Practiced suturing on a towel using 4-0 silk black braided suture. Learned how to do simple interrupted, cross, horizontal mattress, and continuous sutures.
Observed a wax bite rim for lower partials. Studied for Pharm section of boards part 2.
Tooth #13 root tip
Observed extraction of #13 root tip which had been infected for about 3 years. Pt. is a substance abuser of Alcohol and Cocaine and has recently been taken off of the drugs so he started feeling pain in that area. The radiograph showed periodontal radiolucency extending all the way to adjacent teeth and distoapically to the sinus. After the extraction, much cleaning up was required to get all the infection out and a small perforation was observed on the distal. Sinus perforation precautions were taken and rx antibiotics and telling pt not to blow nose.
Fate of a tooth with an Amalgam overhang = extraction
In Dr. O'Connell's words, "What not to do"
Learned about Flexi-overdentures that was done on lower dentures with canines #22 and 27- what they look like, how it clicks in and out, and how it's done using the flexi post and ball attachment. It's very important for the patient to clean their teeth extremely well to make sure they get no caries. Pt. uses prevident at least once a day. After RCT is performed, it is allowed a week to heal and the teeth are cut as close as possible to the gingiva in order to reduce torque and also to have enough space for the vertical dimension of the dentures.
Observed another partial tooth try-in and discussed tx plan designs for another partial
Fuji IX - class V restoration
Learned about restoring carious abfractions with Fuji IX, using Cavity Conditioner (polyacrylic acid) first and then applying Varnish (Fuji coat LC) to smooth out the Fuji IX. Light cure and let pt. rest for 7 minutes for the fuji Ix to cure.
No comments:
Post a Comment