calculus everywhere. I don't know if I have ever had such a hard time in someone's mouth before. I had to ask Prof. Costley to come over and help me with the mesial of #3 because there was piece of calculus that I was working on for a good 10 minutes, used every instrument on my try, and still couldn't get it. When Prof. Costley came over she really started to work. I don't think that I have ever seen lateral pressure used like that before. Next thing I know out comes the overhang on the filling in that tooth as well as the calculus. Will I have get to that point? After watching her work, I am not sure if I will ever be able to do that. It was a good experience for me and I was greatful that I had it. I will say, however, that I didn't win that battle.
Monday, March 30, 2009
What a day!
Well, today definately didn't start out like I had planned. I thought that I was going to bring my dad into clinic, take a full mouth, clean a couple of quads and then send him on his way. When I was getting ready for clinic, however, I was talking to Alisha and discovered that she had a rough morning which included, among other things, having her patient cancel on her. She was given another patient by another member of our class but the patient was just a class 5. Seeing that it is late in the semester and so many people are still needing to meet qualifications I thought that I could help make Alisha's day a little better and let her clean my dad since he is a class 2. I had already done the OD for him when I brought him up to the clinic for a screening, so I thought that the timing would be perfect; I would take his full mouth while Alisha did the OD on her patient and then we could switch. I thought that we would have plenty of time to get everything done. Sometimes, though, time passes much faster than you would like it to as you are waiting for instructors to check your work.
Well, at about 20 minutes to 3 I was finally starting to scale. I thought that it went well, but I did miss 4 spots which I didn't think that I would have that many. I was a little disappointed with that, but considering the situation and the amount of time that I had I was just greatful to get the patient done.
I suppose that in the end it went okay but it was a little stressful getting to that point.
Well, at about 20 minutes to 3 I was finally starting to scale. I thought that it went well, but I did miss 4 spots which I didn't think that I would have that many. I was a little disappointed with that, but considering the situation and the amount of time that I had I was just greatful to get the patient done.
I suppose that in the end it went okay but it was a little stressful getting to that point.
Monday, March 23, 2009
Class 1B/5
Today went okay, but I did take a while to scale. I am not sure if I was worried because my patient was a friend of mine and I wanted to make sure that everything went well. I did miss a couple of spots as well, but I feel like I am getting better detecting calculus. I also finished up my sealants today. I have all three of them done and I did the OD for all of them. I was finally able to do my Diagnodent PE. I have used it now on 4 patients and wanted to do my PE everytime but ran out of time to actually pass off the PE. I am glad that is done. I only have my intraoral camera PE left to do which feels so great.
All in all I would say that it was a good day!
All in all I would say that it was a good day!
Monday, March 16, 2009
Class 1B
So everything seemed to go well today other than the fact that I thought that scale check was at 10:45 rather than walk out at that time. Needless to say I was running a little behind. I only missed one location, though, and I felt good about my scaling. I was happy for the experience. I was also able to see what a real defective margin looks like. My patient had defective margins on almost all of his restorations. It felt weird to scale because I kept catching and it felt like I was missing areas but it wasn't calculus. It was a good experience to be able to feel the difference between an overhang and a calculus deposit. I also forgot to chart recession which I do forget sometimes. Everything else went well and I was able to finish the patient today.
All and all I would say it was a good day!
All and all I would say it was a good day!
Monday, February 23, 2009
Class 1B exam
I can 't believe how smoothly things went today. I was very happy with the experience. I took 45 minutes to scale because I wanted to make sure that I got everything. I also passed off my universal PE which took a little bit of time. I didn't miss a single area, though, and I got my patient out of the chair about 1 hour early.
I was very happy with how things went and it made me feel so much better about my instrumenting after the areas that I missed last Wednesday.
All and all a very good day!!!
I was very happy with how things went and it made me feel so much better about my instrumenting after the areas that I missed last Wednesday.
All and all a very good day!!!
Class 2 Exam
I was nervous about today, even more than normal, because not only was my patient a class 2 but I declared her an exam. This was her second appt, so I needed to complete everything. She has also smoked for about 13 years, so everything seemed a little harder. I wanted to practice with my Gracey curets today but it was so hard to get under her tissue and I am sure that was due to the smoking and the tightening of the tissue. Once I was done scaling I was feeling very good about things. There were a couple of areas that I was not sure about, but for the most part I was feeling really good. However, I didn't stay that way for very long. As my instructor started to check I was frustrated with some of the areas that I missed-- a total of 8. I have never missed that many locations and was not happy with myself. I was able to feel them with my instructor's help and got all of them on my second try. After my patient left I was really struggling with the situation especially since I declared an exam, but my instructor came over and told me that I did a really good job. She told me that the calculus that was left was minimal for how much build up she had to begin with. My instructor also told me that due to the tenatiousness of the calculus my patient could have almost been a class 3. After discussing the situation with my instructor I felt much better about life.
I am not going to say that it was my greatest experience, but I will say that it was a learning one. I will know for next time the areas on which I need to concentrate.
I am not going to say that it was my greatest experience, but I will say that it was a learning one. I will know for next time the areas on which I need to concentrate.
Monday, February 2, 2009
Good Day
Today went so well. I didn't get frustrated or feel like I was going to cry a single time. I was able to get all 4 quads done and have time to spare. I know that I took longer scaling than I should have, but I didn't miss a single area of calculus. I felt very good about my scale check. I also passed off 3 PE's today. I finally feel like I am catching up with the semester.
I was very happy with how today went, and I am grateful that I had a day like today-- it was definately needed.
I was very happy with how today went, and I am grateful that I had a day like today-- it was definately needed.
Wednesday, January 28, 2009
Exam Day
I finally was able to scale today. I was happy about the results. I did miss three spots when I was scaling but I supose it could have been much worse. I also declared my patient an exam and I feel good about it. I know that I won't get 4 on everything but I feel like I will on the majority of them. I feel like my over all score will be good and I also feel like I learned a lot with this appointment. I definately know that I need more practice scaling before I will feel confident with it. I was much slower than I should be, but I do know that I am still learning.
I also passed off two of my PE's today which makes me feel like I am getting this semester going; 2 PE's and 1 exam.
All and all it was a good day!
I also passed off two of my PE's today which makes me feel like I am getting this semester going; 2 PE's and 1 exam.
All and all it was a good day!
Monday, January 26, 2009
Really Not My Best Day
There are some days that I wish I could just turn back the clock and start over again. I wish that today was one of those days. I wasn't able to seat my pt until later because the CA thought that I had grabbed her because I happened to be in the front when she walked it. It is always great to get started late. Then I signed up of xrays and I was some how over looked on the list. There was someone 3 people down from me on the list in the room when I went to check what was taking so long. I also had to retake two of my BW. I am not even sure if that experience counts since I had to retake 2 of the 4. I then missed a couple of composits. I marked them as sealants instead. I know that it not the worst thing that I could be, but it still doesn't make me feel great. From that point I the classification that I thought was wrong and got my computer completely messed up. I do hope that never happens again. Needless to say it took me forever to get her out of the chair because my walkout statement was completely messed up. I didn't even get to scale today---AGAIN! I really feel like I am falling behind, and I absolutely hate that feeling.
The only redeeming point of today was that I was able to pass off my anterior scaler PE. My pt was also a doll and I am grateful that it was a horrible day with her and not someone who wouldn't have understood. I wish it could have been a good experience with her, but not all wishes come true; very unfortunate for me today!!!!
The only redeeming point of today was that I was able to pass off my anterior scaler PE. My pt was also a doll and I am grateful that it was a horrible day with her and not someone who wouldn't have understood. I wish it could have been a good experience with her, but not all wishes come true; very unfortunate for me today!!!!
Wednesday, January 21, 2009
Class 2 Exam
Things went very well today. I am excited that I have declared my class 2. No, I didn't get to scale at all today but I was able to cover everything else. It was nice to have time to give a complete and thorough OHI. I even went over smoking cessation. My xrays were not the best that I have ever taken but they were cleared by the instructor. All and all it was a good day and I look forward to bringing my patient back. Really, I just look forward to scaling at all. I have had all new patients since the first week and have not had the opportunity to pick up a scaler. I am anxious to do so. I am also anxious to pass off some PEs. I know the day will come I am just looking into the future.
Wednesday, January 14, 2009
1st FMX
Today was a little crazy for me. I didn't realize how long it takes to take a FMX after taking the films, processing, mounting, getting approval, and retakes. Due to all of that I didn't have a lot of time. I did finished, however, with only having to take one retake, got through my OD, and all but disclosing with my OHI. My pt today was a class 5 due to the recession that we found in her mouth, and that was a good experience for me to see. She also had a porcelain inlay which was neat to see. I am excited to have her back to scale.
All in all, though I was running around like a chicken with her head cut off, it was a good day!!!!
All in all, though I was running around like a chicken with her head cut off, it was a good day!!!!
Monday, January 12, 2009
Another new patient
Today went well. My friend Ryan came in and I was able to declare him as a 1B exam. I know that I probably took more time on the OD than I needed but I wanted to make sure that I had everything right. He was great to be patient with me and to let me do what was necessary while he was here. I was able to pass off my explorer PE today as well. I was a little nervous about it because it was my first PE this semester, but it went well. I didn't get to any scaling this appointment, but I know that I will be able to get it done next time. I look forward to scaling. His films went well today as well. I didn't have any retakes which is always the scariest part for me. I don't want to expose the patient more than necessary and I want to feel like I know what I am doing in the x-ray room.
I know that I have so much to learn especially about time utilization, but I feel like things are coming together.
I know that I have so much to learn especially about time utilization, but I feel like things are coming together.
All Day Pt
Snow could not reschedule, so I had to be in clinic all day today. She ended up being a class 2. The experience was very good in terms of seeing a class 2, seeing supragingival calculus, and feeling subgingival calculus. I was also able to use the ultrasonic scaler. I LOVED IT!!! I can't imagine how long it would have taken me to scale had I not had the help of that technology. My biggest concern was that I would not get her done because that was the whole point of me staying the entire day. I tried to do everything right and get all of the deposits, but I was actually glad that some where left. I was able to go back with Prof Costley and really feel them and be guided in how to remove them. I would not have changed that for anything.
Though it was a very long day, my patient was a trooper, and I finished. My goal to get her done was accomplished. I learned more than I could have possibly imagined. It was a good day!!!!
Though it was a very long day, my patient was a trooper, and I finished. My goal to get her done was accomplished. I learned more than I could have possibly imagined. It was a good day!!!!
Monday, January 5, 2009
Terrified
I can't explain how nervous about this semester and finding patients. I have had nightmares for 2 weeks that I flunk clinic because I can't find the people that I need. Talking to people today and after the pod wrap that we had I don't feel any better. I feel so overwhelmed and I know that my ulcers are going to be bleeding by the end of the semester.
I did like the ultrasonic today. I think that it will be a nice tool to have a use.
Well, on a positive note... One semester is down and others have done it before me. I don't see light right now but I am sure that it will get brighter as the days pass.
I did like the ultrasonic today. I think that it will be a nice tool to have a use.
Well, on a positive note... One semester is down and others have done it before me. I don't see light right now but I am sure that it will get brighter as the days pass.
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