Monthly Archives: January 2007

Directional Terms to Memorize

Starting dental school with a little bit of knowledge can help to decrease the new stress of having to learn a large amount of new material. I hope that this new section called ‘education’ will provide a good overview of concepts and terminology you can use before or after you start dental school. I figured I would start on something simple and increase the knowledge bank from here.

These terms are basically beat into you the first semester (at least at Temple) of dental school and if not, then you should know them by the end of the first year. They are pretty basic and knowing them ‘cold’ will help in all aspects of dentistry. In fact they should be second nature after your first semester of dental school.

Facial – towards the face. The facial surface of a tooth is the side next to the cheeks or lips. The side you see in a normal smile.

Buccal – another term for facial usually denoted for posterior teeth, or teeth located next to the cheek. Do not use this term for incisors or canines. Bucca is Latin for cheek.

Labial – the term used for the facial aspect of anterior teeth, or incisors and canines. Do not use this word for posterior teeth (premolars or molars). Labia is Latin for lips.

Anterior – nearer to the front. A canine is more anterior than a premolar or molar. Anterior teeth include the incisors and canines.

Posterior – in the back. A molar is more posterior than an incisor. Posterior teeth include premolars and molars.

Occlusal – the chewing surface of posterior teeth. The top ‘flat’ part of the tooth. Anterior teeth have an edge and are designated differently.

Incisal – The edge of anterior teeth, used to cut food.

Lingual – The tongue side of the tooth.

Palatal – Only used for the teeth in the maxillary arch (upper teeth) and also refers to the tongue side of the teeth. This term can also be used because these teeth are adjacent to the palate.

Proximal – the sides of the teeth that usually are in contact with one another. The side in between adjacent teeth.

Mesial – The proximal aspect of the tooth closer to the midline of the face.

Distal – The proximal aspect of the tooth further from the midline of the face.

These are the general terms and during your first semester learning these will not be difficult. What gets difficult is putting everything together. All those terms come together at line and point angles of every tooth. For example, where the distal and lingual aspects meet, they will form a line angle called the distolingual line angle. This line angle will ascend and meet with the occlusal surface to create a corner or point called the distolinguoocclusal point angle. Add varying anatomy to each of the 32 teeth in the human mouth and your brain starts doing tricks. Also add that every cusp on the teeth also get a designated directional term along with the anatomy in that tooth. Triangular ridge of mesiolingual cusp for example, or mesial cusp ridge of distobuccal cusp.

It is difficult at first and hopefully a list like this can give you a head start on learning the language of dentistry. One day it will click and by second semester you should be using these terms and associating them with the anatomy of the teeth like it was tying a shoe. When was the last time you had to think while tying your shoe? Exactly. :)

When Taking Out Loans It Is Wise To Get Some Extra Money

This article is a little rant/rave and a little beware the ides of dental school.  They will get you.  We had two cars coming into dental school.  We found a great insurance rate from All State and everything was fine and dandy until my daily commuter broke down.  Blown engine.  I guess my crankshaft broke (rare) and siezed the engine up, i am still trying to figure out what to do with this car.  The mechanic said $4000.00 to fix and I laughed and told him I could buy three of the exact same car, in running condition for the same price…go figure.
My wife and I made due and my friend and I would switch cars every other day and drive to school.  Everything that breaks comes in threes right?  Well I figured that it would be small things.  I was right and I was wrong.  Our DVD player broke next.  Then the unthinkable…my wifes car broke down!  Everything at once too. Battery, starter, transmission…It had been having some starter issues, but one day it started to leak from the transmission and then very day it was being driven to the mechanic it decided to break down half way there.  After a tow and 1000 dollars later the car is fixed.  A transmission seal broke, our battery was shot, a new starter was needed and a general tune-up from the starter electrical issues.

We will survive, but the money we had allocated for summer break was eaten alive in less than two weeks.  It is important then to remember to budget emergency cash when taken out additional loans.  You may have to go through a private institution because most schools will not give out extra money for the purpose of ‘emergencies’.

First Gross Anatomy Test in Dental School

Hit the ground running for this class. The first day of school we were given a few small packets of information and a syllabus with the required reading. It didn’t seem like very much material considering we were given a whole trees worth of paper for biochemistry the previous semester. Our first test covered the back, shoulder and upper limb. If you have never taken anatomy then you would think to yourself, ‘How hard could it be?’

I stopped counting the amount of terms we had to memorize after 1000. That was the first packet out of three. Not all of it is plain memorization, monkeys can be taught to memorize. Half of our test was identifying the structure in a cadaver that a fellow classmate had dissected and the other half was multiple choice. You had to be familiar enough with the structure (nerve, muscle, and its function) to be able to identify it in a cadaver that you had not dissected and then be able to figure out the right answer on a seperate paper test.
Every muscle in the back, shoulder, and arm had to be known along with its origin and insertion (where it connects to on the body <– for those who haven’t taken anatomy) and what the muscle is innervated by. For example, the pectoralis major muscle. It originates on the medial clavicle, sternum and some costal cartilage and inserts on the greater tubercle of the humerus. It is innervated by the medial and lateral pectoral nerves which are C5-T1 coming off the lateral and medial cords of the brachial plexus. It has a couple of actions too, like inner rotation of the humerus among others. (I hope I got all that right…going off of memory) During the test they could put a string around any one of those structures just mentioned (pec major, lateral pec nerve, medial pec nerve, lateral cord, medial cord of brachial plexus, and say identify (and then you would identify the structure) or they would say, what is its action, or what does this innervate, etc. Then on the paper test they would test you on how well you knew the information.
After about 10 muscles you can see that there is a lot of stuff you have to know about the back and upper extremity. Add the spinal cord to that and part of it’s function (we learn a lot more about the spinal cord in the next anatomy section of head and neck and in neuroanatomy) and you have yourself a pretty daunting test. If you are thinking to yourself that that is easy (there are a few who will walk through classes like these without batting an eye [jerks...j/k :) ]) then wait until the head and neck. The next test covers three times the amount of material and covers 4-5 weeks of lectures and dissection on even more complicated things like cranial nerves and facial muscles.

This next stuff IS more pertinent to what dentistry is all about and should be more interesting to study as opposed to one of the muscles in the hand like the abductor pollicis brevis muscle. I took anatomy before I came to Temple and would highly recommend it. Not the anatomy for grasshoppers though (anatomy + physiology combined) but a general gross anatomy class with real human cadavers and a hard teacher. I know that most people want the high GPA to get into dental school, but it does help to work hard in a class before dental school and come somehwhat prepared. Either way anatomy at Temple is passable, but I think it is easier if you have some background. Now I have to go do some reading…

Restorative Dentistry II Projects – First Three Weeks

When comparing this class to Restorative Dentistry II class I would say the only difference is that in this class you have to hit the ground running. It helps if you are a fast runner. The first day of class we were given a packet of papers that describes the projects we will be doing over the course of the semester. We also were shown how to access the syllabus and all the required reading. Last year in restorative we did a lot of wax-ups, some acrylic temporaries, some composite restorations and some amalgam restorations. Last year when we were told to do a Class II prep in the ivorine tooth, we just kind of carved away and filled the tooth. This year we are learning the mechanics involved in doing all the types of preperations. We need to know the depth to go, the width, the different burs to use, the various instruments involved, etc. When they are talking about motor skills in dental school, it really means that you need to develop motor skills. (You don’t have to have them before dental school, in fact no one does), but this is why there is a pre-clinic in dental school. It is one thing to play the piano, or be able to build a model airplane (Some of the many ‘hand skills’ people put on their dental school application), it is another to drill exactly 1.5 mm into a tooth in the maxillary arch and then ‘drop a box’ that is supposed to meet perfect dimension. D2-D4 and current dentists may think this is childs play now, but just remember your learning curve. Also from what our Restorative teacher tells us, there are still some 3rd and 4th year students who struggle with this. It is difficult but possible. To get good we get to practice, practice, practice! We started practicing with an ivorine block. This is a plastic rectangular block of plastic. It has been stamped with the outline of teeth on all four sides. Our first goal was to drill exactly 1.5-2 mm into the tooth and follow the tooth anatomy. We practiced this on all four sides. Here is how some of mine turned out. I will also mention that all initial cuts were made using a #330 bur and followed or finished using a #245. All these projects had to be checked by our row instructor before we could move on. If you messed up horribly or your row instructor thought you needed more practice you have to go buy another block/tooth/etc. and redo the project before moving on. :)
DMDstudent.com

DMDstudent.com

The idea is to get good at producing the ‘ideal outline form’. This means that when drilling into a tooth you want to produce an ideal outline that follows the anatomy. After this ideal outline is formed, you look for caries and remove it accordingly. It is a several step process that I will not discuss here as I do not yet fully understand it. The idea is simple though. When making a cut into a person in any health profession it is very wise to measure twice and cut once. Make the small ideal outline form, at the correct depth, using the proper instruments, and if more cutting needs to be done then you do it. I think a lot of people don’t understand what goes into dentistry. It’s not as simple as drilling out a crater into someones tooth and filling it with some material that is supposed to last a lifetime. It involves a great deal of skill and technicality. This is one reason why we students get to practice on so many teeth before we get to see a patient.

After the ivorine block looked somewhat decent our next task was to practice on some real teeth. Not real teeth in real patients, but real teeth that USED to be in real patients. We were asked to collect teeth from our local Oral Surgeons over Christmas break and bring them to school on the first day. We sorted through the teeth, picked the best ones, sterilized them, and set them into dental stone. Then we proceeded to drill. Here are my results:

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Added Some New Features

In the ‘sidebar’ on the right of this article and the ones below it you will see various helpful links.

I have added some other links recently to help you read my articles more often via any ‘reader service’ you want.  If you have a google home page you can subscribe to my blog and read the articles from there.  Same for Yahoo and about 20 other ‘readers’.

I have also added a ‘subscribe to email list’ link that is TOTALLY SPAM FREE.  In fact I never see the emails and you will only GET an email everytime a new article is published.  This way you can assure that you won’t miss anything.

I will be updating the Temple Specific page soon with a similar format.
Happy Reading!

Restorative Dentistry II, Quiz 1

typodont imgWhen you are in undergraduate class and the professor tells you you have a quiz tomorrow, you usually go home, watch three hours of TV, play with your kids, or hang out with friends, then go to sleep at 10pm. In the morning you wake up and 10 minutes before class you cram 15 facts into your brain and get quized on 10 of them. If you are good, you miss none.

I would change this habit before dental school or else you are in for a rude awakening! We had our first quiz of the semester in Restorative Dentistry II last Tuesday and although it wasn’t a beast, preparing for it was. Some reading this may disagree with the amount of reading I and fellow classmates may have done, but I do pay close to 300 dollars a day (every day 24/7 for four years) in tuition, etc. so I might as well make the most of it.

Here is the reading our quiz was centered on:

Reading from ‘The Art & Science of Operative Dentistry’ by Sturdevant (A 1000 page textbook on various dental procedure from posture to application of rubber dam to drilling and filling):

Chapters 2, 3, 6, and pp. 449-452, 419-430, 435-446, 690-702, 709-720, 778-782, 463-492, 737-749

Also reading from a packet: Sections 1-4, 10

5 Powerpoint lectures

2-4 articles (I didn’t get time to read these)

Various online resources (glanced through them)

This is two weeks worth of reading. Granted it is EASY for the 2nd, 3rd, and 4th year dental students because of their exposure, but to a young grasshopper as myself and my classmates, it was pretty extensive. New terminology, depth of cuts (like memorizing that the gingival wall ideal outline form should be 1.5 mm in width from the proximal surface to the axial wall. (I just lost all the pre-dental students on that one – you guys get the idea) to the proper bur selection for the cavity prep. All good things to memorize, but very extensive.

After cramming in all the reading, memorizing my little review sheet, looking at back quizzes (one question remained the same) I still missed one. 4/5. 80%

I am not sharing this information to discourage anyone, nor am I discouraged. This is a good grade and it was (in a sadistic way) fun to read, after all, we did CHOOSE to do this and it is FUN, even if it includes reading 400 pages in two weeks. :)

Adding a New Temple Dental Specific Site to DMDstudent.com!

I am adding this section for those of you who are either:Go OWLS!

Interested in Temple Dental

Applying to Temple Dental

Accepted to Temple Dental

Attending Temple Dental

…and hopefully I will attract those who have graduated from Temple Dental …although most people who graduate from dental school don’t want anything to do with their alma mater for at least five to ten years . I think after five to ten years the memories of biochemistry, anatomy, restorative, and clinics become repressed and the graduate in question resumes liking the school they once attended. All humor aside, those who have graduated, or even those upperclassmen who have been down the same road before have invaluable experiance that hopefully I can glean from them and provide it for you at the Temple Specific Part of DMDstudent.com.

If you are coming to, currently attend, or have graduated from Temple University School of Dentistry and would like to write for the Temple Specific site than please e-mail me either through the Temple Intranet system or at: templedmdstudent @ hotmail DOT com (delete spaces and replace DOT with ‘.’)

If you are interested in writing for DMDstudent.com’s main page (the one you are viewing) please feel free to contact me at the above mentioned e-mail.

I know it would help to get more than one perspective on the inner workings of dental school from pre-dental to Doctor. Thanks for the support!