The record was not that clear at all (you can check it by yourself :S ) I tried to guess what Doctor

was saying by using logic our lecture(mainly instructions) :

*The lecture is at 8:15 so doors will be closed at 8:20 as usual and no side talks. *The doctor started showing a paint of a poor child looking sadly at school children; she wanted us to appreciate the chance of being at dental school and to use this chance efficiently. *In order to be a good dentist you should try to review (without the details) previous information from previous years if possible (good knowledge confirm the patients trust in you). *Mid exam will be on a Saturday and it will be out of 40 (points not marks) so at the end it will be turned into marks, marks in clinic will be in form of A,B,C,D,F!. *In cons. Clinic: white clean coats should be closed, no jeans are allowed..same instructions of all clinics. *Any delay more than 15 minutes will be counted as an unexcused absence. *dismiss the patient 15 minutes before the end of the clinic so you can have time for documenting and signing your case and taking your mark. *Document the chief complaint, history and the examination in a brief way because you dont have much time for extended information. Patient comes into clinic-----< chief complaint ----< history of chief complaint :

History taking (be specific dont ask generally) Investigations Reach our diagnosis Treatment plan

Examination Treatment,

Onset , duration, relieving factors, aggravating factors, frequency.

finally reevaluation. * Your mark will be on the finished work with permanent restorations not temporary.

*We dont like temporary restorations because of seal lack in comparison with permanent restorations.

You have to write everything in patients dental record;e.g.: local anesthesia with epinephrine 1:100000 for upper right 6, class 1 cavity preparation and amalgam restoration for upper later, RCT..

Done when needed not always for example when we want to determine the pulp vitality. Pulp vitality tests are the most common used in cons. Clinic.

Pulp vitality tests are :cold test, heat test , electrical pulp test. When patient tells you that pain comes on sweet then it is reversible
pulpitis. But on heat and spontaneously then it is irreversible.

You need to know how, when to do the test and how to explain the
results, otherwise the test is useless!.

For example if we suspect that our patient is having pulp involvement and we decide to do Cold Test..what are the steps ? 1. Isolation. 2. Bring a cotton pellet and the Endo Ice (most commonly used). 3. Start the test on a control tooth (sound tooth serves as a standard). 4. Apply the pellet on the facial tooth surface. 5. Then move on to the suspected tooth in the same way done on the control. 6. Interpretation of the test results.

*During the vitality test ask the patient to raise his left hand (if the dentist is right handed) if he feels pain, and to raise his right hand if the dentist is left handed* Control tooth : usually the sound adjacent tooth and if it is crowned or lost or impaired for any reason then I move to the next one and so on REMEMBER : TOOTH TESTS :

1. Take a radiograph. 2. Employ percussion-tapping. 3. Employ palpation. 4. Apply the cold test. 5. Apply the heat test. 6. Apply the electric pulp test (EPT).

7. Use bite sticks. 8. Employ trans-illumination 9. Use the binocular microscope. 10. Apply selective anesthesia. 11. Drill a test cavity.

* The doctor started talking about different irrelative information so I put them as notes: Poorly localized pain and periapical lesions are usually related to irreversible pulpitis. It is important for you as a dentist to have good clean teeth and free of plaque so you can gain patients trust. We have to be gentle in examining the patients oral structures; e.g. : when using the probe on a tooth to detect a carious lesion be gentle dont press strongly and scratch the sound tooth!

 Be gentle while dealing with the patient especially if he comes with severe pain or swelling.. Always start the emergencies before others even if the patients main concern is not an emergency. Patient has the right to ask you anything about the procedures and you should answer him confidently to gain his trust otherwise you will lose your patient ( o enzal esh7ad mareed :P ) Give the patient instructions and it is your responsibility to let the him appreciate the importance of his cooperation. The importance of history taking (including patients age) and examination are carried in the procedures modifications.

P.S this is not a script . It is only some Additional Notes . .