Friday, October 11, 2013

Sixth Week: Pediatrics

Our sixth week started in the Pediatric Department, the whole place was decorated in order to make the child's visit a little more enjoyable. The pediatric residents were able to receive children from 6 months to 18 years old. While we were in the clinic we were able to observe cleanings, crown preparations and the placing of sealants and composite obturations. We were able to observe how the doctors try to mold the patient's conduct with the techniques that Dra. Aida showed us in her classes. After the patient's conduct was evaluated, the doctors in charge decided if the patient would need an administration of nitrous oxide during the long appointments (extractions, crown preparations and placing of obturations).

The waiting area in the Clinic


Pediatric protection for X Rays 



We were able to observe a crown preparation in a patient that was around 8 years old. Here their protocol is a little different than they way we do it in Monterrey. They started off with nitrous oxide at 70%  and his pressure was carefully taken every 30 minutes, in order to ensure that he was doing ok. Here the crown preps are done with a rubber dam on the patient where they carefully evaluated the dimensions and how the crown is going to fit. After the crown is placed and adjusted they cement it and check the occlusion and margins. When the appointment is over the nitrous oxide starts to be reverted, by increasing the concentration of oxygen.
Initial kit: the patient is given a toothbrush and paste 

Nitrous Oxide tanks

Setting up for the appointment
           

These kits are equipped with all the material needed to do a sealant 
The patient is also given a pair of sunglasses so that the light
doesn't bother them 



After the appointment every patient gets a little surprise.


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