Monthly Archives: September 2008

Free Samples from Zirc.com

In my quest to bring you everything good about dentistry I found a website giving away free samples.  Take a look:

http://zirc.com/samples.html

Comment back when you get something!

Dental School Clinical Update and Forum

Clinic:
Over the past two weeks I have seen a few of my regular patients. I have about 4 motivated patients who show up to every appointment no matter what. The other patients I have picked up from the emergency clinic and they are a little less motivated. Most patients who go through emergency only come in when their teeth hurt and don’t care about their oral health when nothing is bothering them. I pick them up (get them assigned to me) in the off chance that I will get someone is is highly motivated to take care of the problems in their mouth. A few of these patients are really good and so far it has been worth it.

When a patient doesn’t show up for an appointment I head over to one of two clinics where you can get points without having your patient there – Emergency Oral Surgery or Pedodontics. Mostly I have been going to oral surgery because nothing is more fun than extracting a bombed out tooth. It takes quite a bit of skill – more than you would imagine. It is a challenge to take on some of the more ‘complicated’ cases which at this point most cases are complicated so everything is a challenge.

I had quite a few open appointments this past week and a half and have spent the past week in oral surgery. 3 of these days were duty days and the other days I just volunteered. I was able to do 35 extractions in about 12 days. There is no shortage of people who need a tooth extracted. Everything from a sore third molar (erupted) to a bombed out central incisor. SO far my favorite instrument is the lower cowhorn. If you have used it you know what I am talking about!

I have also been able to make it into perio a few times for some extensive subgingival cleaning with a cavitron and some aggressive scaling with the hand instruments. Perio can be annoying, but so far I like it. I don’t want to do it after I have my credits done but I like the challenge of finding the calculus on each tooth (know your anatomy!) and getting rid of it. All it requires is a heavy hand and a systematic cleaning of each tooth.

In operative I have been able to do a couple of things. In one appointment I sat back and watched the instructor do everything. There was some recurrent caries underneath an amalgam restoration and it looked radiographically very close to the pulp chamber. This was pretty much going to be a mechanical exposure so I was a little happy to let the doc take over and go for it. I was able to spoon excavate some of the decay though (really it was fun…) and when we were really close to the pulp chamber we stopped, placed a matrix band and filled it with IRM. This will be watched for the next month to see if the tooth can calm down (diagnosed as reversible pulpitis) and will later be restored. On the same patient a couple of days later I was able to do a DL composite on #11. The patient is treatment planned for 6 crowns and an upper and lower denture.

Today in the pedo clinic I showed up and volunteered. I had a patient assigned to me and I was able to treatment plan them for 10 sealants, a MIFL on #9, and a couple of 2-3 surface amalgam restorations. I will see them next week to start the treatment.

It has been busy, maybe not as busy as I would like, but when it is not busy I am able to head over to oral surgery or pedo clinic and get some points. Each clinic has a requirement for the number of points we need. If you reach a certain number then you get a ‘C’. If you get more, a ‘B’, and if you reach a certain number you get an ‘A’. Pedo requires 100 points with at least 25 of those being operative points for your Junior year to get an ‘A’.

Oral Surgery requires 75 extractions for the ‘A’ in your Junior year. I won’t have a problem in this clinic as I am up to 40 already and the majority of those in the past 2 weeks. I still need a lot of operative patients, endo patients and some more removable patients. It can be quite the hassle trying to schedule everyone and making sure you schedule a chair and also making sure you are getting your requirements done. It is well worth it though and very fun to be in the clinic. More to come!

Dental Student FORUM:
Make sure you join the forum and start asking questions or post your thoughts! I know SDN has a huge monopoly, but I think we can do a better job at making information more available online! Login, post, and tell your friends!

COMING SOON:

  • DMDstudent scholarship offer?
  • More pictures
  • Axium – who uses it and who likes it?
  • DMDstudent store – who wants to sell stuff?
  • Temple Dental School Announces New Dean!

    Here are the details and let me be the first blog to welcome Dr. Ismail to Temple!

    Temple University has named Amid I. Ismail, BDS, MPH, MBA, DrPH, and diplomate ABDPH, a passionate advocate for the underserved and an international expert on dental health disparities, dean of the Maurice H. Kornberg School of Dentistry effective October 13, 2008.

    Ismail joins Temple from the University of Michigan in Ann Arbor where he is professor of health services research and cariology at the School of Dentistry and professor of epidemiology and director of the program in dental public health at the School of Public Health.

    “Dr. Ismail is a highly regarded educator, researcher and clinician who shares Temple’s fundamental value of service to others.  He will be an effective academic leader and a champion of improved oral health for our community,” said Temple University President, Ann Weaver Hart.

    Throughout his career, Ismail has spurred collaborative programs and research projects to better meet the needs of society’s underserved populations, particularly Mexican-Americans and African-Americans.  In Detroit, he has led two such initiatives, both funded by the National Institutes of Health: the five-year, $1.6 million Detroit Oral Cancer Prevention Project, and the seven-year, $6.9 million Detroit Center for Research on Oral Health Disparities.  He was also the principal investigator of a $6.9 million NIH grant to study a Web-based resource on evidence-based dentistry.

    “Dr. Ismail’s vision for integrating education, research, service and dental care will propel the school to the forefront of urban academic dentistry, and serve as a model for others,” said Lisa Staiano-Coico, Temple University Provost.

    A consummate leader, Ismail has held positions of stature at numerous professional associations. Currently chair of the American Dental Association’s (ADA) Curriculum Development Committee of the Community Dental Health Coordinator program, he formerly chaired the ADA Council on Scientific Affairs and the National Affairs Committee of the American Association for Dental Research.  He has also organized and co-organized several national and international conferences that led to major changes in evidence-based health care and dental practice, including the NIH Consensus Conference on Dental Caries Management Throughout Life and the ADA Clinical Recommendations Panels on Fluoride Supplements and Professional Topical Fluoride.  Additionally, he has been active in the ADA’s Dental Economics Advisory Committee and the Division of Science, and co-chairs the Coordinating Committee of the International Caries Detection and Assessment System.

    Ismail received his dental degree (BDS) from the University of Baghdad. Prior to joining the University of Michigan, from which he earned an MPH, a DrPH, and later, an MBA, he served on the faculties of Dalhousie and McGill Universities in Canada.

    Ismail is a prolific scientist, having published and presented over 200 abstracts, manuscripts and editorials, and co-authoring the chapter, “Dental Care Delivery System,” in the Surgeon General’s 2000 landmark report on Oral Health.  His work, focused on oral and overall health issues facing the underserved, such as cancer risk, depression and diet, has appeared in such scholarly journals as The Lancet, the Journal of the American Medical Association, the Journal of the American Dental Association, and Pediatric Dentistry.

    “I’m thrilled to be joining Temple University and the Kornberg School of Dentistry and plan to work with and for the faculty, students, staff and alumni to develop a new urban academic dental education model to prepare dentists with advanced clinical skills and knowledge of current health policy and management methods,” said Ismail.

    “Differences of opinion will be welcomed and encouraged, and I will foster a transparent, caring and learning environment at the dental school,” he continued.

    Among Ismail’s priorities is building collaborations with alumni.

    “Dental alumni are a major resource with extensive experience in dental practice and managing the business of dental practice. Their expertise will be sought after frequently during my tenure as dean,” he said.

    The Kornberg School of Dentistry, founded in 1863 and the second oldest U.S. dental school in continuous operation, fills a critical need in Philadelphia and the region, supplying highly qualified dentists and providing dental care to the community. Situated at the Health Sciences Center among the Schools of Medicine and Pharmacy, the College of Health Professions and Temple University Hospital, the dental school offers a rigorous curriculum known for its excellence in clinical preparation.  Under the direction of Temple faculty, dental students perform close to 300,000 procedures annually, making it one of the busiest academic dental clinics in the country.

    First Semester as a Junior Dental Student

    We have been in school for a week now and already I feel slightly overwhelmed with everything going on.  Let me break it down for you:

    Classes:

    • Radiology II
    • Oral Surgery II
    • Oral Pathology II
    • Endodontics II
    • Restorative Dentistry V
    • Medicine II
    • Periodontology/Treatment Planning

    We have just started and there is a fair amount of reading so far.  RD V is basically reading a lot of current articles in dentistry.  Lots of publications and research articles about dentistry.  The ‘classics’ if you will of dentistry.  Oral Path is covering the other half of Neville’s Oral Pathology book that we didn’t cover the first time in class and is taught very well.  It includes differential diagnosis workshops and enough disgusting pictures to last a lifetime.  The other classes are pretty much self explanatory.  It will be busy with this classes alone.

    Clinic:

    • Open to Juniors on M, W, F with two time slots each day.  8:30 to 11:30am and 1:30 to 4:30pm.  With 125 Juniors and 125 Seniors all vying for a spot – it can be a headache at times getting a chair.  Especially in limited chair clinics like Tx Planning and Perio.  The way it works is this: Every afternoon at about 4:30pm new time slots open up 7 days in advance.  First come, first serve.  So if you want a chair in perio, 7 days from now, you will have to wait until the system opens the chairs up at 4:30pm TODAY and then reserve your chair for SEVEN days in the future.  Lots of dental schools do it this way.  Some dental schools open the chair reserve time at 6am.  I would rather stay at school and reserve a chair than wake up early and drive to school to get a chair.  I am curious as to what other schools do?  I know the best way is to have YOUR OWN chair and schedule your life away at your own accord.  Maybe Temple is headed in this direction?  I doubt it, but it could very well be done with some patience and good leadership.
    • I have about 15 patients right now and feel slightly overwhelmed.  Everyday I am learning something new that improves my general knowledge (this task is easy to accomplish), improves my skills, or improves some other aspect of dentistry in which I am lacking.  The key is to not get too comfortable.  If you get too comfortable it means you are not moving forward.  Right now I have a lot of patients in Perio.  Some items in the treatment plans of my patients are extractions, crowns, removable partials and full partials and some cavities that need to be taken care of.  I should be bus for a while with these patients.  We have a lot of requirements to do at Temple and these patients will only wittle away at the amount, but I think it is a good start.

    Clubs:

    • It is fun to get involved in clubs at your school.  I wrote about the Haiti Club I am involved in a few days ago.  I am also a part of the Oral Surgery Honor Society as co-treasurer, I am a part of the practice management club, a member of XIP fraternity, and a member of the ADEA committee of continuing education.  It does take a little time but overall these are rewarding experiances which allow me to interact with other students and get away from the hustle and bustle of trying to get A’s all the time.

    Family

    • Yes, I am married.  We both have busy lives and it is nice to go on a date once a week on Friday night to hang out.  My wife stays home with our two pets boys most of the day and does a wonderful job.  We have two boys age 4 and 3 who think that life is thier little playground.  They are good at wrestling me to the ground when I come home from school and making messes.  They keep me grounded – which is a good thing because sometimes I come home from school with a skewed viewpoint of what is important (like being called a ‘dumbsh#@’ during treatment planning) and they help me to see what is REALLY important.  For instance:  Everything makes better sense when you come home from a frustrating days work and you find a letter on your study desk with a coloring page of Optimus Prime and He-Man in action poses next to each other and a goofy signature in the corner of the page from your 4 year old.  No professor can ever defeat that.  I would love to see Dr.” ______” take on Optimus Prime and He-Man at the same time.  Treatment plan that outcome :)

    All in all it should be a fun year with lots of fun things going on and a lot to learn.  Remember that I will try to post cases online (if I am legally able to do so) so you can follow my various adventures in the clinic.  Have a good year and stay motivated!