Monthly Archives: May 2008

Clinical Orientation and First Patients

On Thursday this week we had a clinical orientation day. Various topics were covered including our voice mail accounts, general rules, speaking with patients, what to do if you stick yourself with a needle, etc. These topics have been covered over and over again but many of us including myself seemed confused on many items. The computer system to schedule patients is confusing at first and we are also transitioning into the use of Axium this year. I guess Axium is a paperless charting program where you can view all of your patients, their needs, etc. Needless to say, we are the pilot group for Axium so it will be interesting to see how the transition goes. I have heard great things about it from other dental schools and I am excited to use it. We still have charts though, so in one way it seems like we are going to be getting double work, filling out charts as well as computer charting.

The two exciting things that happened during our clinical orientation day was 1) getting our instrument carts and 2) getting our first patients. We use our carts to hold all of our stuff (we also have a locker) and roll them around the school to our various appointments. Different years have different colored carts. Here are a couple of pictures:
clinical cart
Organizing all of our crap:
organizing cart
Finishing up:
instruments

I have my first few appointments over the next few weeks, so stay tuned to see how they go!

Anniversary of the Gold Crown

It’s been almost a year since we started making our first gold crown. Although sometimes it feels like it has been twenty years since we were prepping our first crowns on ivorine teeth and waxing up a mediocre replacement, the time has gone by very quickly. In fact, we were assigned our first patients yesterday – more on that later. So to celebrate, please enjoy one of the funnier moments on DMDstudent.com, this story first ran June 18, 2007.

“The polishing steps for a gold crown entail about seven jaw clenching steps from start to finish. The steps were enough for any sane man to wear down several acrylic mouth guards in the process. After so much work with impressions, models, waxing, investing, and castings you don’t want to screw up the crown while polishing it. The sweat equity, tears, and sometimes blood devoted to this project would have been enough to kill any undergraduate student. Why do you think they make AADSAS so hard? It weeds out the weak and the timid, the faint of heart, and those with high blood pressure. Applicants like that couldn’t handle this type of stress. If you fail this crown you have to repeat the year. Needless to say the tension in the pre-clinic was thick. After finishing the first 6 steps I’ll admit I was disappointed. My crown looked as dull as a slab of granite. I felt like someone had painted it gray and then stabbed a knife into my back. It hurt that much. So the crown and the knife sat there, festering. I was a beaten man.’

“I had no one to reach out to, my classmates had their own crowns to worry about, my teacher had that glossed over look in his eyes that said “If another student comes up here for advice I will go postal”, and I couldn’t see an upperclassman anywhere wherewith to seek advice. Besides, I am sure the upperclassman had enough problems anyway. They didn’t want to deal with a mere ‘D1′. What did I know anyway? After all, I wear scrub pants and don’t even work on real patients. I would be scoffed at. With no one to turn to I looked at my work area and saw Red Rouge. It sounds odd, but it seemed to look at me longingly.

“PLEASE!”, it seemed to say, “Pick me up and rub me on your gold crown with your low speed hand piece and a polishing wheel!”

“Caught up in the moment I replied, ‘Okay’, as my classmates glanced at me, clearly annoyed that I was talking to myself again.

“I picked up the Rouge and started to rub it into my polishing wheel softly but with great purpose, like I had done it before. It felt right. The quiet, slow ‘whirrrrrr’ of my hand piece drowned out the moans and wailings of the classroom. I was alone. I began to gain confidence in the skills I had learned over the past 6 months. The feeling of complete and utter belonging overwhelmed me, and a tear fled from my eye and floated onto my polishing brush as if to calm the raging sea of red that had enveloped the polishing wheel. I lifted the hand piece to my gold crown, which was seated firmly to my stone die. The red bristles began to dance off the gold like sparks in the wind. Everything was moving in slow motion now. Some of my classmates looked up to watch the magnificence that was unfolding before their eyes like spring blossoms. I wouldn’t be exaggerating if I were to say I saw tears of wonderment well up in their eyes. The dull gold, which had once been a nagging wound in my back, slowly subsided as the gold began to sparkle like the salmon of Capistrano. As I looked at my reflection in the gold crown I no longer saw a beaten man. I saw the chiseled face of a student who had been whittled and pruned by instructors. It was this moment that I realized my true calling was to be a dentist.”

AADSAS Personal Statements

The dental application is an intriguing aggregate of everything good about the applicant. GPA, Dental Admission Test, DAT, scores, extracurricular activities, hobbies, manual dexterity skillz, and dental shadowing hours are some of the many pieces of the application. The dental essay should put all of these pieces together to create a larger picture of who the applicant is. To get an idea of a successful dental school essay I have been collecting several examples over the past couple of years from reader submissions. Please use the examples below to see what has worked in the past and incorporate the ideas into your own essay. Send in your essay when you get accepted to give back!

Dental Personal Statement #1
Dental Personal Statement #2
Dental Personal Statement #3
Dental Personal Statement #4
Dental Personal Statement #5
Dental Personal Statement #6
Dental Personal Statement #7
Dental Personal Statement #8

Please send in your own personal statement to be featured on this website. You can remain anonymous, but please send in the number of interviews, acceptances, and where you have chosen to attend school. Thanks and enjoy!

Completing the Dentures and Pictures

Making dentures is a long, tedious process I wish we had gone through our first year – because then I wouldn’t be doing it now! In short the process is tedious and time consuming. The steps are numerous and can be a headache. With wax rims attached to triad bases teeth are set to match the patients vertical dimension and proper occlusion. When everything looks good in wax the dentures are sent to the lab for processing.
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DMDstudent.com Dental Forum is Open

Introducing the DMDstudent.com dental forums. Hopefully this forum become a great resource for pre-dental students, dental students, and dentists. I have integrated the forum into the blog for ease of use. I would like to thank the creators of simple forum for this easy to use forum.

The forum can be accessed here.

Happy posting!

Vocabulary Words for the Dental Student

Vocabulary words are for fifth graders! Think again. While learning about the basic sciences and dentistry you will no doubt come across many words that you have never heard of. How many of you knew what epistaxis was before dental school? Maybe a few of you. What about rhinorrhea? Too easy? I have a list of only a few medical terms which I have thought sounded quite interesting. Will you use these words in private practice? Maybe some of them. Will you see them in Journals and in CE courses? Most definitely. Will you sound like a stud if you use these words with a dental instructor? Fo shizzle!*
Here is my list:

  • glossoptosis
  • blepharochalasis
  • omphalocele
  • dyscrasias
  • tachyphylaxis
  • hemoptysis
  • rhinorrhea
  • anachoresis
  • dysgeusia
  • There are a lot more, but I liked these the best and have written them down over a period of time. Remember what GI Joe used to say: “Knowing is half the battle”. I will leave it up to you to figure out what these mean, you learn it better that way. Just remember, Google is your friend. What are some of your favorite words?

    *Use wisely, instructors may vary.

    First Duty Day: Admissions

    I had an admissions duty day last week with a few of my classmates. We basically helped a junior student, also on admissions duty, admit a new patient into the school. Here is how it went:
    We showed up on time, signed our name for attendance, and received a 100 page packet on the admissions clinic. We get a packet like this from almost all the clinics totaling about 1,000 pages, or so it seems (about 9 different clinics each with their own packet). I don’t know when we are expected to read all of these packets considering we are getting ready for the boards on top of some random quizzes and tests. They do seem like helpful resources if you can sift through all the filler material.
    After we got our packet we started to help out the upperclassman. I must say it is a little nerve wracking. Some good advice I have been given is to be confident even though sometimes you have no idea what you are doing. I was asked to check the blood pressure of the new patient. After fumbling through a small some small brain farts of putting the blood pressure cuff on upside down and not being able to inflate the arm cuff (screw in the valve idiot!) I was able to get the blood pressure. Phew! Some of these things (taking blood pressure, etc.) we haven’t done for a year, and after 40 credits of various classes these things get put into a brain .zip file and are compressed for later use.
    The patient obviously fills out a new patient medical history form and this is all reviewed with them. Everything from allergies to hospitalizations and medications. An extraoral examination is performed followed by an intraoral examination in which gross defects are noted in the chart. After everything is reviewed by the student and checked over and written down, the student finds a faculty member and presents the case.
    You give the patients age, sex, blood pressure, chief complaint, and a few other things like medications, findings from the exam, and medical history. The faculty member may then quiz you on various things that they find are suitable for you to learn. We weren’t really quizzed for our session, but we did learn some things. Our instructor gave a very good example of a head and neck exam, we auscultated the TMJ, which really isn’t necessary, but it was cool to hear clicking in the left TMJ and nothing in the right. This clicking did not bother the patient by the way and is actually quite common. Then we got to perform the intraoral examination ourselves. This poor patient had about 12 fingers in her mouth back to back for about 40 minutes. The patient was, well, patient and had no problem helping us out.
    After we were done we took the patient to radiology and handed their chart over for xrays. That concluded our session. The patient will then be assigned a student over the next two weeks who will take care of their needs.

    A Dental Blog for Everyone! More Dental Blogs:

    DrStudentDentist.com a site run by a new UoP dental student. This is a great site for those wanting to know details about UoP and some personal experiences about shadowing an oral surgeon, what to expect on the day of the DAT, and some more study hints and tips. Should I toot my own horn here? I helped inspire this person to go out and start their own blog! Yay! Good luck at UoP ‘J’!

    I found another dental blog, just browsing through the blogosphere called dentalaggregate.com. I just got a chance to browse through this well designed blog and it looks great. It covers everything from basic dental care to productivity. Go see for yourself and add them to your reader.

    If there are more websites out there that you know about or if you have your own website, share it in the comments section below. Otherwise, happy blogging!

    Transition to the Clinic

    After the last final of second year, a relaxing weekend, and some heavy duty sleep (well, as much as can be expected with two kids), we started our transition into the clinics. We have two new classes this summer I block, as well as a continuation of our complete dentures class. The two new classes are Treatment Planning and Introduction to Clinics.
    Treatment planning is pretty straight forward and needs no description. Intro to clinics is where we hear from each department and learn about all the different protocols and paperwork that we need to be filling out and how each department runs. Example: pedodontics is different than perio. Maybe this is what the girl on the elevator I talked to during my interview meant when she said, “Don’t come here, it is too compartmentalized”, but who knows and who cares, I like it so far. This is also the class where we assist the upperclassman twice in each department. Twice in fixed, twice in removable, twice in…etc. So far this has been a great experiance. The majority of the upperclassman are great sports and let us go along for the ride, ask them silly questions, and suck saliva from their gracious patients.
    Our main requirement right now is the 14 assists. We are also returning for a day in the preclinic where we are prepping a couple of ivorine teeth. I think a class I lesion and an MO. We are also going to be doing some root planing and scaling on each other.
    We also have duty days in Admissions and Oral Surgery. These classes go for about another month. After that, we get assigned our first patients! Anxious and nerve wracking!