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| 195 QUESTIONS |
Chat Log - EXTRA REVIEW SESSION *Paid. January 18th 9am-11:00
01/18/2015 08:44:38 Dentalelle Tutoring: Good morning everyone!
01/18/2015 08:44:49 Dentalelle Tutoring: I'm so sorry I should have let you all sleep, I wasn't thinking! 9am is early
01/18/2015 08:47:27 Alex from T: Good morning!
01/18/2015 08:47:39 Alex from T: Thank you so much for this extra review I am so very nervous
01/18/2015 08:49:33 Dentalelle Tutoring: My pleasure!
01/18/2015 08:49:43 Dentalelle Tutoring: We will start at 9am
01/18/2015 08:55:47 C: I am almost done all the questions
01/18/2015 08:55:57 C: great questions
01/18/2015 08:56:34 C: i wanted to ask so can you do a one person wheelchair transfer? in an office we have to
01/18/2015 08:58:15 Dentalelle Tutoring: Yes! two person is 'preferred' and if they ask on the exam that is the best method. one person is possible just takes longer and tricky. I do one person too but if the client can't assist at all then I make sure I have two
01/18/2015 09:01:57 Dentalelle Tutoring: Did anyone have any questions so far? Since you all have the answers with the review questions I want to make sure any additional questions you have are answered :)
01/18/2015 09:03:31 C: I did have one if that sok
01/18/2015 09:03:38 C: maybe a few
01/18/2015 09:03:50 Dentalelle Tutoring: Yes of course, ask away
01/18/2015 09:05:06 C: if they ask light perio is 4mm modeterate is 5mm and severe is 6mm? some texts are different
01/18/2015 09:05:49 Dentalelle Tutoring: Yes carrie great question!! 4mm is early (not light - its called early) 5mm is moderate. 6mm or more is severe
01/18/2015 09:06:10 Alex from T: some texts say that 6mm is moderate still
01/18/2015 09:06:33 Dentalelle Tutoring: You're right, but on the exam know it has 6mm is severe because its in the darby
01/18/2015 09:06:38 C: ok thanks so much
01/18/2015 09:09:34 Dentalelle Tutoring: Great question though thank you!
01/18/2015 09:10:01 Dentalelle Tutoring: I've had some students ask a few sealant questions that I want to make sure everyone knows here
01/18/2015 09:10:14 Alex from T: Yes please! i think i know seealats but who knows
01/18/2015 09:12:00 Dentalelle Tutoring: After you etch, what do want the tooth to look like?
01/18/2015 09:13:58 C: whit!
01/18/2015 09:14:06 C: white. or you need to reetch
01/18/2015 09:15:19 Dentalelle Tutoring: chalky white :)
01/18/2015 09:15:49 Dentalelle Tutoring: and yes you need to re-etch if you do not see that. For about 20 seconds. Not as long as you would have etched before (30-60 seconds depending on the type of etch you use)
01/18/2015 09:18:07 Alex from T: tahts right i remember that. you dont need to etch for the whole time because some of it should have worked
01/18/2015 09:18:17 Alex from T: and the etch removes the smear layer right? i haver been studying so much
01/18/2015 09:18:23 Dentalelle Tutoring: Thats right Alex, good for you!
01/18/2015 09:19:33 Dentalelle Tutoring: If the exam asks - the smear layer is a combo of debris, plaque, bacteria - its on top of the tooth and the etch removes it so its a clean surface for a sealant, filling, etc.
01/18/2015 09:21:59 C: thats right i have heard of that before
01/18/2015 09:22:28 Dentalelle Tutoring: AND what are the post op instructions to give the patient and parents after a sealant?
01/18/2015 09:22:32 tracy from Hamilton, Ont: hi everyone. took me literally 20 mins just trying to get in :S sorry about that
01/18/2015 09:23:05 Dentalelle Tutoring: Oh no! Thats ok Tracy, was it your computer or the AnyMeeting software?
01/18/2015 09:23:11 C: hi!
01/18/2015 09:23:24 Alex from T: hello! sometimes my interet is slow and takes me a while too
01/18/2015 09:24:26 C: post op is to make sure to brush and floss still because it just helps prevent cavities but not elimiate them completely
01/18/2015 09:24:39 C: and the sealant doesbt go inbetween
01/18/2015 09:24:45 tracy from Hamilton, Ont: my computer. not to worry tho im glad im in haha
01/18/2015 09:25:31 Dentalelle Tutoring: Thats right thats great! And they can eat and drink right away after no problem. Always make sure to check the sealant after with the articulating paper because if the sealant is high the dentist needs to adjust it with a handpiece
01/18/2015 09:25:46 Dentalelle Tutoring: Ok good! Wanted to make sure it wasnt the anymeeting software or I would have to yell at them again lol
01/18/2015 09:25:50 C: lol
01/18/2015 09:26:40 tracy from Hamilton, Ont: i had a question regarding abuse.
01/18/2015 09:27:06 Dentalelle Tutoring: Yes Tracy go ahead!
01/18/2015 09:27:31 tracy from Hamilton, Ont: if you suspect abuse on a child or adult but not enough evidence to report it, what do we do?
01/18/2015 09:27:33 C: yes i like questions
01/18/2015 09:28:13 tracy from Hamilton, Ont: if i tell the dentist and he tellss me not to sayi= aything cause i dont have enough evidence to report it do i still or not?
01/18/2015 09:28:34 Dentalelle Tutoring: I would report it yes
01/18/2015 09:28:50 Dentalelle Tutoring: I see what you mean - the dentist always has the last word BUT being an RDH you can overstep that
01/18/2015 09:29:05 Dentalelle Tutoring: Because you could be held liable for anything even if the dentist says not to worry
01/18/2015 09:29:23 Dentalelle Tutoring: For abuse cases you cant be of course, but better safe then sorry. Has that happened to you Tracy?
01/18/2015 09:29:42 C: thats hard but yes i would report it if I had a feeling
01/18/2015 09:29:59 tracy from Hamilton, Ont: so, even if the dentist says if you report it, you will lose your job, dont listen to him and go report it?
01/18/2015 09:30:19 tracy from Hamilton, Ont: i absolutley agree i would report it regardless.
01/18/2015 09:30:50 Dentalelle Tutoring: Yes I would. If he fires you, you can sue
01/18/2015 09:30:54 Dentalelle Tutoring: You would have a great case
01/18/2015 09:31:37 Dentalelle Tutoring: And he wouldnt be able to find out if you reported it anyway. You could mention that when you report it "I want to be kept anonymous because my boss has threatened to fire me if I call you"
01/18/2015 09:31:42 tracy from Hamilton, Ont: alright. thanks i was definitly pondering over that bevause i would report it but i was thinking what if.
01/18/2015 09:31:47 C: thats crazy what a jerk you shouldnt work for him anyway
01/18/2015 09:32:00 Dentalelle Tutoring: Very good question thats tough
01/18/2015 09:32:42 Alex from T: that is i would report it though
01/18/2015 09:33:04 Alex from T: people due dentists all the time. a friend of mine got pregnant and left on mat leave, he fired her before she left and she sued becasue he cant do that
01/18/2015 09:33:14 Alex from T: she got some good money. not saying money is the point but thast just wrong
01/18/2015 09:33:26 Dentalelle Tutoring: Yes very wrong!
01/18/2015 09:33:46 tracy from Hamilton, Ont: great thanks guys :D
01/18/2015 09:34:51 C: good question thanks tracey
01/18/2015 09:35:24 tracy from Hamilton, Ont: thanks :)
01/18/2015 09:35:26 C: andrea what is a festoon?
01/18/2015 09:35:37 C: someone was testing me and asked but i forget
01/18/2015 09:37:33 Dentalelle Tutoring: A festoon is when the margin of the gingiva is enlarged (swollen) and recession present
01/18/2015 09:38:07 C: so recession and enlarged gingiva? i totally forgot that
01/18/2015 09:38:14 Dentalelle Tutoring: :) now everyone knows
01/18/2015 09:38:20 tracy from Hamilton, Ont: great
01/18/2015 09:40:12 Alex from T: I really liked these questions it showed me how much I knew and if I didnt know something I looked it up last night. I feel so much more confident
01/18/2015 09:40:51 Alex from T: A friend of mine took another tutoring course and I took it with her last year it was so boring and dry. thank you for making your power points colorful and answering my nmany many emails andrea\
01/18/2015 09:41:27 Dentalelle Tutoring: Thank you Alex I am so happy to hear you say that! Whatever helps, I am so glad I could help. I will be thinking of all of you when you take the exam ::)
01/18/2015 09:41:46 C: i agree you are great and this course has really helped me which i knew about it a long time ago before i took the exam the first time
01/18/2015 09:42:37 Dentalelle Tutoring: My pleasure everyone :)
01/18/2015 09:42:48 Alex from T: and exudate means pus right?
01/18/2015 09:42:57 C: yes it does! they like to ask that on the exam i know
01/18/2015 09:43:05 Dentalelle Tutoring: You're right and yes they do
01/18/2015 09:44:36 Dentalelle Tutoring: Question for you all - is bleeding normal when probing? Even just a little?
01/18/2015 09:45:29 C: good question, i want to say no but i thibk yes>
01/18/2015 09:46:03 tracy from Hamilton, Ont: i would like to say no, because the always say when there is sign of bleeding gingiva is not in health. unless they were puncutred with the probe or the probing technique was roughl....i dont know haha
01/18/2015 09:46:27 Dentalelle Tutoring: Good thoughts Tracy! The answer is NO
01/18/2015 09:46:37 Dentalelle Tutoring: This is because bleeding is a sign of not being healthy, plain and simple
01/18/2015 09:46:57 Dentalelle Tutoring: Its a tricky question but bottom line is no. If the gums bleed, not healthy
01/18/2015 09:47:09 tracy from Hamilton, Ont: good question :)
01/18/2015 09:47:20 Dentalelle Tutoring: If the client has very little plaque and tartar, but still bleed then you need to let them know they have gum disease
01/18/2015 09:47:30 Dentalelle Tutoring: and gum diease = not healthy
01/18/2015 09:47:37 Alex from T: great question that made me think
01/18/2015 09:48:34 Dentalelle Tutoring: In the real world if they have little plaque and floss daily, but their gums are bleeding I suggest a warm salt water rinse at nights until the gums stop bleeding
01/18/2015 09:48:49 tracy from Hamilton, Ont: cancellous bone is also called trabecular bone?
01/18/2015 09:49:00 Dentalelle Tutoring: 1 tsp salt in warm water (a cup) and swoosh for 30 seconds. It works and is a great antibacterial
01/18/2015 09:49:22 Dentalelle Tutoring: Yes tracy! also called spongy bone
01/18/2015 09:49:28 C: yay i kbew that tracy haha
01/18/2015 09:49:45 C: I shouted yes but didnt type it haha
01/18/2015 09:49:53 Dentalelle Tutoring: lol good Carrie :)
01/18/2015 09:50:15 Dentalelle Tutoring: What is compact bone also called?
01/18/2015 09:50:17 tracy from Hamilton, Ont: haha awsome. just cause they always refer as spongy cancellous and compact but then through in trabecular and i get nervous cause im like oh shoot haha
01/18/2015 09:50:27 tracy from Hamilton, Ont: throw**
01/18/2015 09:50:38 C: compact is also cortical
01/18/2015 09:50:48 Dentalelle Tutoring: Gosh I know they love to be confusing :(
01/18/2015 09:50:53 Dentalelle Tutoring: Yes Carrie good!
01/18/2015 09:51:34 Dentalelle Tutoring: Tracy did you know that compact is also cortical?
01/18/2015 09:53:03 tracy from Hamilton, Ont: yes! i did luckily haha its thick outer layer and is hard and strong
01/18/2015 09:53:14 Dentalelle Tutoring: Excellent!
01/18/2015 09:53:22 Alex from T: i have a question please
01/18/2015 09:53:37 Alex from T: what is the difference from edge to edge bite and end to end bite? are they the same? they sound the same and want to be sure
01/18/2015 09:54:15 Dentalelle Tutoring: What do you all think? edge to edge and end to end?
01/18/2015 09:54:22 C: different i think
01/18/2015 09:55:30 Dentalelle Tutoring: Yes so far so good :)..
01/18/2015 09:56:38 Dentalelle Tutoring: edge to edge is for incisal surfaces touching and end to end is molar surfaces touching
01/18/2015 09:56:44 C: ohhh ok that makes sense
01/18/2015 09:56:59 C: so if they touch and depending on if they are anteriors or molars
01/18/2015 09:57:14 Alex from T: wow i didnt know that hpw did i forget that
01/18/2015 09:57:18 Alex from T: now i know, hope its on the exam
01/18/2015 09:57:23 tracy from Hamilton, Ont: haha i just was saying that outloud but afraid i was wrong. awsome
01/18/2015 09:57:46 Dentalelle Tutoring: Aw thats ok Tracy never be afraid to be wrong no worries
01/18/2015 09:58:13 tracy from Hamilton, Ont: i was second guessing cause maybe they were the same, but great question :)
01/18/2015 09:58:27 C: and open bite is when they dont touch?
01/18/2015 09:59:01 tracy from Hamilton, Ont: yea, can stem from thumb sucking
01/18/2015 09:59:03 Dentalelle Tutoring: Yes thats right! open bite is failure to occlude
01/18/2015 09:59:15 Dentalelle Tutoring: Yes Tracy exactly, I tell parents this all the time and show photos
01/18/2015 09:59:50 Dentalelle Tutoring: Now overjet and overbite can someone explain what these mean. Which is horizontal and which is vertical? this is so important
01/18/2015 09:59:53 tracy from Hamilton, Ont: actually, down syndrome can have open bites due to tongue thrusting, or no?
01/18/2015 10:02:18 tracy from Hamilton, Ont: overbite - maxilla covering the mandibuler in a vertical relation, over jet - im thinking of class 2 division 1 i cant explain but i know visually haha
01/18/2015 10:02:41 Dentalelle Tutoring: You know what Tracy I'm not sure, I dont THINK so because I think you would need more of an impact
01/18/2015 10:04:00 tracy from Hamilton, Ont: overjet - horizontal
01/18/2015 10:04:16 Dentalelle Tutoring: But thats a good question..im sorry I don't know that one! But I dont think so
01/18/2015 10:04:45 Dentalelle Tutoring: And yes Tracy you said it perfectly. Please memorize those everyone it will be on the exam I can almost say 100% its always there
01/18/2015 10:04:57 tracy from Hamilton, Ont: you are probably right i was just pondering about that
01/18/2015 10:05:41 Dentalelle Tutoring: If this helps - I think of overbite being when you 'BITE' down how do the teeth look? How much of the top is overlapping? That is vertical (top teeth over bottom)
01/18/2015 10:06:28 Dentalelle Tutoring: Overjet is horizontal. Distance is millimeters so you measure with a probe
01/18/2015 10:06:42 C: yes we did this in school but you explain it beter thanks
01/18/2015 10:06:47 C: I wrote this down
01/18/2015 10:08:05 Dentalelle Tutoring: Whatever helps!
01/18/2015 10:08:28 tracy from Hamilton, Ont: is black hairy tongue associated with HIV as well?
01/18/2015 10:08:28 C: i have another question prognathic is class 3//? or is it class 2?
01/18/2015 10:08:45 C: i have prognathic, retro and mesognathic in my head
01/18/2015 10:10:13 Dentalelle Tutoring: Excellent question! Another must know!
01/18/2015 10:10:49 Dentalelle Tutoring: Retro is class II (I think 'back' because retro means 'past' the mandibular is pushed 'back'
01/18/2015 10:11:10 Dentalelle Tutoring: Prognathic is when the mandibular is pushed forward (class III)
01/18/2015 10:11:13 tracy from Hamilton, Ont: i wanna say prognathic is class 3 :S
01/18/2015 10:11:36 tracy from Hamilton, Ont: awsome.
01/18/2015 10:11:52 Dentalelle Tutoring: Meso is when the profile is straight and flat. Most similar to class I
01/18/2015 10:12:22 Dentalelle Tutoring: Retro = convex proile and Prog = concave
01/18/2015 10:12:29 Alex from T: Thank you I wrote that down too
01/18/2015 10:12:55 Dentalelle Tutoring: Good Tracy :)
01/18/2015 10:13:14 Dentalelle Tutoring: I recommend reviewing this before you step into the exam because its easy to get confused
01/18/2015 10:13:30 Dentalelle Tutoring: If they word it funny on the exam its easy to get confused so know those well :)
01/18/2015 10:14:05 C: I have a one page sheet that i am going to review before the exam, im arrive half an hour early to be safe
01/18/2015 10:14:18 Dentalelle Tutoring: Excellent idea Carrie
01/18/2015 10:15:04 Alex from T: great idea
01/18/2015 10:15:13 Alex from T: i will make one up tonight and this will be on it so thank you hank you
01/18/2015 10:16:50 Dentalelle Tutoring: What is considered a moderate overbite?
01/18/2015 10:17:32 C: when the top teeth are in the middle of the bottom teeth
01/18/2015 10:17:36 tracy from Hamilton, Ont: 50%
01/18/2015 10:18:08 Dentalelle Tutoring: Yes perfect!
01/18/2015 10:18:28 Dentalelle Tutoring: Normal is considered when the top teeth are a little over the bottom teeth, they say within the incisal third of the mandibular teeth
01/18/2015 10:18:51 Dentalelle Tutoring: Thats confusing to me so I think in my miind "a little over the mand. teeth about 10%"
01/18/2015 10:19:03 Dentalelle Tutoring: but however you think of it to make it work for you
01/18/2015 10:19:19 C: and severe would be almost covering the bottom teeth/ maybe just a little showing?
01/18/2015 10:19:30 C: sorry im on my ipad its hard to type fast
01/18/2015 10:19:42 Dentalelle Tutoring: Yes Carrie you're right!
01/18/2015 10:19:51 Dentalelle Tutoring: And no worries I'm glad you can use your iPad :)
01/18/2015 10:23:29 C: i have a question
01/18/2015 10:23:53 C: class two is distocclusion rigth?
01/18/2015 10:24:28 C: i think of it because mandibular teeth are pushed back in class II
01/18/2015 10:24:42 Dentalelle Tutoring: Thats a great way to look at it and yes thats right
01/18/2015 10:24:54 Dentalelle Tutoring: More terms to know please and make note :)
01/18/2015 10:25:21 Dentalelle Tutoring: Class I - neutrocclusion
01/18/2015 10:25:45 Dentalelle Tutoring: Class III - mesioocclusion
01/18/2015 10:25:55 Alex from T: I have that on a sticky note
01/18/2015 10:25:57 Alex from T: yay yay
01/18/2015 10:26:01 Dentalelle Tutoring: :) lol good!
01/18/2015 10:27:49 Dentalelle Tutoring: Everyone good so far?
01/18/2015 10:28:08 Dentalelle Tutoring: Any questions Tracy?
01/18/2015 10:28:54 tracy from Hamilton, Ont: none as of right now
01/18/2015 10:29:00 C: im good too
01/18/2015 10:29:06 Alex from T: I have one more
01/18/2015 10:29:25 Alex from T: im looking in text and can you explain supraversion?
01/18/2015 10:29:47 Dentalelle Tutoring: Yes! Supraversion is when the tooth is elongated above the line of occlusion
01/18/2015 10:30:03 Dentalelle Tutoring: Torsiversion is turned or rotated
01/18/2015 10:30:28 Dentalelle Tutoring: Infraversion - below line of occlusion
01/18/2015 10:30:34 Dentalelle Tutoring: Great terms to know and often forgotton
01/18/2015 10:30:38 C: yes very good
01/18/2015 10:32:25 tracy from Hamilton, Ont: me too....Digoxin what is that used for again?
01/18/2015 10:33:14 Dentalelle Tutoring: Good question! Do you ladies know?
01/18/2015 10:33:32 C: heart something?
01/18/2015 10:34:04 Dentalelle Tutoring: Yes used to treat heart failure :) Good job Carrie
01/18/2015 10:34:19 Dentalelle Tutoring: Think of "heart problems"
01/18/2015 10:35:47 tracy from Hamilton, Ont: what category would digoxin be in. antihypertensive?
01/18/2015 10:36:01 tracy from Hamilton, Ont: since itsrelation is the heart
01/18/2015 10:36:29 Dentalelle Tutoring: Yes I would say antihypertensive, good I should have mentioned it
01/18/2015 10:37:45 C: remineralizing means it can take away a cavity?
01/18/2015 10:39:27 Dentalelle Tutoring: remineralizing means - when a tooth becomes demineralized a cavity can form because its weaker
01/18/2015 10:40:00 Dentalelle Tutoring: remineralization means adding fluoride to help remineralize the enamel. Very effective
01/18/2015 10:41:23 Alex from T: good for incipent decay?
01/18/2015 10:41:24 tracy from Hamilton, Ont: question - What are the scores for Glucose levels on a diabetic patient.
01/18/2015 10:41:35 tracy from Hamilton, Ont: what is normal or common to look for
01/18/2015 10:42:49 Dentalelle Tutoring: I say the lower the number the better = 4-8 are good readings (4 being the best)
01/18/2015 10:43:05 Dentalelle Tutoring: anything above 8 is bad and something needs to be done
01/18/2015 10:43:26 Dentalelle Tutoring: HbA is the test score.
01/18/2015 10:43:31 Dentalelle Tutoring: and yes perfect for incipents
01/18/2015 10:43:39 C: i have a diagram for that tracy i think i found it online
01/18/2015 10:43:51 C: i remember 4 and up until 8 is a good reading if that hels
01/18/2015 10:43:56 C: helps
01/18/2015 10:44:05 tracy from Hamilton, Ont: yea it does thanks guys :)
01/18/2015 10:44:35 Dentalelle Tutoring: I keep a chart in my office too to remind me and its good to show patients
01/18/2015 10:45:21 C: good idea
01/18/2015 10:45:33 C: thats all for me andrea thank you again
01/18/2015 10:45:52 tracy from Hamilton, Ont: im done as well thank you
01/18/2015 10:45:52 C: thank you everyone for the great questions this was so helpful and now i want to review these 195 questions again so much haha
01/18/2015 10:45:58 C: worth the money i appreciate that
01/18/2015 10:46:20 Dentalelle Tutoring: My pleasure!! If anyone comes across a question later please email me and ask
01/18/2015 10:46:35 Dentalelle Tutoring: I have a busy day but I will respond within a few hours I will do the best I ca
01/18/2015 10:46:39 Dentalelle Tutoring: can*
01/18/2015 10:47:39 C: bye for now!
01/18/2015 10:47:49 Alex from T: bye!
01/18/2015 10:48:09 tracy from Hamilton, Ont: bye :)
01/18/2015 10:48:49 Dentalelle Tutoring: Any other questions ladies?
01/18/2015 10:49:42 Dentalelle Tutoring: And Tracy did you get the PP from Gumroad?
01/18/2015 10:50:02 tracy from Hamilton, Ont: yes i did thank you very much! :)
01/18/2015 10:50:19 Alex from T: I dont have any other just going to review for the rest of the day
01/18/2015 10:50:53 Dentalelle Tutoring: Great job :)
01/18/2015 10:51:45 Dentalelle Tutoring: Are you both taking the exam Monday?
01/18/2015 10:52:27 Alex from T: im so nervous but I feel confident
01/18/2015 10:52:46 Alex from T: I am going to review all the full course notes today and these questions thats it. It will take me all day haha. I play the videos while I do housework and listen
01/18/2015 10:53:52 Dentalelle Tutoring: Great idea Alex!
01/18/2015 10:54:03 Dentalelle Tutoring: Lets see, one last question..hmmm...let me think of a good one'
01/18/2015 10:54:08 Alex from T: haha kk
01/18/2015 10:54:48 Dentalelle Tutoring: What does secondary trauma from occlusion mean and when does it occur?
01/18/2015 10:55:28 Dentalelle Tutoring: Ill give you a few minutes to tjhink
01/18/2015 10:56:54 Alex from T: i know one involves bone loss and one doesnt
01/18/2015 10:57:02 Alex from T: so with secondary i am guess trauma with bone loss present?
01/18/2015 10:57:24 Dentalelle Tutoring: Yes good! It means trauma when the tooth has bone loss
01/18/2015 10:57:41 Dentalelle Tutoring: Primary trauma from occlusion results when no bone loss is present
01/18/2015 10:57:45 Alex from T: I got it!
01/18/2015 10:57:48 Alex from T: :):):)
01/18/2015 10:59:10 Dentalelle Tutoring: Ok ladies, I will give you time to study now
01/18/2015 10:59:17 Dentalelle Tutoring: Email if you need anything I am here!
01/18/2015 10:59:34 Dentalelle Tutoring: Good luck and make sure to eat and take breaks, do not study all night :). Take a break and get a good sleep
01/18/2015 10:59:58 Alex from T: bye everyone!
01/18/2015 11:00:23 Dentalelle Tutoring: Have a good day and I hope this helps you all! Thats the main thing
01/18/2015 08:44:49 Dentalelle Tutoring: I'm so sorry I should have let you all sleep, I wasn't thinking! 9am is early
01/18/2015 08:47:27 Alex from T: Good morning!
01/18/2015 08:47:39 Alex from T: Thank you so much for this extra review I am so very nervous
01/18/2015 08:49:33 Dentalelle Tutoring: My pleasure!
01/18/2015 08:49:43 Dentalelle Tutoring: We will start at 9am
01/18/2015 08:55:47 C: I am almost done all the questions
01/18/2015 08:55:57 C: great questions
01/18/2015 08:56:34 C: i wanted to ask so can you do a one person wheelchair transfer? in an office we have to
01/18/2015 08:58:15 Dentalelle Tutoring: Yes! two person is 'preferred' and if they ask on the exam that is the best method. one person is possible just takes longer and tricky. I do one person too but if the client can't assist at all then I make sure I have two
01/18/2015 09:01:57 Dentalelle Tutoring: Did anyone have any questions so far? Since you all have the answers with the review questions I want to make sure any additional questions you have are answered :)
01/18/2015 09:03:31 C: I did have one if that sok
01/18/2015 09:03:38 C: maybe a few
01/18/2015 09:03:50 Dentalelle Tutoring: Yes of course, ask away
01/18/2015 09:05:06 C: if they ask light perio is 4mm modeterate is 5mm and severe is 6mm? some texts are different
01/18/2015 09:05:49 Dentalelle Tutoring: Yes carrie great question!! 4mm is early (not light - its called early) 5mm is moderate. 6mm or more is severe
01/18/2015 09:06:10 Alex from T: some texts say that 6mm is moderate still
01/18/2015 09:06:33 Dentalelle Tutoring: You're right, but on the exam know it has 6mm is severe because its in the darby
01/18/2015 09:06:38 C: ok thanks so much
01/18/2015 09:09:34 Dentalelle Tutoring: Great question though thank you!
01/18/2015 09:10:01 Dentalelle Tutoring: I've had some students ask a few sealant questions that I want to make sure everyone knows here
01/18/2015 09:10:14 Alex from T: Yes please! i think i know seealats but who knows
01/18/2015 09:12:00 Dentalelle Tutoring: After you etch, what do want the tooth to look like?
01/18/2015 09:13:58 C: whit!
01/18/2015 09:14:06 C: white. or you need to reetch
01/18/2015 09:15:19 Dentalelle Tutoring: chalky white :)
01/18/2015 09:15:49 Dentalelle Tutoring: and yes you need to re-etch if you do not see that. For about 20 seconds. Not as long as you would have etched before (30-60 seconds depending on the type of etch you use)
01/18/2015 09:18:07 Alex from T: tahts right i remember that. you dont need to etch for the whole time because some of it should have worked
01/18/2015 09:18:17 Alex from T: and the etch removes the smear layer right? i haver been studying so much
01/18/2015 09:18:23 Dentalelle Tutoring: Thats right Alex, good for you!
01/18/2015 09:19:33 Dentalelle Tutoring: If the exam asks - the smear layer is a combo of debris, plaque, bacteria - its on top of the tooth and the etch removes it so its a clean surface for a sealant, filling, etc.
01/18/2015 09:21:59 C: thats right i have heard of that before
01/18/2015 09:22:28 Dentalelle Tutoring: AND what are the post op instructions to give the patient and parents after a sealant?
01/18/2015 09:22:32 tracy from Hamilton, Ont: hi everyone. took me literally 20 mins just trying to get in :S sorry about that
01/18/2015 09:23:05 Dentalelle Tutoring: Oh no! Thats ok Tracy, was it your computer or the AnyMeeting software?
01/18/2015 09:23:11 C: hi!
01/18/2015 09:23:24 Alex from T: hello! sometimes my interet is slow and takes me a while too
01/18/2015 09:24:26 C: post op is to make sure to brush and floss still because it just helps prevent cavities but not elimiate them completely
01/18/2015 09:24:39 C: and the sealant doesbt go inbetween
01/18/2015 09:24:45 tracy from Hamilton, Ont: my computer. not to worry tho im glad im in haha
01/18/2015 09:25:31 Dentalelle Tutoring: Thats right thats great! And they can eat and drink right away after no problem. Always make sure to check the sealant after with the articulating paper because if the sealant is high the dentist needs to adjust it with a handpiece
01/18/2015 09:25:46 Dentalelle Tutoring: Ok good! Wanted to make sure it wasnt the anymeeting software or I would have to yell at them again lol
01/18/2015 09:25:50 C: lol
01/18/2015 09:26:40 tracy from Hamilton, Ont: i had a question regarding abuse.
01/18/2015 09:27:06 Dentalelle Tutoring: Yes Tracy go ahead!
01/18/2015 09:27:31 tracy from Hamilton, Ont: if you suspect abuse on a child or adult but not enough evidence to report it, what do we do?
01/18/2015 09:27:33 C: yes i like questions
01/18/2015 09:28:13 tracy from Hamilton, Ont: if i tell the dentist and he tellss me not to sayi= aything cause i dont have enough evidence to report it do i still or not?
01/18/2015 09:28:34 Dentalelle Tutoring: I would report it yes
01/18/2015 09:28:50 Dentalelle Tutoring: I see what you mean - the dentist always has the last word BUT being an RDH you can overstep that
01/18/2015 09:29:05 Dentalelle Tutoring: Because you could be held liable for anything even if the dentist says not to worry
01/18/2015 09:29:23 Dentalelle Tutoring: For abuse cases you cant be of course, but better safe then sorry. Has that happened to you Tracy?
01/18/2015 09:29:42 C: thats hard but yes i would report it if I had a feeling
01/18/2015 09:29:59 tracy from Hamilton, Ont: so, even if the dentist says if you report it, you will lose your job, dont listen to him and go report it?
01/18/2015 09:30:19 tracy from Hamilton, Ont: i absolutley agree i would report it regardless.
01/18/2015 09:30:50 Dentalelle Tutoring: Yes I would. If he fires you, you can sue
01/18/2015 09:30:54 Dentalelle Tutoring: You would have a great case
01/18/2015 09:31:37 Dentalelle Tutoring: And he wouldnt be able to find out if you reported it anyway. You could mention that when you report it "I want to be kept anonymous because my boss has threatened to fire me if I call you"
01/18/2015 09:31:42 tracy from Hamilton, Ont: alright. thanks i was definitly pondering over that bevause i would report it but i was thinking what if.
01/18/2015 09:31:47 C: thats crazy what a jerk you shouldnt work for him anyway
01/18/2015 09:32:00 Dentalelle Tutoring: Very good question thats tough
01/18/2015 09:32:42 Alex from T: that is i would report it though
01/18/2015 09:33:04 Alex from T: people due dentists all the time. a friend of mine got pregnant and left on mat leave, he fired her before she left and she sued becasue he cant do that
01/18/2015 09:33:14 Alex from T: she got some good money. not saying money is the point but thast just wrong
01/18/2015 09:33:26 Dentalelle Tutoring: Yes very wrong!
01/18/2015 09:33:46 tracy from Hamilton, Ont: great thanks guys :D
01/18/2015 09:34:51 C: good question thanks tracey
01/18/2015 09:35:24 tracy from Hamilton, Ont: thanks :)
01/18/2015 09:35:26 C: andrea what is a festoon?
01/18/2015 09:35:37 C: someone was testing me and asked but i forget
01/18/2015 09:37:33 Dentalelle Tutoring: A festoon is when the margin of the gingiva is enlarged (swollen) and recession present
01/18/2015 09:38:07 C: so recession and enlarged gingiva? i totally forgot that
01/18/2015 09:38:14 Dentalelle Tutoring: :) now everyone knows
01/18/2015 09:38:20 tracy from Hamilton, Ont: great
01/18/2015 09:40:12 Alex from T: I really liked these questions it showed me how much I knew and if I didnt know something I looked it up last night. I feel so much more confident
01/18/2015 09:40:51 Alex from T: A friend of mine took another tutoring course and I took it with her last year it was so boring and dry. thank you for making your power points colorful and answering my nmany many emails andrea\
01/18/2015 09:41:27 Dentalelle Tutoring: Thank you Alex I am so happy to hear you say that! Whatever helps, I am so glad I could help. I will be thinking of all of you when you take the exam ::)
01/18/2015 09:41:46 C: i agree you are great and this course has really helped me which i knew about it a long time ago before i took the exam the first time
01/18/2015 09:42:37 Dentalelle Tutoring: My pleasure everyone :)
01/18/2015 09:42:48 Alex from T: and exudate means pus right?
01/18/2015 09:42:57 C: yes it does! they like to ask that on the exam i know
01/18/2015 09:43:05 Dentalelle Tutoring: You're right and yes they do
01/18/2015 09:44:36 Dentalelle Tutoring: Question for you all - is bleeding normal when probing? Even just a little?
01/18/2015 09:45:29 C: good question, i want to say no but i thibk yes>
01/18/2015 09:46:03 tracy from Hamilton, Ont: i would like to say no, because the always say when there is sign of bleeding gingiva is not in health. unless they were puncutred with the probe or the probing technique was roughl....i dont know haha
01/18/2015 09:46:27 Dentalelle Tutoring: Good thoughts Tracy! The answer is NO
01/18/2015 09:46:37 Dentalelle Tutoring: This is because bleeding is a sign of not being healthy, plain and simple
01/18/2015 09:46:57 Dentalelle Tutoring: Its a tricky question but bottom line is no. If the gums bleed, not healthy
01/18/2015 09:47:09 tracy from Hamilton, Ont: good question :)
01/18/2015 09:47:20 Dentalelle Tutoring: If the client has very little plaque and tartar, but still bleed then you need to let them know they have gum disease
01/18/2015 09:47:30 Dentalelle Tutoring: and gum diease = not healthy
01/18/2015 09:47:37 Alex from T: great question that made me think
01/18/2015 09:48:34 Dentalelle Tutoring: In the real world if they have little plaque and floss daily, but their gums are bleeding I suggest a warm salt water rinse at nights until the gums stop bleeding
01/18/2015 09:48:49 tracy from Hamilton, Ont: cancellous bone is also called trabecular bone?
01/18/2015 09:49:00 Dentalelle Tutoring: 1 tsp salt in warm water (a cup) and swoosh for 30 seconds. It works and is a great antibacterial
01/18/2015 09:49:22 Dentalelle Tutoring: Yes tracy! also called spongy bone
01/18/2015 09:49:28 C: yay i kbew that tracy haha
01/18/2015 09:49:45 C: I shouted yes but didnt type it haha
01/18/2015 09:49:53 Dentalelle Tutoring: lol good Carrie :)
01/18/2015 09:50:15 Dentalelle Tutoring: What is compact bone also called?
01/18/2015 09:50:17 tracy from Hamilton, Ont: haha awsome. just cause they always refer as spongy cancellous and compact but then through in trabecular and i get nervous cause im like oh shoot haha
01/18/2015 09:50:27 tracy from Hamilton, Ont: throw**
01/18/2015 09:50:38 C: compact is also cortical
01/18/2015 09:50:48 Dentalelle Tutoring: Gosh I know they love to be confusing :(
01/18/2015 09:50:53 Dentalelle Tutoring: Yes Carrie good!
01/18/2015 09:51:34 Dentalelle Tutoring: Tracy did you know that compact is also cortical?
01/18/2015 09:53:03 tracy from Hamilton, Ont: yes! i did luckily haha its thick outer layer and is hard and strong
01/18/2015 09:53:14 Dentalelle Tutoring: Excellent!
01/18/2015 09:53:22 Alex from T: i have a question please
01/18/2015 09:53:37 Alex from T: what is the difference from edge to edge bite and end to end bite? are they the same? they sound the same and want to be sure
01/18/2015 09:54:15 Dentalelle Tutoring: What do you all think? edge to edge and end to end?
01/18/2015 09:54:22 C: different i think
01/18/2015 09:55:30 Dentalelle Tutoring: Yes so far so good :)..
01/18/2015 09:56:38 Dentalelle Tutoring: edge to edge is for incisal surfaces touching and end to end is molar surfaces touching
01/18/2015 09:56:44 C: ohhh ok that makes sense
01/18/2015 09:56:59 C: so if they touch and depending on if they are anteriors or molars
01/18/2015 09:57:14 Alex from T: wow i didnt know that hpw did i forget that
01/18/2015 09:57:18 Alex from T: now i know, hope its on the exam
01/18/2015 09:57:23 tracy from Hamilton, Ont: haha i just was saying that outloud but afraid i was wrong. awsome
01/18/2015 09:57:46 Dentalelle Tutoring: Aw thats ok Tracy never be afraid to be wrong no worries
01/18/2015 09:58:13 tracy from Hamilton, Ont: i was second guessing cause maybe they were the same, but great question :)
01/18/2015 09:58:27 C: and open bite is when they dont touch?
01/18/2015 09:59:01 tracy from Hamilton, Ont: yea, can stem from thumb sucking
01/18/2015 09:59:03 Dentalelle Tutoring: Yes thats right! open bite is failure to occlude
01/18/2015 09:59:15 Dentalelle Tutoring: Yes Tracy exactly, I tell parents this all the time and show photos
01/18/2015 09:59:50 Dentalelle Tutoring: Now overjet and overbite can someone explain what these mean. Which is horizontal and which is vertical? this is so important
01/18/2015 09:59:53 tracy from Hamilton, Ont: actually, down syndrome can have open bites due to tongue thrusting, or no?
01/18/2015 10:02:18 tracy from Hamilton, Ont: overbite - maxilla covering the mandibuler in a vertical relation, over jet - im thinking of class 2 division 1 i cant explain but i know visually haha
01/18/2015 10:02:41 Dentalelle Tutoring: You know what Tracy I'm not sure, I dont THINK so because I think you would need more of an impact
01/18/2015 10:04:00 tracy from Hamilton, Ont: overjet - horizontal
01/18/2015 10:04:16 Dentalelle Tutoring: But thats a good question..im sorry I don't know that one! But I dont think so
01/18/2015 10:04:45 Dentalelle Tutoring: And yes Tracy you said it perfectly. Please memorize those everyone it will be on the exam I can almost say 100% its always there
01/18/2015 10:04:57 tracy from Hamilton, Ont: you are probably right i was just pondering about that
01/18/2015 10:05:41 Dentalelle Tutoring: If this helps - I think of overbite being when you 'BITE' down how do the teeth look? How much of the top is overlapping? That is vertical (top teeth over bottom)
01/18/2015 10:06:28 Dentalelle Tutoring: Overjet is horizontal. Distance is millimeters so you measure with a probe
01/18/2015 10:06:42 C: yes we did this in school but you explain it beter thanks
01/18/2015 10:06:47 C: I wrote this down
01/18/2015 10:08:05 Dentalelle Tutoring: Whatever helps!
01/18/2015 10:08:28 tracy from Hamilton, Ont: is black hairy tongue associated with HIV as well?
01/18/2015 10:08:28 C: i have another question prognathic is class 3//? or is it class 2?
01/18/2015 10:08:45 C: i have prognathic, retro and mesognathic in my head
01/18/2015 10:10:13 Dentalelle Tutoring: Excellent question! Another must know!
01/18/2015 10:10:49 Dentalelle Tutoring: Retro is class II (I think 'back' because retro means 'past' the mandibular is pushed 'back'
01/18/2015 10:11:10 Dentalelle Tutoring: Prognathic is when the mandibular is pushed forward (class III)
01/18/2015 10:11:13 tracy from Hamilton, Ont: i wanna say prognathic is class 3 :S
01/18/2015 10:11:36 tracy from Hamilton, Ont: awsome.
01/18/2015 10:11:52 Dentalelle Tutoring: Meso is when the profile is straight and flat. Most similar to class I
01/18/2015 10:12:22 Dentalelle Tutoring: Retro = convex proile and Prog = concave
01/18/2015 10:12:29 Alex from T: Thank you I wrote that down too
01/18/2015 10:12:55 Dentalelle Tutoring: Good Tracy :)
01/18/2015 10:13:14 Dentalelle Tutoring: I recommend reviewing this before you step into the exam because its easy to get confused
01/18/2015 10:13:30 Dentalelle Tutoring: If they word it funny on the exam its easy to get confused so know those well :)
01/18/2015 10:14:05 C: I have a one page sheet that i am going to review before the exam, im arrive half an hour early to be safe
01/18/2015 10:14:18 Dentalelle Tutoring: Excellent idea Carrie
01/18/2015 10:15:04 Alex from T: great idea
01/18/2015 10:15:13 Alex from T: i will make one up tonight and this will be on it so thank you hank you
01/18/2015 10:16:50 Dentalelle Tutoring: What is considered a moderate overbite?
01/18/2015 10:17:32 C: when the top teeth are in the middle of the bottom teeth
01/18/2015 10:17:36 tracy from Hamilton, Ont: 50%
01/18/2015 10:18:08 Dentalelle Tutoring: Yes perfect!
01/18/2015 10:18:28 Dentalelle Tutoring: Normal is considered when the top teeth are a little over the bottom teeth, they say within the incisal third of the mandibular teeth
01/18/2015 10:18:51 Dentalelle Tutoring: Thats confusing to me so I think in my miind "a little over the mand. teeth about 10%"
01/18/2015 10:19:03 Dentalelle Tutoring: but however you think of it to make it work for you
01/18/2015 10:19:19 C: and severe would be almost covering the bottom teeth/ maybe just a little showing?
01/18/2015 10:19:30 C: sorry im on my ipad its hard to type fast
01/18/2015 10:19:42 Dentalelle Tutoring: Yes Carrie you're right!
01/18/2015 10:19:51 Dentalelle Tutoring: And no worries I'm glad you can use your iPad :)
01/18/2015 10:23:29 C: i have a question
01/18/2015 10:23:53 C: class two is distocclusion rigth?
01/18/2015 10:24:28 C: i think of it because mandibular teeth are pushed back in class II
01/18/2015 10:24:42 Dentalelle Tutoring: Thats a great way to look at it and yes thats right
01/18/2015 10:24:54 Dentalelle Tutoring: More terms to know please and make note :)
01/18/2015 10:25:21 Dentalelle Tutoring: Class I - neutrocclusion
01/18/2015 10:25:45 Dentalelle Tutoring: Class III - mesioocclusion
01/18/2015 10:25:55 Alex from T: I have that on a sticky note
01/18/2015 10:25:57 Alex from T: yay yay
01/18/2015 10:26:01 Dentalelle Tutoring: :) lol good!
01/18/2015 10:27:49 Dentalelle Tutoring: Everyone good so far?
01/18/2015 10:28:08 Dentalelle Tutoring: Any questions Tracy?
01/18/2015 10:28:54 tracy from Hamilton, Ont: none as of right now
01/18/2015 10:29:00 C: im good too
01/18/2015 10:29:06 Alex from T: I have one more
01/18/2015 10:29:25 Alex from T: im looking in text and can you explain supraversion?
01/18/2015 10:29:47 Dentalelle Tutoring: Yes! Supraversion is when the tooth is elongated above the line of occlusion
01/18/2015 10:30:03 Dentalelle Tutoring: Torsiversion is turned or rotated
01/18/2015 10:30:28 Dentalelle Tutoring: Infraversion - below line of occlusion
01/18/2015 10:30:34 Dentalelle Tutoring: Great terms to know and often forgotton
01/18/2015 10:30:38 C: yes very good
01/18/2015 10:32:25 tracy from Hamilton, Ont: me too....Digoxin what is that used for again?
01/18/2015 10:33:14 Dentalelle Tutoring: Good question! Do you ladies know?
01/18/2015 10:33:32 C: heart something?
01/18/2015 10:34:04 Dentalelle Tutoring: Yes used to treat heart failure :) Good job Carrie
01/18/2015 10:34:19 Dentalelle Tutoring: Think of "heart problems"
01/18/2015 10:35:47 tracy from Hamilton, Ont: what category would digoxin be in. antihypertensive?
01/18/2015 10:36:01 tracy from Hamilton, Ont: since itsrelation is the heart
01/18/2015 10:36:29 Dentalelle Tutoring: Yes I would say antihypertensive, good I should have mentioned it
01/18/2015 10:37:45 C: remineralizing means it can take away a cavity?
01/18/2015 10:39:27 Dentalelle Tutoring: remineralizing means - when a tooth becomes demineralized a cavity can form because its weaker
01/18/2015 10:40:00 Dentalelle Tutoring: remineralization means adding fluoride to help remineralize the enamel. Very effective
01/18/2015 10:41:23 Alex from T: good for incipent decay?
01/18/2015 10:41:24 tracy from Hamilton, Ont: question - What are the scores for Glucose levels on a diabetic patient.
01/18/2015 10:41:35 tracy from Hamilton, Ont: what is normal or common to look for
01/18/2015 10:42:49 Dentalelle Tutoring: I say the lower the number the better = 4-8 are good readings (4 being the best)
01/18/2015 10:43:05 Dentalelle Tutoring: anything above 8 is bad and something needs to be done
01/18/2015 10:43:26 Dentalelle Tutoring: HbA is the test score.
01/18/2015 10:43:31 Dentalelle Tutoring: and yes perfect for incipents
01/18/2015 10:43:39 C: i have a diagram for that tracy i think i found it online
01/18/2015 10:43:51 C: i remember 4 and up until 8 is a good reading if that hels
01/18/2015 10:43:56 C: helps
01/18/2015 10:44:05 tracy from Hamilton, Ont: yea it does thanks guys :)
01/18/2015 10:44:35 Dentalelle Tutoring: I keep a chart in my office too to remind me and its good to show patients
01/18/2015 10:45:21 C: good idea
01/18/2015 10:45:33 C: thats all for me andrea thank you again
01/18/2015 10:45:52 tracy from Hamilton, Ont: im done as well thank you
01/18/2015 10:45:52 C: thank you everyone for the great questions this was so helpful and now i want to review these 195 questions again so much haha
01/18/2015 10:45:58 C: worth the money i appreciate that
01/18/2015 10:46:20 Dentalelle Tutoring: My pleasure!! If anyone comes across a question later please email me and ask
01/18/2015 10:46:35 Dentalelle Tutoring: I have a busy day but I will respond within a few hours I will do the best I ca
01/18/2015 10:46:39 Dentalelle Tutoring: can*
01/18/2015 10:47:39 C: bye for now!
01/18/2015 10:47:49 Alex from T: bye!
01/18/2015 10:48:09 tracy from Hamilton, Ont: bye :)
01/18/2015 10:48:49 Dentalelle Tutoring: Any other questions ladies?
01/18/2015 10:49:42 Dentalelle Tutoring: And Tracy did you get the PP from Gumroad?
01/18/2015 10:50:02 tracy from Hamilton, Ont: yes i did thank you very much! :)
01/18/2015 10:50:19 Alex from T: I dont have any other just going to review for the rest of the day
01/18/2015 10:50:53 Dentalelle Tutoring: Great job :)
01/18/2015 10:51:45 Dentalelle Tutoring: Are you both taking the exam Monday?
01/18/2015 10:52:27 Alex from T: im so nervous but I feel confident
01/18/2015 10:52:46 Alex from T: I am going to review all the full course notes today and these questions thats it. It will take me all day haha. I play the videos while I do housework and listen
01/18/2015 10:53:52 Dentalelle Tutoring: Great idea Alex!
01/18/2015 10:54:03 Dentalelle Tutoring: Lets see, one last question..hmmm...let me think of a good one'
01/18/2015 10:54:08 Alex from T: haha kk
01/18/2015 10:54:48 Dentalelle Tutoring: What does secondary trauma from occlusion mean and when does it occur?
01/18/2015 10:55:28 Dentalelle Tutoring: Ill give you a few minutes to tjhink
01/18/2015 10:56:54 Alex from T: i know one involves bone loss and one doesnt
01/18/2015 10:57:02 Alex from T: so with secondary i am guess trauma with bone loss present?
01/18/2015 10:57:24 Dentalelle Tutoring: Yes good! It means trauma when the tooth has bone loss
01/18/2015 10:57:41 Dentalelle Tutoring: Primary trauma from occlusion results when no bone loss is present
01/18/2015 10:57:45 Alex from T: I got it!
01/18/2015 10:57:48 Alex from T: :):):)
01/18/2015 10:59:10 Dentalelle Tutoring: Ok ladies, I will give you time to study now
01/18/2015 10:59:17 Dentalelle Tutoring: Email if you need anything I am here!
01/18/2015 10:59:34 Dentalelle Tutoring: Good luck and make sure to eat and take breaks, do not study all night :). Take a break and get a good sleep
01/18/2015 10:59:58 Alex from T: bye everyone!
01/18/2015 11:00:23 Dentalelle Tutoring: Have a good day and I hope this helps you all! Thats the main thing
