Thursday, October 22, 2009

Paedodontist's Log 1 & Surgeon's Log 2

Morning: Children's Dentistry
My clinical partner's 5-year-old super duper cute boy patient came today for stainless steel crown placement. He has super duper long & curved eyelashes and big round eyes *^.^*
He looked like just been dragged out of his bed to the clinic, reluctant to talk, just responded our questions by either nodding or shaking his head. Fearing of making him cry, we let him played with the teeth model. He brushed diligently on the model using the correct technique that my partner taught him 2 weeks ago, we kept praising him =D
We used a mouth prop this time to keep his mouth open as he felt asleep on the dental chair during the previous visit and closed his mouth :P
He was very cooperative throughout the 2.5 hour session, good boy!
In the end, he went home as a "Superboy" with a shiny metal crown in his mouth =)
Lesson of the day: to not polish the crown with handpiece immediately after seating as the vibration will break the cement seal or disturb the setting process of the cement.

Afternoon: Oral Maxillofacial Surgery
Was supposed to have Minor Oral Surgery session but both patients didn't turn up.
The oral maxillofacial surgeon-in-charge brought our group for wardrounds at Orthopaedic Surgery ward & Otorhinolaryngology ward.

Orthopaedic Surgery ward
Saw a motor vehicle accident trauma patient with zygomatic complex fracture. Learnt how to approach trauma patients to perform examinations. Concentration was put on head and neck region - our region of interest =)

Otorhinolaryngology ward
Saw a very young patient (probably around 20 years of age) who has had 2 times of Squamous Cell Carcinoma of the maxilla due to recurrence. She just had maxillectomy & radical neck dissection. A very long tracheostomy tube was there on her neck. Poor girl. Learnt about the importance of placing incisions out of the lines of aesthetics to avoid leaving a bad scar =)

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