conz iv script_1 (1)

7/27/2019 Conz IV Script_1 (1)

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The record was not that clear at all (you can check it by yourself :S ) I tried to guess what

Doctor was saying by using logic …our lecture (mainly instructions) :

*The lecture is at 8:15 so doors will be closed at 8:20 as usual and no side talks.

*The doctor started showing a paint of a poor child looking sadly at school children; shewanted us to appreciate the chance of being at dental school and to use this chanceefficiently.

*In order to be a good dentist you should try to review (without the details) previousinformation from previous years if possible (good knowledge confirm the patient’s trust inyou).

*Mid exam will be on a Saturday and it will be out of 40 (points not marks) so at the end it willbe turned into marks, marks in clinic will be in form of A,B,C,D,F!.

*In cons. Clinic: white clean coats should be closed, no jeans are allowed..”same instructionsof all clinics”.

*Any delay more than 15 minutes will be counted as an unexcused absence.

*dismiss the patient 15 minutes before the end of the clinic so you can have time for

documenting and signing your case and taking your mark.

*Document the chief complai nt, history and the examination in a brief way because you don’thave much time for extended information.

Patient comes into clinic--- <-- chief complaint ---- < history of chief complaint :

History taking (be specific don’t ask generally) Examination

Investigations Reach our diagnosis Treatment plan Treatment,

finally reevaluation.

* Your mark will be on the finished work with permanent restorations not temporary.

Onset ,duration,relieving

factors,aggravatingfactors,frequency.



*We don’t like temporary restoration s because of seal lack in comparison with permanentrestorations.

Done when needed not always for example when we want to determine the pulp vitality.

Pulp vitality tests are the most common used in cons. Clinic.

For example if we suspect that our patient is having pulp involvement and we decide to doCold Test ..what are the steps ?

1. Isolation.

2. Bring a cotton pellet and the Endo Ice (most commonly used).

3. Start the test on a control tooth (sound tooth serves as a standard).

4. Apply the pellet on the facial tooth surface.

5. Then move on to the suspected tooth in the same way done on the control.

6. Interpretation of the test results.

You have to write everything in patient’s dental record;e.g.: local anesthesia with

epinephrine 1:100000 for upper right 6, class 1 cavity preparation and amalgam restoration

for upper later, RCT..

Pulp vitality tests are :cold test, heat test , electrical pulp test.

When patient tells you that pain comes on sweet then it is reversible

pulpitis. But on heat and spontaneously then it is irreversible.

You need to know how, when to do the test and how to explain the

results, otherwise the test is useless!.



*During the vitality test ask the patient to raise his left hand (if the dentist is right handed) if

he feels pain, and to raise his right hand if the dentist is left handed*

Control tooth : usually the sound adjacent tooth and if it is crowned or lost or impaired forany reason then I move to the next one and so on …

REMEMBER :

TOOTH TESTS :

1. Take a radiograph. 7. Use bite sticks.

2. Employ percussion-tapping. 8. Employ trans-illumination

3. Employ palpation. 9. Use the binocular microscope.

4. Apply the cold test. 10. Apply selective anesthesia.

5. Apply the heat test. 11. Drill a test cavity.

6. Apply the electric pulp test (EPT).

* The doctor started talking about different irrelative information so I put them as notes:

Poorly localized pain and periapical lesions are usually related to irreversible pulpitis.

It is important for you as a dentist to have good clean teeth and free of plaque so you cangain patient ’s trust.

We have to be gentle in examining the patient’s oral structures; e.g. : when using the probeon a tooth to detect a carious lesion be gentle don’t press strongly and scratch the soundtooth!



Be gentle while dealing with the patient especially if he comes with severe pain or swelling..

Always start the emergencies before others even if the patient’s main concern is not anemergency.

Patient has the right to ask you anything about the procedures and you should answer himconfidently to gain his trust otherwise you will lose your patient ( o enzal esh7ad mareed :P )

Give the patient instructions and it is your responsibility to let the him appreciate theimportance of his cooperation.

The importance of history taking (including patient’s age) and examination are carried i n theprocedures modifications.

P.S this is not a script . It is only some Additional Notes .

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conz iv script_1 (1)

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