It was the best of times, it was the worst of times.... The last clinic session of my first year! I can't believe it! It has gone by so fast! I had a lot to do today! I had to finish 2 quads on my friend and then 3 quads on my husband. And I was supposed to take a PANO on my husband as well. I totally forgot about the pano! ha ha I had to have him come back after lunch so that I could do it.
Today was fun to have 2 1B patients back to back with so much scaling. They were just so different it was really interesting! My first patient had very smooth teeth and as explored I would feel the calculus chunk and then go back and activate over it and then the tooth would all be smooth. My husband on the other hand has very rough teeth! It is hard to decide what it calculus and what is just rough tooth, cause it never felt smooth. Pretty fun to have such different patients! I used the ultrasonic for my husband's complete mouth, then went over with the scalers. I can't decide if I liked it much. It took quite a while! I bet after I get my own technique down, it will go faster.
Today was great!! I was freaked cause i had to scale all 4 quads and I knew that I didn't have any more clinic days to schedule her for and she wouldn't be able to come back anyways. I finished and life is good! Instructor Demings taught me how to use the ulrasonic for real! ha ha. I didn't really know how to use it before, but she was great to help me with my technique. Clinic is rough when you have so much to do and when instructors are super busy helping everyone! We had to wait a few times for our instructor to come over. But it did give my patient some time to rest and sit up so that wasn't horrible. I got 3 PE's done! Way good!!
I had a lot of fun today and am happy with how the day went! One more clinic day left! woo woo!
I had a major challenge ahead of me today! I had my nephew who is 7, and 2 nieces that are 4 and 2. I tried to have everything ready so that transitions would be easy. Somehow though, every time I have a really good plan, nothing goes as planned. Starting with my sister-in-law being 30 minutes late. ha ha. The 4 yr old was so great for me! She opened great and stayed still for the whole time. She was so cute trying to bite on the x-ray tab!!! I loved it! The 7 yr old and 2 yr old were a different story!! ha ha. The fact that they were family members probably made things a lot harder! He wouldn't sit still and acted scared a lot of the time.
It was a very good thing for me to go through though! I think that there is no way to plan out perfectly how a pedo appointment will go. I think you probably just have to go with the punches. Over all... super stressful and super crazy!! but good :)
I found my class III. I have be praying that the woman that I had coming in would be a class III! I had planned on doing everything as fast as possible and make it to scaling for this first appt. However, like always I did not make it as far as I had hoped. I only barely got through the OD. She had to leave 15 minutes early because her ride was there to pick her up. So I guess I might have gotten to scaling had I been able to keep her the whole time. It was great for me to be able to see bone loss on the radiographs as well as radiographic calculus. She was also my first patient that is a smoker. I was reminded about what to talk to her about during OHI that had to to with smoking.
Today my plan was to finish Halli and to start scaling on Morgen.
I did not get Halli finished. She had to leave at 9:20 and I only got half her mouth done. I should be able to do this quicker by now!! She did have a wicked lingual bar that was caked with calculus though! How do I get faster at this?? I do not know! I don't feel like I totally understand how to do the ultrasonic so I use that very seldomly... maybe I need to get better at that.
On Morgen I scaled a quad and passed off the diagnodent PE. Woopee!! I didn't miss any spots on Morgen. YAY!! He is great to let me work on him in so many appts!! I did change something in my instrumentation that I think is going to help me. After watching instructor Caldwell I am trying to do more vertical strokes instead of oblique strokes. I feel like this is going to help out my grasp a lot!! Vertical strokes and keeping the instrument parellel to the long axis of the tooth is going to be my next goal. I think it will help me a lot!
I finished scaling on friend and got done early as planned... except I hoped to do a sealant on him but the dentist said it may be decayed. So no sealant for me. SHOOT!! I took a BXW of it so he can show it to his dentist. I also did something dumb, even though it was an accident. As I was flossing his lower lingual bar some of the cement came off! Goll darn it!! He was like uh oh, I think something just happened. So he has to go and get that fixed at his dentist too. Sheesh that appt did not work out as planned!!
Morgen came in next and was an amazing patient!! He has a billion teeth that can use sealants. I sealed 2 of them and passed off the air powder polish and sealant PE's on him. What are husbands for right?? I still need some work holding the high speed suction! I almost sucked his lip right off!!
Things to work on. GRASP. GO FASTER!! I just wish an appointment would go the way that I have it planned out in my head.