Monday 18 May 2009

Thank You Dr. Rickmann!!!!!!

Think i shall dedicate this whole post to the best tutor in DH clinic -- Dr. Rickmann! (Luke)
There's no other tutor that's as dedicated as him, as humble as him, as approachable as Luke!!

Was doin an endodontic treatment on a lower left 7. My clinical partner was ill and couldnt make it to clinic today. So i got help from a trainee nurse who know nothing.

There's no problem for me to reach the distal canal as it's huge and round. I'm sure any ppl with normal vision can see that massive canal. However the 2 mesials were giving me nightmares. Luke helped to locate the twin earlier and done the access cavities. They are both sitting right next to each other and there's no direct vision into the access. So most of the time, i'm just digging blindly, by feel, hoping that i did get into the smallest canal(mesio-bucally) instead of keep filing the bigger one (mesio-lingual).
With lots of luck, i did manage to widen up all 3 canals to MAF 25. heh!

Next -- Radiographs for working length (WL). We've learnt how to take x-rays for endo WL estimations in theory, but this is the 1st time to put it into practical... Shivers..

Luke came over with a big smile:" so how r you doin there??" -- Typical him!
His smiles is always so encouraging, drawing me out from my stress, making me feel tat my saviour is here! =D

He took a look into the tooth n found out that there's saliva leakage. Bad news -- bcoz bacteria can get into the canals and cause infection. It's easily solved with Oraseal. However Oraseal doesnt really work this time as i've lost my mesial wall and saliva can still leak in. Well, we just leave the problem aside n move on to our radiographs.

Luke:" Hm... it's gunna be hard to place the files when u're in the radio room isnt it?"
Me with an 'oh god please help me~~ face' : "Yea.. i think so.. cant even see the canals.."
Luke gave me a big huge grin again: " well, go n check if there's any vacancies in the radio section and i'll come with you when it's ready".

I was superly duperly happy at that instant!!! Felt like i've just won a lottery or something. Wanna give our lovely tutor a big bear hug!!!!

Off i ran ..

It was a bit messy when we're trying to set the patient up as the rubber dam gets in our way and the patient salivates a lot! Luke went back to the clinic to get me a frame to hold the rubber dam while i tried to place the files in. Luke was watching from behind.
"maybe a twizer will help".
Before i actually said i'm fine without it, he ran off to clinic again and get me a MPT (mirror, Probe, Twizer) kit...

Back of my head i was thinking -- Where can you find a tutor that'll run to the clinic TWICE to get his student little things?!!! He's a tutor eh.. a TUTOR! not a 'kehlehfeh'!!
I even told the radiographer(Amir) that Luke is such a good tutor!! ^^

The files were already set whn he's back with the MPT. "Brilliant!" Amir taught me how to take the radiographs and sent it off to be processed.

The canals were temporarised with TGPax(containing CaOH & iodiene) which is bacteriocidal and the cavity is temporarised with Fuji II.

~~~~~~~~~~~~~~~~BIG RELIEVE~~~~~~~~~~~~~~~~

After sending the patient off, i was left alone to clean up the mess and finish-up my notes. The nurses have left, soon as the clock struck 5!! Luke stayed and waited. He even got a warning from the senior nurse for finishing late in almost every session.. poor Luke..

The radiographs turns out good. Spot on!
On signing, Luke said:"Great!! You've done very well today!! When you come back in 3 weeks time, we can clean and fill the canals."
*** GRrrriiiIIN***


"........................................................................"

a bit too AMBITIOUS i'm afraid





p/s: It was already 5.30pm whn we leave the clinic. OT!!

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