Wednesday, October 12, 2016

Brain Dead after Dental visit.

The other day while surfing on the net, I slearned about the horrible tory of a girl became brain dead because of dental treatment.
The girl was getting treatments done by a paediatric dentist. General dentists refer little patients, who are not co-operative to pedodontist. Some times, the kid need more care than the general dentist can offer.
But, what went wrong in the dental office, that made the little girl brain dead?

The article says the kid had breakfast before procedure. Was it known to the dentist? Does it made the complication? a lot of un answered questions.

How on earth, the kid had so much decayed teeth to begin with?
Wasn't the drinking water fluoridated in Edmonton?

I am so sorry for the family. Hope, this sad fate will something positive in the end.


Monday, February 24, 2014

Dycal: Information for Dental Assistants

What is Dycal?
Dycal is a cavity liner, which comes as a two paste system, base and accelerator. It is Calcium Hydroxide. It can also be used in pulp capping.
It usually used when the dentist feels like the cavity is so deep and almost the nerve is almost exposed. The calcium hydroxide will help the tooth to heal. 

How to Mix Dycal
Here is a video of how to mix the dycal.

Usually the assistant gives the Dycal along with a Dycal applicator to the dentist. (Dycal applicator looks like a ball burnisher but slightly different.)
The one above is single ended. The one below is double ended and you can see how it is different from a ball burnisher.
It is a hard setting and has low solubility. Dycal helps the restoration of pulp vitality and do not interfere with composite filling materials.

If doing composite fillings, usually dentist put Dycal first, then do the etching, bonding and placing of composite.

What do you think of this post in Toothtalkings? 
Any questions, please use the comment section. 


Monday, February 10, 2014

Save money by taking care

It is good to have dental cleaning done every six months. The dental professionals advice you.

In reality, it is expensive, isn't it? Without a good paying job or having a job with benefits, regular dental dental visits are expensive to many of us. Then think about the need for getting cavities filled or the severe toothache leading to root canal treatment? That will sure put your budget upside down.

If we can spend some time each day to take care of our teeth, we can avoid some of the expensive treatments. 

Brushing and flossing regularly is the first step to maintain healthy teeth. It is not that expensive. Just careful to brush gently. By, brushing gently, what I mean is your brush should look like new even after six months of using.  

Make a habit of flossing after dinner. If you are just starting to do flossing, little bit of bleeding from the gums are expected. But, if the bleeding is not reducing with the continuous use of flossing, it is an indication that the gums are infected and needs to be checked by a dentist.

You might have heard of oil pulling from Dr.Oz show. I am sure the benefit of it. It is just another way you can try everyday to have healthy mouth. 

All health conscious people know carbonated soft drinks and high sure diet are not good for health. That goes to oral health too. How many people know that raisins are not healthy for tooth? Any food that stick to tooth is not good at all. So, after eating such sticky food, remember to brush it off or chew on sugar free gums, or chew a celery stick. 

Crunchy fruits and vegetables are called detergent foods. They can remove the food sticking to the tooth surfaces to avoid getting cavity. Drink more water instead of juices. Rinse mouth with water after each meal. 

I am not suggesting we can avoid dental visits completely by these tips. We can reduce the chances of getting cavities and gum disease by being careful. 

Usually, if you are getting the cleaning done at a hygiene clinic, it will be less expensive than getting it done in a dentist's office. 

What do you think of this article? Do you have any other dental tips? Please share your thoughts in the commet section.


Thursday, February 6, 2014

Ultrasonic cleaner : Only for medial and dental offices?

You might have seen something like this in your dentist's office or the doctor's office. You might have even asked what is that and what is doing.

The friendly dental assistant might have told you it is an ultrasonic cleaner for cleaning the instruments. 

What is it really doing? 

First of all, it can be used to clean more than dental instruments. It can be used to clean jewelry, lenses and optical parts. 

It has a chamber to hold the cleaning solution (specially designed for the ultrasonic cleaners) and a wire basket to hold the instruments. The ultrasonic cleaner uses ultrasound for cleaning. 
Actually, the sound waves produces millions of bubbles in the solution, which implode. This cavitation process helps to loosen the blood saliva and plaque from the instruments. It is done in a microscopic level, which is far better than hand scrubbing the instruments by hand. This cleaner helps to remove debris from the tiny crevices and pores of the instruments. 

Your dental assistants will wash the cleaned instruments and then sterilize them in autoclave or statim. 

Now, there are small ultrasonic cleaners available in the market to be used at home. You can have one to clean your precious gold and silver jewelry or eyeglasses or dentures at home. 

The iSonic one can be bought with less than $50. 

Then on Instructables I saw this homemade ultrasonic tank.
Can it be used to remove that annoying dirty marks from the shirt collars too? 

What else you want your ultrasonic cleaner to do for you? 


Monday, January 27, 2014

Dental Curing Light: What is it for?

When you go to dental office to get a filling done, you may have seen the assistant using a blue light on the filling. You might have asked what it's for and found out that the material is hardened by light. This is in fact a curing light. 

What is a curing light?

It is an equipment used in the dental office. The light has a visible spectrum of blue. Curing means polymerization or hardening of monomers in the resin based filling materials. (This is the composite filling or tooth-coloured filling).
The dental curing light produces visible light and not UV light.
Since the prolonged exposure to this blue light can burn the retina, the dental personals use a shield to protect their eyes. 

When was it introduced?

Light curing dental materials were introduced in the 1960s. The curing light was introduced in the 1970s. The first curing light used UV light to cure the material. During the 1980s chemists discovered visible light that can be used to cure resin materials. 

Types of curing light in Dental offices

There are mainly two types of curing lights used by dentists: halogen curing light and LED curing light. 

Halogen curing light has a tungsten filament, which is inside a bulb filled with halogen gas. When the light turns on, current passes through tungsten filament and heats it up to produce UV light and visible light. There is a filter in the equipment to absorb all the UV light, and lights other than the blue spectrum. This unit produces a lot of heat, so a cooling fan is also added in the equipment. Some practices still use this. 

LED is widely used because it is lighter than the halogen. They are more cost effective and longer lasting compared to halogen curing lights. Being battery powered makes them portable as well. The heat generated is very less so no cooling fan is necessary.

With the discovery of curing light, new light activated materials were introduced to dentistry. The new resin materials can be placed directly on the tooth without mixing different materials. It saves time in delivering treatment and the material is cured enough so the filling will be perfect.

What do you think of curing light now? Have you ever thought about the use of chemistry in dentistry? If you have any questions about curing light, please reply below!


Thursday, January 23, 2014

Useful links for DentalAssistants

We used to do only one blog post per week on ToothTalkings. When I found these articles on the web, thought the blog readers will be benefited from the information. 

1. Green tea is good for oral health. Some teas can stain the teeth though. Will you be using a straw to avoid staining when drink tea?

2 Will we use 3D printing in Dentistry?. 
I saw 3D printer was used to create heart of the baby in "Grey's Anatomy". Will we be using a 3D printer to make a custom night guard or a crown in the future?

3. According to Forbes, Dental Assisting is a good job for young people.
 They said median annual earning is $33,000. I came across this forum on and many hate being dental assistant. What is your take on it? Is it a job with  good pay?

4.Oil pulling is good for dental health
 Oil pulling is putting one table spoon of oil in the mouth and swish it around for about 15 minutes. Just spit out and rinse your mouth. 
I never tried it. But thinking of doing as an experiment.

5. It is the flue season: Health and Safety policies for dental staff during the flue season
The article is for the dentists. But, it is nice to know what the policy must be. Do your work place has a health and safety policy?

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Saturday, January 18, 2014

Dental Assisting: 10 tips to be an effective DentalAssistant

We have seen what a Dentist wants from a good dental assistant. Let us look at how we can be more effective at work, so that we can perform better.

1. Get Organised

First thing first. We have to be really organised in the dental office. We need to know where the instruments are, where the procedure tubs are etc. 
I find that keeping the instruments arranged in the order the boss wanted to use.[???] My filling instruments are in the same place. The composite tub always has the extra shades, articulating paper, polishing discs, micro brushes, clear matrix, and so on.
Our Endo tub has all the RCT items like files, paper points, cotton pellets, the endo instruments the dentist really likes and cavit for the initial appointments. I have the syringes for the disinfectant solution for the canals also in the tub. 
If you can't remember all of the steps your dentist follows, then make notes for yourself and keep it in the tubs too. That way you can have a quick look and make sure everything is available within reach before starting the procedure. 

2. Stop Multi tasking

I know, our bosses sometimes want to get things done faster than we can possibly do. But don't fool yourself - just concentrate on the task at hand. We are doing enough multitasking by doing the suction and retracting the tongue or cheek itself. 

3.Know what the Dentist wants

What is the motto of the office? What does the dentist want to project? Is it a whiter smile or a healthier smile? Does the dentist like you giving post op or not? Do he/she like you to move the light to improve visibility? Do they really want the instruments to be passed or want them to be in the tray? Do they like you anticipating the next step and being ready or to take things only after they ask? 
Follow accordingly.

4. Have strong relationships with co-workers

It is very important to have strong relationships with everyone in the office. The receptionist in the office may have been there for a longer time than you. The technician who comes once in a while might know more about the office than you think. The people who comes to pick up lab cases regularly can be of great help, if you have a friendly relationship with them. 

5. Listen carefully

Listen to the dentist. Then listen to patients and co-workers. This helps you to earn more appreciation from your boss and co-workers. 

6. Come Early

I Know it's not applicable to all offices. But if you have a key or your office opens a little bit earlier than the first patient, this is helpful for earning a stress free day. We can prepare things early and be ready for the first patient. Arriving 5 minutes early will make you feel less anxious too. 

7. Be Healthy

We cannot afford to be sick when we earn an hourly rate with no health benefits and sick leaves. 

So take care of you. Eat healthy, exercise and take those flu shots in the winter time. Use hand sanitisers. If the office don't buy the hand moisturizers for the staff, have yours easily accessible for you after each hand-washing. Un-broken skin is your better barrier against the diseases.  Do all thats possible to be healthy. If possible, bargain with the dentist to get a free cleaning for you every 6 months.

 8. Take time to relax

Dental assisting is a stressful job. Make sure to take a few minutes everyday to relax and gain clarity about the work you do. 

9. Never stop learning

Do you think dental assisting is a dead end job? It will be only if you stop learning new things. Learn a bit more everyday. It can be oral hygiene, infection control, or a new dental product. Spend fifteen minutes to watch a dental video or to read a dental blog. Anything is better than doing nothing, right? 

10. Have a positive attitude

Last but not least, have a positive attitude. People love a positive person. Your boss can be mean and co-workers can be bothering. You cannot control other people. We all have control over one thing though: That is ourselves and our attitude, and that is our greatest asset. 

Do you have any other tips to be more effective? Do you like to share your special method to be more effective?
Please share your thoughts in the comments.