Category Archives: General Info

BACK!

I apologize to those of you who have been looking for this site for the last couple of weeks.  Due to some technical issues that will bore the average reader the site was off line.  It is back though and you can look forward to the following future articles:

The Greatest Investment I Ever Made in Dental School

Applying to Post Doctoral Programs

How to Start an IV for Sedation (trying to get video for this as well)

Thanks for reading!

Balancing Dental School and a Family

Over the course of this website’s history I have recieved several emails asking how I balance dental school and a family.  While I am no professional in the subject, I have been married for six years and have half as many kids, so my opinion and experiance will have to do.  I encourage any comments on this subject as well.

Dental School is just a step in life.  It ends.  It lasts for four years and then life moves on.  Your family on the other hand stays with you – or at least it should.  The first thing to do is to prioritize.  Family comes first.  This is up to interpretation of course.  During finals week my family might have dropped a few notches on the priority totem pole.  I have come up with a few items that have helped keep my family happy – most of the time.

  1. Time.  Your family needs a daily dose of time.  There is always 24 hours in one day.  Subtract the time spent at school, the needed study time, dinner time, etc. and use the leftover time to spend with your wife and kids.  Sometimes you won’t have any time at all.  During my second year I remember leaving early for school, coming home, eating, putting the kids to bed, talking to my wife for 10-15 minutes and studying until bedtime.  This was common during the first two years but was remedied by a simple thing seen in #2.
  2. Date Night.  My classmate (who helped write this article) who also has a family likes the following saying, “It is better to spend money on date night during dental school than to spend money on marriage counseling after dental school.”  If you go a week and have only spent 15-30 minutes a day with your family than a date night is a good time to relax and have fun.  My uncle went through dental school with a family and his motto was to study hard on weekdays and have fun on the weekends.  Date nights on a budget usually consist of going out to dinner, a movie, renting a movie, hanging out with friends, going into the city, playing rockband together, etc.  You don’t have to go all out each time, it is the quality of time spent together.  Find other families in your area and do a swap.  Each week one family takes all the kids for THREE hours while the other families go out.  Each week rotates between familes.  That means that if you get 4 families to participate you get to go out for three weeks in a row and babysit on the fourth week.  The babysitting part isn’t so bad because all the kids entertain each other.
  3. When you are spending time with your family are you there in mind or just body?  Sometimes when it was close to finals I would find myself hanging out with my family, but my mind was elsewhere.  I would be half listening to my boys or my wife – or sometimes not be listening at all.  When you are hanging out, take a deep breath, relax, and hang out.  Then get back to your studies or lab work, etc.
  4. Help out around the house.  My wife stays at home with our kids and her routine is pretty much the same.  Chores don’t change that much and don’t get more or less exciting.  If you come home after along day and you see a pile of laundry on the couch or the garbage is overflowing…take a minute to help out.  It only takes about ten minutes to do a few chores and your spouse will appreciate it whether they say so or not.  It is the small things that help a relationship.
  5. Communicate.  This is done daily and is self explanatory.  Dental school is stressful for everyone.  Your spouse wants to spend time with you, your kids miss you, and you miss your family.  I won’t get too mushy here, but express gratitude, tell each other you miss them during the day.  More communication can be done during date night.
  6. Marry an understanding person.  My wife is a strong women.  In fact she ran 3 or 4 eight-minute miles almost everyday up until about 6-7 months into her third pregnancy.  I can’t drive three mile without breaking a sweat.  She is very understanding and has made many sacrifices so I could pursue my studies.  Make sure to be understanding of your spouses sacrifices and spouses make sure you realize the sacrifices your spouse is making while in dental school.

None of this information is profound in anyway.  This is a little of what we have done in dental school.  A lot of this is different depending on the family dynamic and the relationships and personalities of each member.  Not all my time is spent with either school or family which makes prioritizing difficult.  I am a member of several clubs at school and am a scoutmaster for my church and I am looking at pursuing more education after dental school.  LIFE WILL ALWAYS BE BUSY.  Dental school is just one chapter in the whole scheme and it is very possible to get through dental school with a family.  Remember: Roughly 4,500 new dentists graduate each year, a decent percentage of them are married with kids and if they can do it, so can you.  I hope this helps and feel free to comment or ask specific questions and I will do my best to answer them.

colin, brannon, evrett

colin, brannon, evrett

Twitter

In my attempt to stay on top of the newest internet sensations I joined Twitter.  If you have an account check me out at www.twitter.com/cheerioking.  In the sidebar immediately to the right of the page you can see my updates.  I have yet to see what the big deal is, but I will try it out for a while and see how it goes.  Let me know what you think and feel free to follow my Twitter postings.

New Resource for you Pathology Buffs: www.pathologystudent.com

For the avid readers of this website you may remember a link I posted a while back about a pathology resource for dental students.  The creator of that same website has created a new website for pathology.  I have had the chance to browse through the website and am very impressed.  The layout is clean and the information is very well explained.  Each article comes with one or two great pictures as well.  Make sure to bookmark the website or add it to your reader (I use google reader).

The link is at www.pathologystudent.com

Enjoy!

Update: New email address

The features of GMAIL are far superior to that of hotmail and so I have switched emails.  I now use the following email address:

templedmdstudent [ @ ]  gmail  [ . ]   com

As you can see it is the same besides the gmail part.  Just removes the brackets and spaces [ ]

Porcelain Fused to Metal Crowns Part II

This is the second part of Porcelain Fused to Metal Crown.

The metal part of a porcelain fused to metal [PFM] crown is called the coping.  As dental students we are required to wax up the full contour of the tooth on a stone replica of the patients tooth.  After the full contour has been made the wax is cut back.  The portion of the wax that is removed will be filled in later with porcelain.  After the wax has been cut back and smoothed it is connected to a wax sprue and invested into stone.  The stone hardens around the wax and then the wax is melted out and then cast with metal.  The final result is below:

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These pictures show the crowns attached to the sprue and the button. They are cut off as seen in subsequent photos.

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I took the first few photos without the flash for better contrast of the cut back. Here is the final coping product on the stone model. The metal has been polished. To polish I followed these steps:

1) Remove the crowns from the sprue and use a diamond bur to remove the excess metal.
2) Polish everything lightly with heatless green stone burs. Either avoid the margins or be careful around them. Use them on the cut back area as well.
3) Use brownies on slow speed and just polish the normal contour of the tooth.
4) Inspect the normal contour for any deep scratches. If you find a scratch, repolish it with a green stone and then repolish with a brownie until it shines bright.
5) Polish with a greenie and then an ultra greenie until it has a mirror finish.

Here are the results:
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The patient came in and tried on these copings and the fit was perfect. They have been submitted to our in house porcelain lab and should be done in a few weeks. More to come as this case progresses.

Porcelain Fused to Metal Crowns & Photos

***Update (Feb 28, 2009): Porcelain Fused to Metal Crown Part II
Today I had the goal of fast tracking someone through the fixed clinic.  The graduate periodontology clinic picked this patient up right when we were done with his comprehensive cleaning and stalled my treatment by TWO MONTHS!  The service they were trying to treatment plan him for was needed but he is on government aid and they would never approve the treatment grad perio wanted to do.  Anyway, to avoid becoming too bitter in this post, lets just say that I was motivated to get this patients treatment done as quickly as possible so no more delays can get in the way.  His treatment plan is as follows:

1) Extract all remaining maxillary molars
2) Prophy, Flouride, OHI
3) PFM noble metal #22, 23
4) Mandibular RPD, Maxillary FPD
Here is the FMX series:
modified FMX [8]

The extractions were completed, the prophy and scaling was completed and today we started on both of his crowns. I picked a good row instructor in the fixed department so I could get as much as possible done today.  One thing I like about Temple – and I am not sure if it is like this at other schools – if you can get the treatment done in the allotted time then you are given the green flag to do it.  So here are the crown preps I was able to do today.  Remember that everything went smoothly during this appointment and so far this is not common for me. I had some luck on my side today and was happy with the results.  Here is a before shot:

before

I took a pre-impression with impergum (hence the purple on the lips).

Here are my preps, a few from the facial, occlusal and a shot with packed cord:
preps occlusal view

preps occlusal view

facial view of preps

occlusal view of pcked cord

After the preps were done I made the temporaries using Integrity. I had never used Integrity before and I really liked it. I got it from a vendor who got my name from a Temple Dental graduate. Thanks Dr. Beth! The integrity was fairly easy to work with, set quickly, didn’t shrink, and the color (A2) was a great match. The margins were easy to read and easy to trim. Check out the final product:

provisional made

I was able to do all this and get my final impression in one clinic session. I was pretty amazed with how smoothly everything went. Two preps, two provisionals, an impression of the final preps and some photographs all in 3 hours. I know that is nowhere near private practice status – but remember this is dental school and these were my 3rd and 4th crowns (if you remember I finished a bridge not too long ago).

Dr. Joshua Austin, DDS and his New Dentist Website

You can browse through my old posts and find that I try to find other excellent dental websites that are fun to read (a break from crunching through textbooks and peer reviewed journal articles).  Well this time a website owner found me.  I enjoyed reading through his blog because he is a new dentist, just like many of us will shortly become and it is exciting to read about his stories.

He writes about his procedures – his technique (good or bad), materials used, etc., case studies, and other relevant dental news and articles that new dentists are bound to come across.

You can find his website at http://www.thenewdentist.blogspot.com

Be sure to bookmark his page or subscribe in a reader program such as google reader.  While you’re at it, subscribe to mine as well!  Keep up the interesting blog Dr. Austin!

Get Involved in School Activities

I have noticed a downward trend in the amount of participation amongst some of our school clubs.  This is not the case with some clubs (Like the Pediatric Dentistry Club which seems to have 200 members) but some clubs have become nonexistent or participation has decreased.  Maybe it is a Temple Dental thing or maybe it is a trend seen at other schools as well.  I think there are several reasons to this:

1) Dental School has become more competitive to get into and thus there are more competitive people in dental school leading to people who do nothing but study.  There is nothing wrong with studying.  My study buddies and I used to be studying whores (Part I Boards naturally destroyed any desire to ever study again), but now we have mellowed out and seem to get the same grades as before.

2) Unaware.  Some people just don’t know about opportunities to get involved.  I missed out on a few opportunities to get involved because I checked my email too late or the event was not publicized correctly.  In this case you may have to ask about certain clubs or opportunities.  If your interest is really that great you can even start your own club.  A club was recently started at our school called the Cosmetic Dentistry Club.

3) Apathy. Some people could care less about the ortho club or the endo club.  I say poo on you.  You are missing out on a great opportunity to learn with your peers about more things related to dentistry.  If you don’t think the club has great speakers then search around your community to bring in a dentist or specialist that can give some meaningful clinical advice in a lunch and learn setting.

Getting involved lets you meet new people, work with others, plan and create activities that others will enjoy and is another way to enrich dental school.  A club usually has an opening social, speakers from the community or various dental programs nearby (like a GPR or a specialty program), food at each meeting (paid for by subsidized school club funds or from membership dues), and they are usually fun.

I have gotten involved in ASDA, Temple Haiti Club (outreach group that travels to Haiti), Oral Surgery Club, Practice management club, XIP fraternity, and am a member of a few others.  It has been fun and I recommend it to anyone to break up the boredome of studying and lab work.

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!