Monday, January 10, 2011

Thanks Darling!

My dear, sweet hubby came in today for me to finish scaling and polishing his teeth.  He was wonderful and patient with me.  I know that his jaw was getting sore and that he was just plain bored, but he stuck with me and let me complete his scaling.  I am just so glad that I was able to get everything finished and that I didn't have to reschedule him for yet ANOTHER day.  I think he was glad too.

He came in and I greeted him with a smile and a hug.  I started with HHx- no changes since____.  HHxRx- no alterations to Tx.  Sign and get instructor signature.  Check- everything going well.  OD- lesion still present, refer to DDS.  OHI- PFI: 75%, big improvement over the last visit.  Way to go, babe!  Next came scaling.  I completed one quadrant and had it checked by my instructor.  I missed a couple of areas.  Rescale and have it checked again.  Fine, so move on to the rest of the mouth.  I was really amazed at how hard it is to get calculus off of teeth.  I felt like I was scraping and scraping and scraping on just one surface to get it off and it still felt rough.  I just need to apply more lateral pressure and use the right instrument.  After scaling for an hour and a half, I was finished and ready for a scale check.  Trev was pretty tired of my hands in his mouth at this point.  He really needed to get back to work as well.  Once again, I missed a few teeth.  I was able to get the calculus off of one area really well, without any help.  The other two spots I needed some extra advice on how to get it.  I realize that I need to utilize my air/water syringe to dry the teeth to check for calculus.  That was really helpful.  I toothbrush polished my hubby, applied varnish and got him the heck out of there.  I did forget to write "complete" on the patient walk-out form.  I can fix that one quickly.  Trev is such a wonderful man!  Only a man truly in love would let his wife stick her hands in his mouth for 2 and a 1/2 hours poking his gums.

My goals for my next patient are to continue to solidify certain concepts in my head.  I need to make sure that I truly get the order of how I chart things.  What order to perform certain tasks, making sure to get the correct signatures.  My goal is it get at least OHI and one quadrant done of scaling.  I am setting my sight high on my short day, but I hope that I can do it.  I may not be able to if I take a full mouth set of x-rays.  I will see if I can talk Rock into it!

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