Monday, February 6, 2012

5th Patient first appointment

Goal: 2 Quads Class II, 4 BWX, 4 PAX, 2 PEs
Actual: 2 Quads Class V, 4 BWX, 4 PAX

I received this patient from my peer pal.  She was screening for board patients and came across her.  She said she was a Class II, but wasn't a good board patient so she referred her to me.  I was so excited to finally see a Class II.  This patient was super cooperative with scheduling and confirming.  I felt really good about this because I have had a bad experience with flaky patients.  My patient showed up right on time and mentioned she only had $32 for today.  I was able to explain the importance of x-rays since it had been a while since she had been seen by a dentist.  She agreed t o4 BWX and 4 PAX.  She did so well in the x-ray room with a small mouth using Shick.  I was so glad to have this opportunity.  I also noted the slight loss of lamina dura and got excited.  She may actually be a Class II!  I took her back to my chair and started the OD process (extra/intra oral exam for cancer, dent eval for caries, and perio statement).  I was finding deeper pockets and felt good about all of it other than she didn't have much calculus supragingivally.  I got a little nervous about it.  Sure enough, my instructor comes over, bursts my bubble, and tells me this patient is a Class V. :( Sad day for me.  This will make 3 Class V patients I've seen.  Hopefully, this will count for something.  I feel like I'm getting farther and farther behind.  I was hoping to pass off PEs and get ahead of the game....  She was a great patient and super sweet though!  I guess I can't be too picky, right?

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