Tuesday, September 25, 2012

Class IV...check!

I really enjoyed finishing my class IV patient today.  I finished her UR and LR quads, and really felt a lot more confident working on her this time vs. last week.  I felt quicker, more effective, and not as scared to work with wiggly teeth :)  The upper right quad was more difficult because her recession was SO severe, that it was painful for her to have the ultrasonic used on her.  So I had to scale her whole upper right quad by just hand scaling, but it was a very good experience for me.  I really took my time scaling, and getting the right technique down, while also focusing on the margins of her bridge, etc.  I only missed one spot on the distal of 8 and 6 today, spots where I was confusing calculus with the margins of her bridge.  It was a good learning experience- and Professor Alexander said that if I would have used my mini graceys on the anteriors of this patient, I wouldn't have missed them.  Next time I will remember when these are necessary!  I am so glad that I did a lot better scale job than last week-- makes me feel like my skills are improving, and I can do a good job on these difficult patients.  She was a Spanish speaking patient, so it was hard for me to give thorough OHI, but I hope she presents with healthier tissues at her next recall appt. in a few months.  Fun day in clinic today!

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