I started the day with a large restoration on #20DO. The patient was a very sweet gentleman who needed his wife in the room with him. They told me that they were married for 67 years and had an amazing story of all the things he's been through. He was so happy with his experience and kept saying I'm so thankful to have you and we told him no we're thankful to have you and for serving our country- and he said "well that's a good point too hehe".
I delivered a set of full upper and lower dentures on the next patient and she really liked them. She said that her new teeth look just like her teeth before.
Then the patient that I performed pulpotomy on came back for the RCT. We placed rubberdam and I removed the occlusal IRM and located 3 canals. I found the ML canal to be calcified and the MB canal was curved. Dr. Snyder told me that it could be due to the incomplete instrumentation of the canals. He used RC prep as a decalcifying agent and was able to open up the calcified canal using rotary files. The patient was told that prognosis is not excellent and we just have to wait and see if it heals properly.
I also saw another patient for final impressions. I have learned to check for overextension of custom tray and learned how to take it down quickly in the lab using a rough stone wheel. Dr. Fleenor showed me a great way to see if the tray is sitting on attached tissue. He places the tray on the ridges and then takes the lower lips for example and stretches them upwards. If the tray completely dislodges, we know that the it is over extended.
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