Next is restoration

Tomorrow GDP wait for me.. as usual, examine patient teeth and then do treatment plan. Based on the record, suspected carries class one and two tomorrow,. So, I need to prepare on cavity preparation. How to do proximal box on my cavity preparation later on. If you all don't want to have carries in between tooth, you need to floss rather than only brush your teeth ok? Carries may worsen and next will be root canal treatment or extraction.. Like this morning, I had done my extraction of 37 tooth due to unrestorable carries.. 1st time did administration of local anesthesia.. very difficult to extract that tooth.. 

p/s- try to do the best to all my patients.. =)  but sorry because anything could be happen.. amateur 

Post extraction instruction

Indication for tooth extraction

• Periodontal disturbances
• Dental caries
• Pulp pathology 
• Apical pathology 
• Orthodontic reasons 
• Prosthetic considerations 
• Impactions
• Supernumerary teeth 
• Tooth in the line of fracture 
• Teeth in relation to bony pathology 
• Root fragments 
• Teeth prior to irradiation 
• Focal sepsis 
• Esthetics 
• Economic considerations 

Contraindication for tooth extraction

• Diabetes & Hypertesion 
• Steroid therapy 
• Pregnancy 
• Bleeding disorders 
• Medically compromised patient 
• Active infections 
• Teeth in recently irradiated patient 

Post extraction instruction

1. DO NOT DISTURB THE WOUND: In doing so you may invite irritation, infection and/or bleeding. Be sure to chew on the opposite side for 24 hours and keep anything sharp from entering the wound. Don't play with tongue. 
2. DO NOT SMOKE FOR 12 HOURS: Smoking will promote bleeding and interfere with healing. 
3. BRUSHING: Do not brush your teeth for the first 8 hours after surgery. After, you may brush your teeth gently, but avoid the area of surgery. 
4. MOUTH WASH:Avoid all rinsing for 24 hours after extraction. This is to ensure the formation of a healing blood clot which is essential to proper wound healing. 
5. DO NOT SPIT OR SUCK THROUGH A STRAW: This will promote bleeding and may dislodge the blood clot causing a dry socket. 
6. BLEEDING: A rolled up gauze pad will be placed on the extraction site and change this dressing every 20 minutes. 
7. PAIN: Prescription medication 
8. SWELLING: To prevent swelling, apply an ice pack or a cold towel to the outside of your face in the area of the extraction during the first 12 hours. Apply alternately, 20 minutes on then 20 minutes off, for an hour or longer if necessary. 
9. DIET: Cold, soft food such as ice cream or yogurt may be the most comfortable for the first day. It is also important to drink plenty of fluids.

Administration of local anesthesia

Inferior alveolar nerve block
 - palpate coronoid notch , felt the pterygomandibular raphae/fold, there is pterygotemporal depression between these two structure. Inject at this area.
- positioning the syringe, put it on contralateral bicuspid of between 2 premolar, then inject the area palpate just now until hit the bone (about 2/3 of the needle inserted) and withdraw 1mm and inject half of the cartridge.
- move the syringe ipsilaterally, slowly withdraw the needle and at the same time inject half from the cartridge left.

Long buccal nerve block
- insert the needle at distobucally of the 3rd molar until hit the bone (about 2mm) and inject the rest of the cartridge

What's going on? requirement!

All about requirements. Its begin here...
This week start my pack dental schedule.. this week, first attempt to do tooth extraction.. what a nervous feeling.. hurmm... last week, I accidently, injured my patient's lip with scaler.. horrible! learn from experience I thought..   felt guilty.. so much..

Now, here I come.. be motivated.. organised.. no more dreaming, no more hanging.. lets do it.. come on..
feel wanna shout loudly...

Berkati kami Ya Allah

       Dulu masa halaqah, selalu jugak bincang pasal momentum dakwah yang semakin berkurang bila dah jejak alam perkahwinan. Malah ada je yang tinggalkan dakwah dan teruskan kehidupan seperti insan lain, bekerja cari rezeki, buat baik pada ibu bapa dan ibadat wajib lain je. Tapi pada saye, kita hanya akan jadi 2 situasi bila kita dah kawen, sama ada lebih buruk atau lebih baik.. jika tinggalkan dakwah, jadilah lebih buruk dan jika makin kuat dakwah sebab ada penyokong di belakang maka lebih baik lah.. tentu sesiapa pun tak mahu jadi lebih buruk kan?? 

      Bila si isteri berat nak lepaskan suami pergi berprogram, buzy dengan tugas, dan macam-macam komitmen lagi. Banyak komitmen lelaki selepas berkahwen, pada isteri, pada dakwah, pada pelajaran atau kerja dan keluarga yang dah makin berkembang. 

       Ape si suami patut buat? dahulukan perkara lain atau dakwah? contohnye, dah plan baik punya nak pergi honeymoon tapi mase yang sama ada program penting pulak. dah la nak jumpa isteri pon entah berape bulan sekali. Tentu lah si isteri yang faham itu rela si suami pergi ke program daripada bersamanya. namun, percaya pada saya, itu bukan mudah! air mata confirm tak leh tahan, hati suami pulak berbelah bahagi.. alahai isteriku sayang .. bisik hati suami.. jangan tinggal aku suamiku.. bisik hati isteri.. besar pengorbanan yang perlu dilakukan. semoga Allah membalas pengorbanan ini...

      Perkahwinan bukan penghalang si suami teruskan ape yang dah dimulakan.. Zaman kita tak perlu angkat pedang pergi berperang! cume perlukan pengorbanan waktu, kasih sayang dan tenaga. Tapi tentunya kasih pada Allah dan Rasul diutamakan.. 

p/s- belajar relakan hati.. duduk pun berjauhan, kalau hujung minggu berprogram, tak dapat la telefon.. mesej 1 or 2 pon jadilah.. saya suka mesej ni   'maafkan abang, ape pun sayang sentiasa kat hati abang, jangan nangis ye, semua ni demi agama islam, doakan abang jadi pemimpin islam yang mampu menegakkan syariat islam'.. 

unforgettable holiday with you

               Already came back to USM, once again afar from u.. but still non stop smiling and u are always in my mind dear..for a long period i tot, tak jumpe ,although not that long actually..but who cares? at last there i come.. biala u exam pon kan.. Nice weekend with u,although its only weekend..i want more days with u!  it is possible?? 

             I tot already developed good rapport with u and ur family..am i?? i try my best to be the best daughter in law, although im the only one kot,haha .. my father in law looks so stern but tak pon, nice sgt.. Siap bagi pocket money lagi time nk balik usm, cover la i week expenses.. plus give money to buy kerepek, biase la johor memang famous with this snack..my mother in law is a genial one n sister in law pon ..but the worst thing is non stop eating time balik..eating and keep on eating..umah i makan, umah u makan n keluar pon makan.. im getting fat.. lets stop this attitude ok.. tak cantik la kalau gemuk kan?

                Ok, for the 1st time i goreng sukun kat umah mentua, haha..wake up so early, although the real thing is quite difficult to do that..haha.. no la, im the person who trained since childhood lagi to wake up early..why? becoz my mom jual variety of kuih muih and nasi lemak..thats why la, 4 am dah bangun to help my mom.. but since i enter this dental school, my mom stop buat kuih sebab tinggal my little brother je pon kat umah tu.. usually when im at home, return from usm, my mom yang ready breakfast but now may be need to change a bit the rhythm, tak mau regular sangat bile kat umah mentua, nampak berkaliber sikit, .. tak de la nampak tak taw wat keje umah sangat kan, although the real thing is like that..=)

                Then, 1st time tido umah i, beriye my hubby nak bangun subuh kat masjid with my dad tapi overslept 6.20pg baru jage..haha.. tak pe niat tu ada dah.. kite cube lain mase dan waktu.. niway sayang, selamat berjuang menentang selimut di awal subuh ye!

p/s- study ok! support each other

Dentist vs Engineer

Kanda..
Dinda tahu kita kahwin muda..
Kehidupan kita juga jauh berbeza..
Cita-cita memisahkan kita..
Tapi dinda kagum dengan kesungguhan kanda untuk mengahwini dinda..
walaupun dinda tak dapat duduk bersama dengan kanda, tapi dinda harap kanda faham dengan tuntutan masing-masing..
Macam mane dinda nak ucap betapa syukur dinda dapat mengahwini jejaka sebaik kanda..
Walau usia perkahwinan kita masih muda, tapi dari awal ini lah dinda mahu tanamkan sifat taat setia hanya pada kanda..
Redalah pada dinda..
Andai dinda pergi dulu.. Relakan pemergian dinda..

Jika diberi peluang mahu saja dinda selalu berjumpa kanda.. Tapi apakan daya, mungkin ini takdirNya..
Kita akan bersama, tapi belum masanya..
Apa pun, ingatlah satu perkara..
Dalamnya kasih dan sayang dinda pada kanda tiada taranya..
Biarlah dinda belajar sampai habis dulu..
Bolehlah dinda rawat kanda nanti..
Andai kanda tahu betapa rindu hati dinda pada kanda..
Pada dinda, ini bukan satu kelemahan.. Tapi satu kelebihan.. Pemangkin pada dinda untuk terus maju melangkah mencapai impian dinda, dengan adanya sokongan kanda..
Andai dinda tidak seperti yang kanda impikan.. ciri isteri itu..
Hendaklah dipimpin dinda ini, untuk jadi seperti itu..
Moga bahtera ini tidak hanyut walau hihempas ombak yang menggila..
Dinda yakin, kerana nakhodanya adalah kanda..
Mohon doanya ya ya kanda..
Pada kanda, dinda doakan agar jadi seperti yang diimpikan..
Akan ku jaga maruah kanda, akan ku jaga kanda sampai hujung nyawa ini..
Dinda di sini tak pernah lupa pada kanda.. sesibuk mana dinda, pasti dinda curi waktu untuk kanda..

p/s : sila berjiwang-jiwang setelah kahwin sahaja.. sekian =)
 to adib-- sayang kamu...