Border molding is a part of the procedures of making a denture. It is done before taking the secondary impression, which is a critical part because we are going to do this with the least error, and should record everything which is required. Oh my~
A denture.
Gigi palsu. Dalam prosthodontics, kita sedang membuat balik sesuatu yang telah ALlah ciptakan sebelum ini. Simply gigi dan gusinya. Betapa complex penciptaan gigi dan gusi jangan sesekali kita remehkan. Buktinya, sehingga wujud satu cabang dalam bidang Dentistry, which is Prosthodontics yang hanya membicarakan mengenai pembuatan gigi dan gusi baru. Palsu punya. Dan, cabang ini adalah yang paling susah setakat ini. Paling remeh, need skills and long time. At least 10 appointments is needed to a complete a denture.
Primary impression - done
border molding for 2ndry impression - half done
Border Molding
Skill dan kesabaran adalah amat diperlukan. First time buat, memang banyak error. Otak hanya satu, mana nak fikir kedudukan tangan, mana nak fikir patient, mana nak fikir doktor, mana nak fikir assistant, friends etc. Orang yang buat kerja tu sahaja yang tahu . Orang yang hanya tengok memang akan merasakan, 'ish budak ni banyak betul salah. Salah la...buat macam ni la...'.
Boleh je time tu cakap, nah, buat, ganti tempat saya, saya arahkan awak. Boley?
Yes, i appreciate the help from others tapi cuba be patient dan hormati saya.
I'm removing sticky wax from the tray, only shuway bass...tetiba datang sorang ni cakap u dont have to remove it all...(dalam hati, eh, baru sikit aku remove, of course aku tahu xyah remove all). Pastu datang lagi sorang cakap benda yang sama. Aduhai hati, sabarlah....rasa nak menjerit je kat situ, and say leave me alone. Tapi nanti kang sorang-sorang susah gak takde assistant.
Saya plak dah ditegur dua kali oleh patient yang berlainan, 'u dont have to be afraid'. sorang lagi kata,'i have a lot of time, dont be to rushing'. Nah, saya tahu yang wajah saya menggambarkan stress yang amat. Satu, sebab otak saya tengah process, apa yang doc ckp, dan apa yang perlu dibuat etc. Dua, sebab memang stress pun!
Baru ni dapat perli free ngan seseorang. Saya tak tolerate perlian orang, lagi-lagi kalau perli tu salah tempat,salah sasaran. Kalau perli orang memang pemalas, thats verrry okay. Me? I dont accept myself being labelled as pemalas. I read books, i studied. And i dah penat menafikan bila orang cakap i rajin. so, 'label pemalas' memang boleh buang jauh dari aku, walau aku tahu aku bukan cemerlang. Bijak? yang memerli tu tentu bijak cemerlang gemilang, jom ramai-ramai tonton kerja dia bila dapat patient nanti. Buktikan la ye!
Now i have to study beberapa subjek yang berkaitan. (namun langsung tidak terkesan dengan perlian yang tersasar itu)
p/s : hari ini agak teruk sebab kad ATM kena telan, seb baik dapat balik on that time, pastu JD100 lesap ditelan bank yang konon-konon dah tutup lepas tu. What? Hati ni cuba untuk redha demi Aidilfitri yang bakal menjelang, dan kekangan masa yang menuntutku pergi ke dental teaching center (broken tray okay! sheesh)
Senin, 29 September 2008
Sabtu, 27 September 2008
hari ini
hari ini
raya datang lagi
sekeping hati secebis rasa
hati itu tahu
menyemai gembira di tepian pantai rasa
kerna ini
adalah kemenangan
buat muslim yang berjaya
menghadiahkan puasa buat Rabb
Tapi secebis rasa itu
walau sekelumit
namun tetap menggigit penjuru hati
lompongnya aidilfitri ini
tanpa keluarga
hati itu membasuh bekas rasa itu
agar sembuh rindu nan berat
yang kian membebanni jasad hati
keluargaku sinar hatiku
doakan daku di sini
ditemani taqwa dan sabar
tunggu kepulanganku
di aidilfitri akan datang
moga hilang sepi ini
sepi sang perantau
raya datang lagi
sekeping hati secebis rasa
hati itu tahu
menyemai gembira di tepian pantai rasa
kerna ini
adalah kemenangan
buat muslim yang berjaya
menghadiahkan puasa buat Rabb
Tapi secebis rasa itu
walau sekelumit
namun tetap menggigit penjuru hati
lompongnya aidilfitri ini
tanpa keluarga
hati itu membasuh bekas rasa itu
agar sembuh rindu nan berat
yang kian membebanni jasad hati
keluargaku sinar hatiku
doakan daku di sini
ditemani taqwa dan sabar
tunggu kepulanganku
di aidilfitri akan datang
moga hilang sepi ini
sepi sang perantau
Kamis, 25 September 2008
cons clinic
today i made class v restoration for right lower 4.
Alhamdulillah, assistant, friends, doctors and instructors are all helpful.
Few words i got today :
awak ada masalah untuk bernafas? عندك مشاكل بالتنافس؟
awak merokok ? (biddakhkhan?) بدخن؟
pernah masuk hospital? دخلت مستشفى بالمرة؟
blood transfusion نقل دم
Being a clinical student at oversea, all you need to success are work hard and sharing. Apa sahaja yang awak dapat, beneficial to our studies, kenala share. Jangan simpan dalam hati, aku susah-susah dapat, aku taknak kongsi ngan orang lain. Biar aku lebih dari orang lain. Macamlah orang lain tak pernah bantu kita? Thats a point that we should think of. Sentiasa ingat jasa orang lain dan lupakan jasa sendiri. Mengapa? Sebab memang manusia tend to lebih mengingati apa yang diri sendiri buat berbanding apa yang orang lain buat. Get it? Jadi berkongsilah...ALlah Maha adil, segala kebaikan, akan anda dapat jua balasannya. Mudah anda buat clinical years...siapa tahu, mungkin itu balasan Allah?
Being a student who also work, i mean dental student yang ada patient yang dia perlu treat tanpa error, deal dengan doctors yang busy and mungkin tak cukup, denta hygienist, friends and instruments yang mungkin meragam pada waktu bekerja. Ini semua adalah benda-benda yang perlu kita jaga. Calm, sabar dan bijak itu perlu. Berbudi bahasa dengan kawan, dan assistant yang ada. Bijak ketika menjawab pertanyaan doc. Hormat dental hygienist, and they will give the best to you. kerjasama dengan kita. We need them.
Alhamdulillah, assistant, friends, doctors and instructors are all helpful.
Few words i got today :
awak ada masalah untuk bernafas? عندك مشاكل بالتنافس؟
awak merokok ? (biddakhkhan?) بدخن؟
pernah masuk hospital? دخلت مستشفى بالمرة؟
blood transfusion نقل دم
Being a clinical student at oversea, all you need to success are work hard and sharing. Apa sahaja yang awak dapat, beneficial to our studies, kenala share. Jangan simpan dalam hati, aku susah-susah dapat, aku taknak kongsi ngan orang lain. Biar aku lebih dari orang lain. Macamlah orang lain tak pernah bantu kita? Thats a point that we should think of. Sentiasa ingat jasa orang lain dan lupakan jasa sendiri. Mengapa? Sebab memang manusia tend to lebih mengingati apa yang diri sendiri buat berbanding apa yang orang lain buat. Get it? Jadi berkongsilah...ALlah Maha adil, segala kebaikan, akan anda dapat jua balasannya. Mudah anda buat clinical years...siapa tahu, mungkin itu balasan Allah?
Being a student who also work, i mean dental student yang ada patient yang dia perlu treat tanpa error, deal dengan doctors yang busy and mungkin tak cukup, denta hygienist, friends and instruments yang mungkin meragam pada waktu bekerja. Ini semua adalah benda-benda yang perlu kita jaga. Calm, sabar dan bijak itu perlu. Berbudi bahasa dengan kawan, dan assistant yang ada. Bijak ketika menjawab pertanyaan doc. Hormat dental hygienist, and they will give the best to you. kerjasama dengan kita. We need them.
Rabu, 24 September 2008
tooth extraction
Surgery's first clinic.
Dengan mindset yang kata, today just tengok doc buat tooth extraction, and we're not gonna do anything(thats what they said).
Then datanglah surgery clinic dangan perasaan kosong, biasa saja. Lepas kena torture sket ngan Dr M the surgeon, tiba-tiba..namaku dipanggil. Haza malaf lilmaridh. Call him when you've read his case. WHAT? I am not ready. Mentally. and probably physically. But then kawan-kawan dof3a gave support, we'll help you. You're lucky to have patient...go on...i was like..OK!
His case, 3 teeth to be extracted, fractured teeth.(inkasara). And two of them is wisdoms, oh my. Im really not going to extract that, please.
Then, i did my history taking, and waiting for the surgeon to present my case. There's a doctor, mayb master student who helped me with this case.
Two things i'd learnt today :
1) be calm at work. (kena baca buku calm at work by Paul Wilson yang hari tu beli kt bookfair. Belum kije lagi dah kena baca. aiyya. Ingatkn nak simpan sampai kija nanti baru bace.) Seriously, in clinical years, you're actually working already. Sebab dah deal ngan patient. You must be like taknak cederakan patient. Taknak do mistakes kt patient, sebab you expect the same if you yg jadi patient, right? Then we tend to do things perfectly, lambatly and you'll get nervous when there's doctors who'll tell that u do wrong, who'll scold you, and friends that are not very helping..
After all, kita just perlu tenang. Just stay calm although you tengah menghadapi saat genting kena tengking or case yang gila serius or kawan backstabbing. Tapi setakat ni mostly friends are really helpful.
2) Be loyal dan jangan rampas spotlight kawan. Thats what we'll see in clinical years. We are not going to get marks macam online exam where we do exams invidually. In clinical years, segala kerja kita perlukan kerjasama orang lain. Bila doc tanya orang lain, jangan jawab jika doc tak suruh sebab kita akan menyebabkan kawan itu nampak kurang bijak, kurang menyerlah dan segala yang kurang. Tak baik kan? Jangan ambil kesempatan if nampak macam orang lain kurang di satu-satu bahagian, tapi tolong dia. Hormati hak dia, dan jangan pentingkan periuk nasi sendiri sahaja. Selalunya orang Melayu tak pentingkan apa Arab buat, tapi kalau dah nampak terang-terang dia ambil kesempatan, perlulah kita ambil tindakan.
Case tadi agak serius. saya plak nampak cuak sebab not ready. Ada sorang student arab ni offer diri untuk bantu saya. Yes, i appreciate your help. Tapi rupanya dia nak ambil peluang supaya dia dapat ambil case tu, then masuk periuk nasi dia! what? Then dia plak yang isi segala rekod patient, then didnt terangkan kat saya apa dia buat. Hmm...yang terima akibatnya mestilah saya kan. So this is not appropriate. Hormatlah orang, pentingkan hak orang dan perhatikan hak kita. Allah itu Maha Adil, ingat itu selalu.
This case ends up with me taking history, two students did gingival detachment, and two students did teth extraction. One of the tooth, fractured crown. No crown to grasp, only root. Haiyala..
i know, this surgeon tak ikut the format. Kan nama saya yang di rekod as the doctor, tapi 6 students did that at the same time. how? hopefully, marks dapat baik2 aja.
Ok, need to read 'calm at work', and need to be ready for anything i gonna do next. And will never persiakan my chance, will be aware of anybody yang nak ambil kesempatan.
Ok then, may Allah give the best to all of us. Allahumma ballighna Ramadhan.
Dengan mindset yang kata, today just tengok doc buat tooth extraction, and we're not gonna do anything(thats what they said).
Then datanglah surgery clinic dangan perasaan kosong, biasa saja. Lepas kena torture sket ngan Dr M the surgeon, tiba-tiba..namaku dipanggil. Haza malaf lilmaridh. Call him when you've read his case. WHAT? I am not ready. Mentally. and probably physically. But then kawan-kawan dof3a gave support, we'll help you. You're lucky to have patient...go on...i was like..OK!
His case, 3 teeth to be extracted, fractured teeth.(inkasara). And two of them is wisdoms, oh my. Im really not going to extract that, please.
Then, i did my history taking, and waiting for the surgeon to present my case. There's a doctor, mayb master student who helped me with this case.
Two things i'd learnt today :
1) be calm at work. (kena baca buku calm at work by Paul Wilson yang hari tu beli kt bookfair. Belum kije lagi dah kena baca. aiyya. Ingatkn nak simpan sampai kija nanti baru bace.) Seriously, in clinical years, you're actually working already. Sebab dah deal ngan patient. You must be like taknak cederakan patient. Taknak do mistakes kt patient, sebab you expect the same if you yg jadi patient, right? Then we tend to do things perfectly, lambatly and you'll get nervous when there's doctors who'll tell that u do wrong, who'll scold you, and friends that are not very helping..
After all, kita just perlu tenang. Just stay calm although you tengah menghadapi saat genting kena tengking or case yang gila serius or kawan backstabbing. Tapi setakat ni mostly friends are really helpful.
2) Be loyal dan jangan rampas spotlight kawan. Thats what we'll see in clinical years. We are not going to get marks macam online exam where we do exams invidually. In clinical years, segala kerja kita perlukan kerjasama orang lain. Bila doc tanya orang lain, jangan jawab jika doc tak suruh sebab kita akan menyebabkan kawan itu nampak kurang bijak, kurang menyerlah dan segala yang kurang. Tak baik kan? Jangan ambil kesempatan if nampak macam orang lain kurang di satu-satu bahagian, tapi tolong dia. Hormati hak dia, dan jangan pentingkan periuk nasi sendiri sahaja. Selalunya orang Melayu tak pentingkan apa Arab buat, tapi kalau dah nampak terang-terang dia ambil kesempatan, perlulah kita ambil tindakan.
Case tadi agak serius. saya plak nampak cuak sebab not ready. Ada sorang student arab ni offer diri untuk bantu saya. Yes, i appreciate your help. Tapi rupanya dia nak ambil peluang supaya dia dapat ambil case tu, then masuk periuk nasi dia! what? Then dia plak yang isi segala rekod patient, then didnt terangkan kat saya apa dia buat. Hmm...yang terima akibatnya mestilah saya kan. So this is not appropriate. Hormatlah orang, pentingkan hak orang dan perhatikan hak kita. Allah itu Maha Adil, ingat itu selalu.
This case ends up with me taking history, two students did gingival detachment, and two students did teth extraction. One of the tooth, fractured crown. No crown to grasp, only root. Haiyala..
i know, this surgeon tak ikut the format. Kan nama saya yang di rekod as the doctor, tapi 6 students did that at the same time. how? hopefully, marks dapat baik2 aja.
Ok, need to read 'calm at work', and need to be ready for anything i gonna do next. And will never persiakan my chance, will be aware of anybody yang nak ambil kesempatan.
Ok then, may Allah give the best to all of us. Allahumma ballighna Ramadhan.
Senin, 22 September 2008
first experience
Good day, lucky, haus!
75 yo male, came for a new denture because the previous denture no longer can be used.
He brought also the previous denture..bukan satu, tp dua! how cute! eheh..
Tengok previous denture dia, doc kate memang need a new one. Sebab acrylic dah haus, mayb the patient use sandpaper to make the denture fit his mouth. The sulcus juga dah rendah sangat, cannot gain retention anymore i think. Really need new denture.So there goes..me the dentist.
This patient is super co-operative, mayb bcoz he had experiences before. dah 2 denture dia, memang dah biasa da tu.
The first thing, extraoral examination. Oh my, lambat betulla student 4th y ni buat, almost 1 hour ok untuk Hx + EO + IO examination! Ye la, 1st patient, what can i do? kalau cepat-cepat kang salah. Dengan masalah lupa la, kalimaat arab yang ciput je dalam kepala, dengan students lain ada kat tepi, ada sedikit nervous la juga. Students kt tepi semua helpful. thanx~
OK, ni dia Qamus al-Arabiy for today :
سحب دم / تعطي دم ؟ Terima atau derma darah
Sisem cardio-respiratoryجهاز تنافسي
GI هضمي
renal ج. البول
diabetes melitusسكري
allergic of anythingتحسس من أي شيء ؟
(my ptn ada amik hypertnsve drugs) bawa ubat tu lain kali ya بجي معاك دوأ مرة جي
merokok ke تدخن؟
saya akan examine kamu راح أفحص
gerakkan lidah ke kanan,kiri,atas bawah حرك لسانك ال اليمين شمال فوق و تحت
buka atau tutup mulut افتح / سكر فامك
شفاك مرة جي jumpa lagi lain kali
lepas exmntn, case presentation to doc. okay la. Then doc terangkan banyak juga, hopefully masuk telinga kanan and stay kt otak. Doc terlalu professional utk saye yg tgh 1st experience cmpur otak tgh ligat ingat balik apa yg dah blaja. Terlalu banyak untuk didengar at one time. Tapi insyaAllah ingat la juga.
Try out the trays, dan senangnya la nk dapat yang the best fit him.
Next is taking the lower impression. Use unperforated tray becoz im using compound material. As for alginate, we need perforated tray for retention. I used compound material as the patient is edentulous, and there's no undercut. Need very hot water, prepared by the helpful assistant, rendam compound plate dlm tu sampai lembut boleh main2 buat doh, gulung jadi panjang then letak the smooth surface at outside, of the tray. The assistant did almost all the procedures for me, mungkin sebab saya yang suruh and nampak cam taktau sangat. uhu..cuak sebenarnya.dan taknak buat silap.
The lower impression banyak silap. Ada pessure point, thats why ptn complaint sakit masa impression taking, rupanya tray kena sulcus dia. ouch, sorry ammu. Pastu impression tak sampai RMP. Kena tambah utility wax, then take impression again kat tempat tu.
Next, Upper. just okay. Alhamdulillah. No gag reflex, thanx dear patient.
maw'eed thani usbu3 jayy nafsu sa'ah.
syukran ammu 4 ur co-operation! and thanx to assistant ku yang cekap serta dalya the translator. Dan instructor serta doc baik dan kawan-kawan yang lain.
next task - khatam balik lectures complete denture mase sem1 thn lepas.
75 yo male, came for a new denture because the previous denture no longer can be used.
He brought also the previous denture..bukan satu, tp dua! how cute! eheh..
Tengok previous denture dia, doc kate memang need a new one. Sebab acrylic dah haus, mayb the patient use sandpaper to make the denture fit his mouth. The sulcus juga dah rendah sangat, cannot gain retention anymore i think. Really need new denture.So there goes..me the dentist.
This patient is super co-operative, mayb bcoz he had experiences before. dah 2 denture dia, memang dah biasa da tu.
The first thing, extraoral examination. Oh my, lambat betulla student 4th y ni buat, almost 1 hour ok untuk Hx + EO + IO examination! Ye la, 1st patient, what can i do? kalau cepat-cepat kang salah. Dengan masalah lupa la, kalimaat arab yang ciput je dalam kepala, dengan students lain ada kat tepi, ada sedikit nervous la juga. Students kt tepi semua helpful. thanx~
OK, ni dia Qamus al-Arabiy for today :
سحب دم / تعطي دم ؟ Terima atau derma darah
Sisem cardio-respiratoryجهاز تنافسي
GI هضمي
renal ج. البول
diabetes melitusسكري
allergic of anythingتحسس من أي شيء ؟
(my ptn ada amik hypertnsve drugs) bawa ubat tu lain kali ya بجي معاك دوأ مرة جي
merokok ke تدخن؟
saya akan examine kamu راح أفحص
gerakkan lidah ke kanan,kiri,atas bawah حرك لسانك ال اليمين شمال فوق و تحت
buka atau tutup mulut افتح / سكر فامك
شفاك مرة جي jumpa lagi lain kali
lepas exmntn, case presentation to doc. okay la. Then doc terangkan banyak juga, hopefully masuk telinga kanan and stay kt otak. Doc terlalu professional utk saye yg tgh 1st experience cmpur otak tgh ligat ingat balik apa yg dah blaja. Terlalu banyak untuk didengar at one time. Tapi insyaAllah ingat la juga.
Try out the trays, dan senangnya la nk dapat yang the best fit him.
Next is taking the lower impression. Use unperforated tray becoz im using compound material. As for alginate, we need perforated tray for retention. I used compound material as the patient is edentulous, and there's no undercut. Need very hot water, prepared by the helpful assistant, rendam compound plate dlm tu sampai lembut boleh main2 buat doh, gulung jadi panjang then letak the smooth surface at outside, of the tray. The assistant did almost all the procedures for me, mungkin sebab saya yang suruh and nampak cam taktau sangat. uhu..cuak sebenarnya.dan taknak buat silap.
The lower impression banyak silap. Ada pessure point, thats why ptn complaint sakit masa impression taking, rupanya tray kena sulcus dia. ouch, sorry ammu. Pastu impression tak sampai RMP. Kena tambah utility wax, then take impression again kat tempat tu.
Next, Upper. just okay. Alhamdulillah. No gag reflex, thanx dear patient.
maw'eed thani usbu3 jayy nafsu sa'ah.
syukran ammu 4 ur co-operation! and thanx to assistant ku yang cekap serta dalya the translator. Dan instructor serta doc baik dan kawan-kawan yang lain.
next task - khatam balik lectures complete denture mase sem1 thn lepas.
Selasa, 09 September 2008
child development
Laura E. berk is Professor of Psychology at Illinois State University, where she has taught child development for nearly two decades.
The field of child development poses many questions about children that u may have wondered yourself:
- Can infants 'make sense' of their complex perceptual at birth? What do they already understand about their surroundings, and what must they learn over time?
- Is it harder or easier for young children to learn a second language than it is for older children and adults?
Check out the answers in this book:
title : Child Development
author : Laura E. berk
The field of child development poses many questions about children that u may have wondered yourself:
- Can infants 'make sense' of their complex perceptual at birth? What do they already understand about their surroundings, and what must they learn over time?
- Is it harder or easier for young children to learn a second language than it is for older children and adults?
Check out the answers in this book:
title : Child Development
author : Laura E. berk
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