I had the best day today because it was extremely busy and I learned so much! I completed 21 restored surfaces. The restorations included many buccal cervical composite and some buccal amalgam restorations (if posterior).One patient used to dip and so had a full mouth of facial caries. He told me he has quit dipping for four years now but still has to deal with the consequences. I started on #29B and moved down to 30B and 31BD. #31 caries extended distally and as I tried to excavate the caries, the pulp was exposed and it started bleeding. We placed dycal, vitrebond and restored with IRM in order to perform pulpotomy from the occlusal. I also restored #29B and 30B with amalgam. Rubber dam was placed on #31 and access was gained for pulpotomy, located 3 canals and irrigated with NaCl. Placed a cotton roll and IRM. Pt. will be coming back for RCT soon.
I also got some experience obtaining a maxillomandibular relation record with wax bite made by the lab. The patient has had a jaw surgery so his mandibular bite was to the left of the maxillary arch. It was very difficult getting the CR but it was reproducible. I took the bite registration and wax rims to the lab and communicated with them as to what we wanted. I also asked for monoplane occlusion.
My last procedure was on an older patient who was about 80 years old, had severe back problems and could not lay down all the way. He had #8 and 9 MILF composite restorations that were loose with decay. He asked to not be put back too much because he also could not breath out of his nose. It was definitely a challenge because I also could not use much water since the patient couldn't breath out of his nose. I had to stand to do the restorations but the final result was great and the patient said he can finally smile again.
It was a great day and I loved being so busy and doing different procedures.
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