Wednesday, January 27, 2010

Goals for session:
1. Improve on my OHI and using the books and other items to help give my patient a visual of what I am trying to explain
2. Complete OD in 35 min.
3. Improve on my x-rays
Session Review:
I think that today was the hardest day for me. It didn't start out good when I fell at work in the morning and my knee was turning black and blue from the fall and my arm hurt from falling on it. I wasn't able to get past the OD. My patient was a class III and was really difficult to probe. I tried getting around my patient's calculus but I wasn't getting the same probe depths as Professor Costley. She was getting 9's and 8's and my highest was a 6. I really need to work on my probing with those that are not class 1B's. I really wanted to work on my x-rays because my x-rays haven't been turning out the best. Meagan gave me good advice and told me to try and visualize where the teeth and the x-ray tube are parallel and line it up. It made more sense and it really helped with me. I just hope that I can do it on my own. I do need to work on my gingiva descriptions and knowing what is what. My patient's gingiva looked normal but I guess that I missed what blunted gingiva looked like and so on.

Monday, January 25, 2010

Goals for Session:
1. Complete OD, OHI, Full mouth Scale, RC/TB, and Fluoride tx.
2. Complete OD in 35 min.
3. Maintain Adaption
4. Use other scalers and get familiar with more than just Barnhart and SN135

Session Review: Another Patient done but it took me way past when I was supposed to be complete. I learned so much today that I wasn't prepared for. I was forced to use my ultrasonic which I really hate using and I learned that I should start on the mandibular teeth and then work on the maxillary. Actually I promised Instructor Vining that I would always work on Mandibular first because it is usually the hardest and the maxillary teeth can be completed quickly. He really helped me work on using my ultrasonic, especially around areas that are bleeding while I scaled and especially on crowns. I am going to have to give up my hatred towards the ultrasonic and force it to be my best friend. I really did help with removing some of the debris that I couldn't get with my hand scaler. Also, I learned that I can't be so negative about myself. I need to learn to be confident and make it so nobody knows that it is my first year. It is my goal for my next few appointments. I need to not say "I'm sorry", "I am horrible at this", "I can't work with that ultrasonic", and the list goes on. I also will make it a goal next time to use my ultrasonic just to get used to it and continue working on adapting with my instruments. I was successful on some teeth to keep my instrument adapted but sometimes I just couldn't see and took it off the tooth. I need to remember that I can have my patient move their head to help me see.

Wednesday, January 20, 2010

Two patients complete

Goals for session:
1. Complete all three quads in 45 minutes
2. Pass off PE's

Session Review: I don't know how someone can fail so miserably at their goals. All I had to do was scale three quads and then I would have been done but I forgot which quad I scaled the week before and rescaled it and then took 95 minutes. So it took me longer than it did the first time. I really wish that the dental hygiene instincts will finally kick in. I did learn a lot today. It is really nice having so many people there to help on Wednesdays. I learned that I am horrible with my ultrasonic and I need to practice with it more. I also learned that I am horrible at keeping my instrument adapted to the tooth and that I don't need to remove my instrument off of someones tooth. I also was able to feel some calculus clicks with Professor Costley and she gave me some good advice with the anterior teeth. Sometimes you can remove it from the facial side and not just the lingual. Instructor Hafen reminded me several times that I need to use my air to find calculus. Air is my best friend and needs to be utilized more often. Although it took me 95 minutes to clean my patients teeth, I did learn a lot from the experience and hopefully it will just get easier and easier for me.

Wednesday, January 13, 2010

Seriously....I need to get faster

Goals for session
1. Complete OD in 25 min.
2. Complete 2 Quads

Session Review: I did not complete any of my goals during this experience however I did improve on my OD time. It felt a lot smoother but I need to get more confident in myself. Probing is what really drags me down and I need to improve still on my indirect vision. It seems like my indirect vision is what really hurts me while probing. I am really going to work on improving my indirect vision so that I can achieve my goal of doing my OD in 25 min. I also was not able to get two quads scaled but I was able to learn some things from Instructor Hafen. She taught me how to feel for Calculus and how to scale the distal portion of the second mandibular molars. She had me go from the lingual side to the facial which helped with my lateral pressure. I was able to get more pressure and did not struggle as much. She also found some Calculus and was able to help me feel it with my explorer. However, I am still confused as to what is Calculus and what is the tooth structure, but it is somewhat making more sense to me.

Monday, January 11, 2010

I am feeling scared for this semester

Goals for session:
1. Complete FMX, OD, and OHI in one session. Must be quick and precise with x-rays.
2. Limit my retakes to 3

Session Review: I struggled with my patient today. I was only able to complete the x-rays. I took a FMX and struggled through the whole thing. I thought that I was getting though them quickly but ran into some issues. The scan-x film where not completely sealed and created some issues for me. Need to remember before I seat the patient in to check and make sure all of the Scan-x films are completely sealed. I also had to take 7 retakes which I was unhappy with myself about. I did not fail but it is difficult to have that many mistakes. Instructor Vining gave me some good tips about placing my x-rays and where to stand when I do it so that I can see better in the patients mouth. Luckily, I had a patient that was great to work with and was okay with getting several x-rays taken. If I continue to go so slowly and not get much done in a day I might have some difficulties toward the end of the semester. I really need to get more organized and really do a better job of using my time wisely. Instructor Vining also gave me good advice on what I should get done before my patient arrives to speed me up. Hopefully, in the next few visits I will be able to improve.

Wednesday, January 6, 2010

1st Patient for the Semester

Goals for session:
1. Complete a class 2 that I started last semester.
2. Try to stay organized and remember everything that I learned

Session review: Saw a class 2 client that I needed to complete. After completing the OD check and doing the OHI, I began scaling and forgot that I needed to have the instructor check my first quad. I need to remember that right now I don't know what Calculus looks or feels like so I need to have a scale check after the first quad. I took way too long to scale perfectly clean teeth. It took me 85 minutes with no errors. I really want to improve on that I make sure that I cut my time possibly in half on my next patient. I need to be more confident in myself and just get the paper work done as soon as possible. It took me way too long to do my paper work. It also took me a long time to get cleaned up. Hopefully with the next patient I can do a better job.