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Thursday, January 21, 2010

Open your mouth so I can get some work done!

AM- 4q. class V exam with 4BWX and and opportunity for subgingival irrigation in one pocket. This patient was the epitomy of health after perio. From the hygienist standpoint, I was very proud of her though I must admit the student side of me was kicking and screaming that she had been a class II 2 years ago and hadn't had a cleaning since but she still had hardly any bleeding and no significant calculus deposits!!! Seriously?!

PM- 2q. class IV exam and the oraqix PE. This patient is loudly inappropriate and I'm sure even though he was a class 4 and I was doing 2 quads I could have had him out of here by 2:30 but he talked and talked and seriously would not stop to let me clean. I actually started joking with him that I'd pull his bear hairs if he didn't open his mouth and let me work. He joked about how usually people say "shut your mouth so I can get some work done" but I use the verb open instead (which is not intended to mean: please keep on talking to me while I have the Gracey 13/14 in your 9 mm pocket!) I figured out a little more how to manage this patient. I learned that if I threw back the obnoxious comments he became a lot more mild and actually started to be quiet, relatively. He still hummed "Singing in the Rain" the whole time I scaled. Oh my, what a good experience but I'm glad he's finished. I'm also going to bring him back in April to see how he has been able to maintain his oral status (who knows... maybe it'll be a class 4 again? please?)

1 comments:

The DeGiulio's said...

Thanks Denver, it was a fun and interesting project. I feel bad that I have been neglecting my dogs teeth so now I have their TB and TP on my night stand so I will remember to brush them every night. And once we have extra money and Im not giving it all away to school Im taking them in to get a professional cleaning. I wish we had clinic together still, I miss seeing ya!