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Thursday, February 25, 2010

THE LAST MOCKBOARD!!!! Thank Heavens!!!

Well, there you have it, my last mockboard finished and done. I didn't even have a patient until 3 days ago when Natalie Burghardt called me to say she found one! I happened to be in the building so I was able to take x-rays that same day. Today my mockboard was in the afternoon which I think helps me do better because I get the morning to calibrate my exploring to the professors and examiners. It was a very good experience to clean that quad. She was a class III but I still scaled her rather quickly. The calculus was the type that just melts and oozes off when you hit it with a powerful ultrasonic, but underneath there are little highly calcified rocks of calculus that you have to go back and do a very deep and thorough hand scale to remove after. I was concerned because the patient had a rough CEJ that could have felt like calculus and her tissues looked very loose and kind of beaten up (but it was from her oral health status, not my scaling technique). I thought I might get docked for missed "CEJ" calculus and tissue trauma but I didn't. I actually didn't miss a single spot!!! I'm so excited to have the last mockboard done and I'm actually kind of excited for the real Boards. All I can say for now is WREB: Bring it on!!! I'm ready for you!!! (except the written parts... :) Good luck to everyone with the LA mockboards next week!!!

Tuesday, February 16, 2010

Another VA day

Today, I didn't have a pt. until 9:30AM, there was the random pt that was going to try to show up for just basic polishing and debridement at 8AM. (boring, but oh well, at least it keeps him healthy). Of course, he didn't show, so I had a long boring morning of waiting. To make things even less eventful, everyone else had easy patients and didn't need charting so I restocked some random supplies for everyone (so much fun! ...I wish I could get CA credit).
At 9:30, my patient finally showed up needing a maxillary impression for a night guard, 4 BWX, and a good thorough cleaning. The impression had to be done twice because the first one didn't get enough of the anterior teeth, but Sharrah helped me get the second one done right. Then my BWX had some issues since my pt. coudn't bite down very well on the right side. The patient actually ended up being a class II! I got my class II/V done today!!! Yay! I just need to find those blasted III's! The doctor came in and said he needed to be scheduled to get his wisdom teeth out and one small cavity filled. Then we had to wait until the periodontist had some time to come look at the pt. to evaluate him for a possible mandibular anterior gingival graft (same surgery I had last year... poor guy!)
My afternoon patient was a class III that I had seen in January and scheduled to come back on my day. He's a very good pt. He just fell asleep and let me do the cleaning. It also helped that I was able to numb him and therefore the cleaning was smooth and easy for him and me. I like it when appointments work out like that.

Thursday, February 4, 2010

Mockboard #2: PASS!!!

Woo hoo!!! I'm not a complete failure! Granted, my patient wasn't really qualified to be a board patient but she still did have a good amount of calculus and deposit that I had to clean off. I only missed one spot! And my patient was so sweet, she was seriously a joy to work on! It's nice to have a little ego boost every once and a while.

Tuesday, February 2, 2010

VA Day- Oh My Jaw!

This isn't the one that I saw, but pretty close to it. (For those of you who don't know about ONJ, that brown lumpy thing the arrow is pointing to is a large, exposed area of infected, necrotic bone from the jaw! Yuck! Super cool though when you're odd like me and my fellow hygiene students!

This morning I had a very pleasant patient with class II periodontitis but that wasn't the real excitement of the morning. Diane had a patient with Osteoradionecrosis of the Jaw! ONJ! I never expected to actually see that in real life but there ya go! It was in the right mandibular retromolar pad and was about 10x7MM! The patient was also really neat, he let each one of us students and even Professor McConaughy come in and take a look! It was so cool!!!