POOOO

Monday, October 25, 2010

I can still have fun without Ben, Helen, Jenny, Sonya and Elaine :D

I say this because none of them decided to stay after chem., Sonya came to chem. Though so kudos to her :D

Anyway today chem. Was alright, no new formulas so I spose they didn’t really need to go to chem. Anyway after chem, I went to do some viva study and since Brisbane jenny, silvia, terry, ho jay and shiromani were going to the tute – I go to a different day- I went and studied some ORAL 1030, that was interesting especially because I looked at doctor ford’s lecture with renewed interest and prof walsh’s one with renewed interest as well, when you learn more I guess you appreciate it more :D

So afterwards we did a lot of discussion before terry, ho jay and shiromani left then we did a bit more before I came up with a scenario for silvia and one for jenny

Basically for silvia it was a man came into the dental surgery, what do you do first. During the oral examination, you notice that he has lots of fillings, what do you do. Once the caries assessment was performed, it is noted that there is very low salivary flow and low pH. This explains the many fillings which are GIC, why was GIC chosen? The parient’s records show that topical fluoride agents have been used including neutrofluor 5000, tooth mousse and a fluoride mouthwash. Since these have failed what alternative can you propose?

For Jenny it was much easier I think. Firstly a person with no medical history, a very old dental history and a very vague social history rocks up. He doesn’t want to disclose much more information but has a government letter which entitles him to 4650 dollars worth of dental care. He tells you he is on no medication and on examination, his teeth look ridiculously eroded and full of abrasive marks. What would you do next? The caries risk assessment yields no clues, high saliva flow, quality saliva with good buffering capacity and overall the teeth should not be eroded, what is the next thing you do. On asking about his diet and performing a diet analysis, you find out that his intake of acidic food and drinks is through the roof, which explains the erosion, what would you tell him in order to change his ways. On further inspection, the abrasion on his teeth look strangely like toothbrush abrasion, you ask him what toothbrush he uses and explain to him why using a hard toothbrush with whitening toothpaste is not a good choice.

I know its longer but it was more staright forward :D they made one for me, a long time smoker comes and wants the stains on his teeth cleaned off. He has been coming for a number of years regularly and has ignored your professional advice but wants his teeth cleaned as he has recently found a girlfriend. So what are the options for him? Once the prophylaxis is done, the stains have not been removed, on further inspection, you discover that the stains are intrinsic. What could this possibly be and is there any way to resolve the issue?

So those were the three scenarios we had, the viva probably won’t have scenarios which are that long but oh well, it covered quite a bit.

So after that I went to the chemist to get some more facial clenser solution and they gave me FREE sun protection cream which I promptly gave to auntie susan cos it is absolutely useless for me hahahaha. Got some salsa so we can have burritos on Wednesday :D:D

Not much else today. Fun day though, walked through long grass perhaps I should send an email to the council haha

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