Monday, January 30, 2012

1/30/2012

Goal: Work on using univeral instruments post. teeth. Specifically the most distal surfaces of 2, 15, 18, 31
My pt today I scaled three quads. I also spent extra time on above areas practicin chair position, mirror use to see and retract cheek, and instrumenting around that most posterior surface. Instr. Wold helped with ideas, and I am feeling better and better about my ability to remove calculus so far back.  I specifically feel like I have little control or strength in my working stroke when I am reaching so far back. It is getting better. I scaled 3 quads and had no errors !!!

1/25/2012

Goal: To take off calculus!
I have a returning pt who has some lingual aterior calculus build up and I was able to have a chance to scale and see how it removes. It was good experience.  I missed a few spots, but Instr. Hafen is so gd at giving instructions and help. I feel very confidient on my anteriors now and am getting better with post teeth.
I know what my next goal is.

1/23/2012

I had a new pt today. My goal was to be prepard mentally and not become intimidated by all the requirements.
I did well. I finished a fmx xrays, and they went well.  She has a lot of work that needs done and I am excited to have her come back to scale and help her out.
My charting is getting easier for me even though she had a lot of charting to do.

Wednesday, January 18, 2012

1/18/12

Goal: Finish 4 quads and complete my pt treatment.

Reality: My pt was a no show. I was worried about that because their phones were turned off and so I called a back up person, and their daughter got sick and threw up in the car on the way so she didn't come either.

New Goal: To not get discouraged.

Reality: That is difficult. I am trying  not to be discouraged. It certainly sucks (exscuse the adjective) when you know your pt didn't come back because they hated their last appointment.  However by the time we go through such a lengthy process before we can even scale, we have driven our pt away. At this point if they are not your relative or devoted friend there is very FEW people who want to spend 6 hours in a chair with their mouth open. It is too bad there is no credit for  areas other than scaling or xrays. Just a thought.
Bright side, I know I am better then when I started.  I'll just keep going forward from there, that is all I can do.

Wednesday, January 11, 2012

1/11/12

Wednesday:
Goal: Behave confidently and professionally (control my nerves) around a pt that I don't know.

This was my first "real pt" today. He came in telling me he has never gone to a dentist before. Once we got started it went well. I actually did well probing, extra, intra oral exam. I found some suspicious lesions, and a deep painful pocket around an possible cavity. We recommended a full mouth x ray. He had a small palate, and a bad gag reflex. So after several attempts, I ended up compromising with two size 2 bwx and two size 1. Amazingly I captured all the anatomy on the size 1 film. I also took a pano to check for an abscess on the bad tooth. It was clear. Now I have a new goal, not take so long.   I felt bad that I wasn't able to get to his cleaning which was why he came. I hope that he is patient enough to keep his next appointment so I can finish cleaning his teeth.  I felt like I spent so much time, and never got to anything that was actually meaningful to him.  At this point in the semester I don't know how to speed the process any more. I am also aware that I have to meet requirements and have so many quads scaled.  This means that I will have to scale at least 3 quads each day left of clinic to meet the requirements. That is not happening.
I did achieve my control my nerves goal. I felt less anxiety today and enjoyed myself.  I only became anxious and rushed when there was so many difficulties taking xrays, which took too long. Live an learn....great help today from instructors.  They were very positive and encouraging.

1/9/11

Monday:
Goal: Get comfortable with Eaglesoft.  Scale two quads.

My daughter cam in today, I tryed to go as quickly and efficiently as possible so that I would be able to finish scaleing two quads. Every thing went well, except I am so unconfident with eagle soft, and Talval. I had to ask how to do everything too much. (which I don't like) So my goal is to become proficient using the programs. I was also able to scale one quad today (wanted 2 so I got closer) I had no mistakes at scale check.