Category Archives: Sophomore Year

Tricks of the Trade: Pouring the Jade Stone Base – Avoid Boxing Out the Tongue

This one comes to me from an upper classmen. We were chatting and I mentioned to him that I forgot to put vaseline on my Jade Stone and pin model before pouring up the buff stone base. (As seen in my gold crown write up, here is a pic:)

Pindex pins glued into holes

Normally you place vaseline all over this part of the stone before pouring more stone into it’s place (check out this article for the complete series). Anyway, I forgot to do that and the results…well, they went into the garbage. It is a good thing that this happened otherwise I would have never found out about the following trick.

If you see in the previous article on our gold crown project and in the picture above, needless time is wasted boxing out the tongue and making sure the wax is sticking, etc. Not only does it waste time, but a small leak in the wax will cause the buff stone to drip all over your jade stone. Not pleasant. Here is how to avoid all these problems and get nice results:

First: Get your jade stone all trimmed, pins placed, and VASELINED. The following method can be manipulated using various techniques. I decided to use a thermoplastic matrix for this example.

Box out the pins with some wax:

waxed out pins

waxed out pins

When you are ready you can now place the model into some sort of base wax down. Then pour in the stone and dry!

base making

jade stone making base

You can use other things like a base former ($$$$), or just some boxing wax. Be creative. Here is my model all trimmed and ready to be mounted to the articulator:

jade stone on base

jade stone on base

jade stone with pins and base

If you have a trick of the trade then by all means, take pictures, write about it and send it in. Or tell me about it and I’ll do it…it’s not like I am busy or anything.

:)

Half Way There, Living on a Prayer

I should title all my posts with cool songs from the 80′s…thanks Jon Bon Jovi.  OK, I know I haven’t been able to keep up as much this year with the blog as last year, but if anyone has been following along with this blog they will have remembered all me previous posts about how 1st year at Temple Dental is pretty laid back and 2nd year is where they fill your plate. My plate is full. Don’t worry though, I am happy. We have had 7 tests and a couple of quizzes over a two week period. This sounds like a lot. Let me add some more to it though. The preparation that goes into a couple of weeks of midterms is tremendous! Time management skills are very beneficial in dental school. Organizational skills are also important. I will break down the classes so far:

General Pathology: We have two teachers in this course. They are both very knowledgeable on the subject and run a very large pathology lab at Temple Hospital. I am convinced they are trying to set a record for ‘most information in one lecture’. Imagine that and then add 7 more lectures to it and this is the course. Every disease that can manifest itself in the body and oral.facial region is combed over. Granted it isn’t like reading Andreoli’s Medicine book, but it is a difficult class. I took the first test with a fever of 102 degrees F. I did OK considering I was pretty out of it. NY-QUIL is my hero. We took our second test today and I did much better with a normal brain. Lets hope to see similar results with test 3 & 4.

Microbiology: First test was easier than eating ice cream with peanuts. Unless you have a Type I hypersensitivity reaction to peanuts…yep, the stuff we learn in micro is good for every day use, as just demonstrated. Did you know that Graves Disease is a Type II hypersensitivity? I missed that on the path test even though we were tested on this question in micro a week before! I sat staring at the test for 15 minutes wondering why I couldn’t remember the answer to one of the most basic questions. The first micro test was easy. The second one was considerably harder. I am going to try a different approach for the 3rd & 4th and hopefully do better. There are so many bugs around us that a classmate of mine kept saying one day, “It is amazing we are still alive.”

Intro to Orthodontics: Breath of fresh air! It is good to just be able to sit back relax, bend some wires, make a retainer and turn it in tomorrow and take a final in a couple of weeks. I like the instructors and the lab.

Restorative III: Last year we learned all the basic cavities, and all metal crown information. The dimensions, burs, measurements, etc. This year we are learning about porcelain metal crowns (PFMs). The learning curve is much shorter and I feel more comfortable with my drill then ever. Way to go cerebellum! Neuroanatomy IS true! We have had two quizzes and our first test next Thursday. I am going to start preparing yesterday…much of this course is repeat from last year. LEARN YOUR MATERIALS. We have the same materials lecture this year as last year (more emphasis on PFM crowns) and I wish I could remember more. We’ll see how the test goes. We also have a practical tomorrow. When you get into second year you basically have a practical every Friday all semester long. Get used to prepping a tooth and provisionalizing it in 2-3 hours. This may sound excessive to D3, D4′s, graduates, but c’mon we are still learning. Remember your roots. Lots of information in this class, but it is dentistry and the reason you wanted to come to school, so it is FUN!

Dental Public Health: A lot harder than I had imagined a one credit class to be. I studied quite a bit for this and even let my micro grade stink a little for it…guess it is time to rethink my strategy. I can still get a low B…

Periodontology I: Straight forward notes, good lectures, the tests ARE hard, but the key is that every answer is in the notes. You just have to make sure you know the notes and you can get the answer. No tricks, just useful information.

Oral Surgery: Interesting class. The test was basically common sense. Some of which I did not have that day and paid the piper. Nothing I can’t rebound from though. Bring it on!

We basically have a test a week until finals where we get worked over the coals again.

Quick Story: A man’s donkey falls into a well and it stuck at the bottom. The man cannot get the donkey out by himself and decides to let it die in the well. He gets a friend and for whatever reason they decide to bury the donkey at the bottom of the well. (It works out for the moral – don’t call PETA). As they throw dirt on the donkey the donkey shakes the dirt off and he is able step on the dirt and rise with it as more is dumped on him. The donkey slowly rises out of the well and is free. He is bruised on his back, dirty and tired, but he i alive and the man is happy.

Parable: Well = dental school, dirt = school work, the man = THE MAN (teachers, deans, parents, bosses, etc.) Whatever is thrown at us or dumped on us we must shake it off and rise because of it.

Yes, I am going to end with this cheesy message.

Month Two Begins

I was sitting in pre-clinic today working away on a PFM crown wax cutback when I heard someone scream my name. I turned around to see an pre-dental interviewee rushing up to my seat. “It’s really you!” At first I was surprised as I didn’t know anyone interviewing today. Then it hit me, my website has made me famous. The interviewer reiterated this thought when she told me she was an avid reader of this blog. She then made the comment that I haven’t written anything for a while. I apologize, it is a busy year! I must say that it was very nice to meet you. (I will not mention her name for privacy matters – but let me know how your application turns out!) I hope your interview went well and also the guy who was with her. I apologize if I wasn’t proficient in answering your questions. I must admit I was taken back a little when I was singled out like that.
Also if anyone else is coming to Temple for an interview they can come talk to me, just ask someone where I sit if you are touring the pre-clinic when the sophomores are in it.

To explain why I have been absent I will go through the next month of my calender:

  • Oct 05: Practical 5 & 6: Prep and Provisionalize for PFM
  • Oct 09: Periodontology I Midterm
  • Oct 10: Micro test 2, Dental Public Health midterm
  • Oct 11: Pathology Lab Test 1
  • Oct 12: Restorative Quiz 2 (On about 8 chapters and countless lectures)
  • Oct 16: Intro to Oral Surgery Midterm
  • Oct 18: Pathology test 2
  • Oct 19: Practical 7 & 8: three unit prep and provisionalize for PFM
  • Oct 25: Restorative Test 1
  • Oct 26: Practical 9 & 10: I don’t remember
  • Oct 31: Micro Test 3

November isn’t quite as rough, but it is still very busy and then December is when we have all of our finals and projects due. I have basically been studying from morning until evening with some breaks in between. Here is a typical schedule:

  • Monday: Study in the morning. Class from 8:30-3:00, study with breaks for lunch, dinner, and the TV show Heroes. Go to bed by 11:30
  • Tuesday: Class from 8:00-4:30. Study with breaks for lunch, dinner, and in bed by midnight.
  • Wednesday: Class from 8:00-4:30. Study with breaks for lunch, dinner, in bed by midnight.
  • Thursday: Class from 8:00-4:30. Study with lunch/dinner breaks. In bed by midnight.
  • Friday: Class from 8:00-5:00. Go home and get a baby sitter and go out with my lovely wife. Hang out and unwind.
  • Saturday: Hang out in morning, played flag football last week, chores, etc. Study for at least 5 hours and then watch football and play with my kids.
  • Sunday: Go to church, hang out, play with the kids, nap, NFL.

I wake up Mon-Fri at 6:30am and in bed by midnight. Sometimes I take a nap for 15 minutes. Saturday/Sunday I am awake by 8am. The last two weeks I have been basically getting ready for midterms. There are many chapters to read and some of the material is very arduous and technical. Pathology can be exceptionally difficult to crunch through because of all the technicalities and mechanisms. The lab quizzes are not very hard though, so there are some buffer points. (You still have to know the material)! I have also never had pathology before so most of the words are new terms and it is more difficult to commit them to memory compared to biochemistry and histology (both of which I have taken before). Micro is a little easier because I have taken several microbiology classes. It definitely helps to have taken a class before hand to get the exposure. Even if it was two years ago. It is surprising what your brain can store in the dark places of yester-year. :)

Now you know where I have been and what I have been up to. My studies take precedence over the blog and I unfortunately haven’t had very much time to make this a priority. I also don’t have very much to write about right now – all I do is study! As it gets closer to board taking time I will try to start more board review articles and keep a schedule of my study time. I can hear my micro notes calling my name…and must say farewell until next time…if I am still alive! j/k, I will survive – don’t worry about me and remember to come say ‘hi’ if you are at Temple for an interview.

First Three Weeks of Year Two

Has it already been three weeks? Time flies when you are studying books all the time and doing honey-do lists. For instance, my vacuum just broke and my wonderful wife wants me to fix it. Be right back…Seriously, I started that last sentance four days ago. After the vacuum was fixed I fought my two kids until they fell asleep and then I went to sleep. I have been battling a cold. After I woke up it was straight microbiology studying for our first test. Mingled in with a little college football (where I saw my Cornhuskers get trounced by USC…) and a little NFL fantasy football (free through Yahoo!). I also broke down and bought a new desk chair which I built in between personal study sessions. I had been sitting in this crappy 15 dollar metal folding chair for about a year and it was doing wonders on my back, bum, legs, and neck. Seriously, if you are going to be a dental student you will be studying. Get a nice desk and a nice chair and don’t look back. I have been able to sit in this chair and multi task in comfort. So the time is going by faster than the first year because we have class most of the day and then I study for most of the night. Our first test was microbiology. It covered some basic bacterial structures, metabolism, antibiotics, and of course the various reproduction/life cycles of the pesky little microbes. We have had some quizzes thrown into the mix as well from our pathology class. Really nothing too serious so far. All the upperclassman tell me it gets worse, so watch, wait and read when you get the chance.

We have our first pathology test on Monday and we basically have a Restorative III practical every Friday until Christmas break. In restorative we are working on prepping and provisionalizing (word?) teeth for PFM crowns. PFM = Porcelain Fused to Metal. I would be posting some pictures, but our camera broke and I am left with an older 1.2 megapixel camera and no way to upload pictures to my computer. Fear not! For a solution is in the mail (thanks to mothers who have extra cameras!) and pictures will soon be replacing your frowns with smiles. I haven’t really used the micro book too much, but we have 12 different teachers for this class, so I may need it. I use the pathology book a lot, Robbins Basic Pathology, 8th edition, by Kumar.

Some interesting things I have learned:

There are thousands of antibiotics and drugs and I am dreading Pharmacology next semester…

PFM crown preparations are more fun to prepare than gold crowns (in my opinion).

Looking at pathology slides is more fun if your lab group is cool.

Coagulative necrosis does not occur in the BRAIN.

Now I am just postponing studying. I will stop wasting your time and my time and end my post here. For the future:

  • PICTURES!
  • I bought some loupes and they are being made and sent as we speak, look forward to a post. I am also hoping I get sponsorship for this site from the loupe company.
  • Again, if you would like to contribute let me know. I can’t pay you back, but who knows what the future holds? Email me.

P.S. I won my fantasy football game this week.