Friday, April 23, 2010
8:54 PM | Posted by
Stacey Stafford |
Edit Post
Well, I have completed 3 of the 4 tests needed to become a licensed RDH! The 4th and final test is over the laws of Missouri and shouldn't be difficult. The biggie was the national boards I took in March, and then the one we took today.
Our clinical boards, which is what we did today, is not necessarily hard, but EXTREMELY stressful! For clinical boards you have to present a case that meets the correct standards, complete an FMX that is prefect (has all open contacts, and shows at least 2mm of bone around each apex of the teeth), then you have to correctly measure 12 probe depths and clean a quadrant (a fourth) of their mouth. May not sound like much, but it's not easy!
The first step is to find a patient that qualifies to become your board patient. The patient must have at least 12 significant areas of calculus, 5 of which must be found subgingival in the posterior (molars and premolars) only, with 3 of the 5 presenting interproximally (between the teeth). Only 6 of the 12 areas of calculus can be in the anterior portion of the mouth. The patient must have at least 1 molar present that has an adjacent tooth. The patient can not have any decay within the quadrant that you are presenting to be cleaned. You only have 90 minutes to complete the cleaning, so you don't want a patient that has too much calculus. You also have significant points taken off if the first quadrant (called the primary quad) you present does not have enough calculus. If the examiners don't accept your primary quad, you can present 4 more teeth (called an alternate quad) to reach the required 12 pieces of calculus. However, if you have to use an alternate quad then you must clean the primary quad and well as the alternate! In other words, you would be required to clean 12 teeth, instead of only 8! If your patient does not qualify at all, you must have a back up patient to use. In this case, significant points are deducted and the possiblity of passing the exam is GREATLY reduced!
Whew, did ya catch all that????
So, once you find a patient that has all this, you can only hope that they don't have any health problems such as high blood pressure, heart problems or joint replacements! These health issues would require a physicians note stating that it is okay to clean their teeth (a big hassle that you don't want to deal with). You also want a patient that doesn't have too deep of pockets or calculus that is hard to remove. You have to keep in mind that you want someone who will be reliable enough to show up on the day of the exam, or else you're simply out 1200 dollars!!!!
Needless to say, these patients are a little difficult to find. Getting your board patient is one of the most stressful parts of the exam. It took me awhile to find one, I was one of the last to get one (scary!). However, I was extremely blessed with a wonderful patient that was reliable and very easy to work with. He put up with all my crazy obsessiveness, the million phone calls (including a 6:00am wake up call the day of the exam), all the paperwork I was required to fill out, not to mention the endless hours of laying in a dental chair and being examined by 4 different people, before and after the cleaning!
I was crazy prepared for this day! I tried to think of everything that I would need, and anything that could go wrong! I had mom on stand-by, ready to zoom across town and pick up my patient in case anything went wrong with his transportation. I had a friend's cavitron as well as mine, just in case mine stopped working for some crazy reason (which happened to a girl last year!). We went into clinic yesterday to prepare our chairs and carts for the big day. We packed double (and in some cases triple) of all the supplies we would need; such as: gauze, patient bibs, bib clips, anesthetic, syringes, syringe cards, needles (of all sizes, of course), floss, prophy paste, RDH's, blood pressure cuffs, finishing strips, more scaling instruments than you would believe (2 of each as well!), gloves, masks, and anything else imaginable!!!!! The box I took home with me was crazy heavy with all this stuff!
So the day finally arrived, unfortunately at 4:45am! Everything went according to plan, mom didn't have to race across town to rescue anyone and I didn't forget anything! Orientation started at 6:45, this is where we turned in all the paperwork we had prepared for the day. It felt so good to hand off all that paper and to know that it was filled out correctly and that I had the appropriate amount of copies for each form. I won't even go into all the details of the paperwork. Just suffice it to say that some had to be filled out before the exam, some during, some in pencil, some in pen. Some papers were not allowed in the clinic or else you would automatically fail, etc... All very stressful!
After orientation, we were finally allowed into the clinic to set up for our patient. This was also when we had to document the 12 pieces of calculus and which quadrant we wanted to clean, along with any planned injections for the anesthetic. We had exactly (to the second) 45 minutes to complete this. Never has 45 minutes gone faster! We were then taken to a room to wait for an hour to find out whether our primary quadrant had been accepted. Never has one hour gone by so slowly! It was a large room so we distracted ourselves by walking a lap around it, and then having an impromptu fashion show! Finally, they came to get us so we could begin the cleanings!
My heart was in my throat as I looked to see which quadrant I had been assigned. Thankfully, they accepted my primary! YEA, half the battle was won! So I gave my injection (which I missed the first time so had to give again, darn!) and then did my 12 perio probings. After that I cleaned the teeth and prayed all that calculus was gone!!! I finished in plently of time. I was able to spend the last 5 minutes putting a cold compress on the teeth so that the bleeding would stop. Of course, there can not be any bleeding when the examiners check the patient! This is very stressful, because most people bleed a lot when they get their teeth cleaned. At last, the time was up and I could do no more! We were excused and waited another 40 minutes while our patients were graded.
After everyone was graded, we dismissed out patients (and I paid my patient the promised $200!) and then we cleaned our chairs and prepared them for the next group.
We then had to go take the 3rd board exam, which is a computer component used to judge clinical skills with radiographs and chart documentation. This test was relatively easy, but I was so tired by this point that I had to read the questions over and over again. It took about an hour to complete that and then finally I could go home!!! I was done, and I still can't believe it's over.
We will find out whether we passed both tests on Monday afternoon! Keep your fingers crossed for me!
Our clinical boards, which is what we did today, is not necessarily hard, but EXTREMELY stressful! For clinical boards you have to present a case that meets the correct standards, complete an FMX that is prefect (has all open contacts, and shows at least 2mm of bone around each apex of the teeth), then you have to correctly measure 12 probe depths and clean a quadrant (a fourth) of their mouth. May not sound like much, but it's not easy!
The first step is to find a patient that qualifies to become your board patient. The patient must have at least 12 significant areas of calculus, 5 of which must be found subgingival in the posterior (molars and premolars) only, with 3 of the 5 presenting interproximally (between the teeth). Only 6 of the 12 areas of calculus can be in the anterior portion of the mouth. The patient must have at least 1 molar present that has an adjacent tooth. The patient can not have any decay within the quadrant that you are presenting to be cleaned. You only have 90 minutes to complete the cleaning, so you don't want a patient that has too much calculus. You also have significant points taken off if the first quadrant (called the primary quad) you present does not have enough calculus. If the examiners don't accept your primary quad, you can present 4 more teeth (called an alternate quad) to reach the required 12 pieces of calculus. However, if you have to use an alternate quad then you must clean the primary quad and well as the alternate! In other words, you would be required to clean 12 teeth, instead of only 8! If your patient does not qualify at all, you must have a back up patient to use. In this case, significant points are deducted and the possiblity of passing the exam is GREATLY reduced!
Whew, did ya catch all that????
So, once you find a patient that has all this, you can only hope that they don't have any health problems such as high blood pressure, heart problems or joint replacements! These health issues would require a physicians note stating that it is okay to clean their teeth (a big hassle that you don't want to deal with). You also want a patient that doesn't have too deep of pockets or calculus that is hard to remove. You have to keep in mind that you want someone who will be reliable enough to show up on the day of the exam, or else you're simply out 1200 dollars!!!!
Needless to say, these patients are a little difficult to find. Getting your board patient is one of the most stressful parts of the exam. It took me awhile to find one, I was one of the last to get one (scary!). However, I was extremely blessed with a wonderful patient that was reliable and very easy to work with. He put up with all my crazy obsessiveness, the million phone calls (including a 6:00am wake up call the day of the exam), all the paperwork I was required to fill out, not to mention the endless hours of laying in a dental chair and being examined by 4 different people, before and after the cleaning!
I was crazy prepared for this day! I tried to think of everything that I would need, and anything that could go wrong! I had mom on stand-by, ready to zoom across town and pick up my patient in case anything went wrong with his transportation. I had a friend's cavitron as well as mine, just in case mine stopped working for some crazy reason (which happened to a girl last year!). We went into clinic yesterday to prepare our chairs and carts for the big day. We packed double (and in some cases triple) of all the supplies we would need; such as: gauze, patient bibs, bib clips, anesthetic, syringes, syringe cards, needles (of all sizes, of course), floss, prophy paste, RDH's, blood pressure cuffs, finishing strips, more scaling instruments than you would believe (2 of each as well!), gloves, masks, and anything else imaginable!!!!! The box I took home with me was crazy heavy with all this stuff!
So the day finally arrived, unfortunately at 4:45am! Everything went according to plan, mom didn't have to race across town to rescue anyone and I didn't forget anything! Orientation started at 6:45, this is where we turned in all the paperwork we had prepared for the day. It felt so good to hand off all that paper and to know that it was filled out correctly and that I had the appropriate amount of copies for each form. I won't even go into all the details of the paperwork. Just suffice it to say that some had to be filled out before the exam, some during, some in pencil, some in pen. Some papers were not allowed in the clinic or else you would automatically fail, etc... All very stressful!
After orientation, we were finally allowed into the clinic to set up for our patient. This was also when we had to document the 12 pieces of calculus and which quadrant we wanted to clean, along with any planned injections for the anesthetic. We had exactly (to the second) 45 minutes to complete this. Never has 45 minutes gone faster! We were then taken to a room to wait for an hour to find out whether our primary quadrant had been accepted. Never has one hour gone by so slowly! It was a large room so we distracted ourselves by walking a lap around it, and then having an impromptu fashion show! Finally, they came to get us so we could begin the cleanings!
My heart was in my throat as I looked to see which quadrant I had been assigned. Thankfully, they accepted my primary! YEA, half the battle was won! So I gave my injection (which I missed the first time so had to give again, darn!) and then did my 12 perio probings. After that I cleaned the teeth and prayed all that calculus was gone!!! I finished in plently of time. I was able to spend the last 5 minutes putting a cold compress on the teeth so that the bleeding would stop. Of course, there can not be any bleeding when the examiners check the patient! This is very stressful, because most people bleed a lot when they get their teeth cleaned. At last, the time was up and I could do no more! We were excused and waited another 40 minutes while our patients were graded.
After everyone was graded, we dismissed out patients (and I paid my patient the promised $200!) and then we cleaned our chairs and prepared them for the next group.
We then had to go take the 3rd board exam, which is a computer component used to judge clinical skills with radiographs and chart documentation. This test was relatively easy, but I was so tired by this point that I had to read the questions over and over again. It took about an hour to complete that and then finally I could go home!!! I was done, and I still can't believe it's over.
We will find out whether we passed both tests on Monday afternoon! Keep your fingers crossed for me!
Wednesday, April 14, 2010
6:58 PM | Posted by
Stacey Stafford |
Edit Post
Today was one of the coolest days of my life! Every hygiene class has to come up with a project to do as a class to replace a final test. Usually classes do something like go to a childcare facility or a nursing home and clean teeth. Our class wanted to do something really cool. We all decided that we would like to clean an animals teeth. At first we considered bringing our own pets into a vet's office and clean their teeth. We were all really excited about it, until our class president came up with something even better! She made a call to the Dickerson Park Zoo and asked if our class could participate in the dental cleaning of a zoo animal. The Zoo staff was kind enough to allow us to do this!
So, today, we all packed into our cars and headed to the zoo. The zoo vet, Dr. Wilson, was doing annual physicals on the zoo's two female South American Maned Wolves. These wolves are endangered species that can only be found in the wild in South America. They do not look like your typical timber wolf, but really resemble an extremely large fox. They have huge ears and very long black legs. They also have black hair on their neck, which is where they get the name Maned Wolf. These wolves are also known for their distinctive smell, which some people say smells like cannabis (or pot). They are extremely shy animals, but they are absolutely gorgeous!
We arrived at the zoo and discovered that several news stations had got wind of the project and came by to take pictures and interview people. We had to split our class into two groups in order to fit everyone in the examining room. I was in the first group to go in. My immediate thought upon seeing Rayna (the wolf) was how large she was. All the pictures I had seen of these wolves made them look very small. But these guys are quite big. I would say they are probably the size of a Great Dane. I also was struck by how big and beautiful her ears were. She was lying on a the exam table and had been intubated, so a machine was breathing for her. We were able to watch and ask questions as Dr. Wilson completed her examination. At the end we were able to look into her mouth and take a peek at her teeth. I was amazed to find that she had the exact same number of teeth that humans do! I expected canines to have different kinds of teeth and to have more than us, but they are the same. Of course, they look differently, but they are still classified as molars, premolars, canines and incisors.
I was able to clean the first tooth! We had an ultrasonic (a dental machine that vibrates and sprays water to blast of tarter) to help us clean her teeth. I jumped right in and cleaned her first molar. It was the craziest thing to sit right next to a wild animal, to be able to pet her and actually have my hands in her mouth. I know that I will probably never get the chance to do something like this again. We cleaned her teeth and then were given a last chance to pet her before she woke up. She was so soft and amazingly clean. Her teeth and gums were in great health. Dr. Wilson did a wonderful job; you could tell she really cares about the animals she is in charge of.
After the cleaning we were able to walk around the zoo (free of charge!). We visited the giraffes, including the 2 month old baby giraffe. He was so cute! I've added a picture of him at the bottom. We loved the little tuft of hair he had on his head! Then we went on to see the cheetas, hippo, lions, monkeys and several other unique animals. We also were able to see the new baby bear that has not been seen by the public yet. He was several months old, but was really anxious after his move here. We couldn't get too close, but were able to watch him run and play in his pen. This was just one of the funnest days I've ever had! Such a great time with such great friends! I'll remember it forever!
So, today, we all packed into our cars and headed to the zoo. The zoo vet, Dr. Wilson, was doing annual physicals on the zoo's two female South American Maned Wolves. These wolves are endangered species that can only be found in the wild in South America. They do not look like your typical timber wolf, but really resemble an extremely large fox. They have huge ears and very long black legs. They also have black hair on their neck, which is where they get the name Maned Wolf. These wolves are also known for their distinctive smell, which some people say smells like cannabis (or pot). They are extremely shy animals, but they are absolutely gorgeous!
We arrived at the zoo and discovered that several news stations had got wind of the project and came by to take pictures and interview people. We had to split our class into two groups in order to fit everyone in the examining room. I was in the first group to go in. My immediate thought upon seeing Rayna (the wolf) was how large she was. All the pictures I had seen of these wolves made them look very small. But these guys are quite big. I would say they are probably the size of a Great Dane. I also was struck by how big and beautiful her ears were. She was lying on a the exam table and had been intubated, so a machine was breathing for her. We were able to watch and ask questions as Dr. Wilson completed her examination. At the end we were able to look into her mouth and take a peek at her teeth. I was amazed to find that she had the exact same number of teeth that humans do! I expected canines to have different kinds of teeth and to have more than us, but they are the same. Of course, they look differently, but they are still classified as molars, premolars, canines and incisors.
I was able to clean the first tooth! We had an ultrasonic (a dental machine that vibrates and sprays water to blast of tarter) to help us clean her teeth. I jumped right in and cleaned her first molar. It was the craziest thing to sit right next to a wild animal, to be able to pet her and actually have my hands in her mouth. I know that I will probably never get the chance to do something like this again. We cleaned her teeth and then were given a last chance to pet her before she woke up. She was so soft and amazingly clean. Her teeth and gums were in great health. Dr. Wilson did a wonderful job; you could tell she really cares about the animals she is in charge of.
After the cleaning we were able to walk around the zoo (free of charge!). We visited the giraffes, including the 2 month old baby giraffe. He was so cute! I've added a picture of him at the bottom. We loved the little tuft of hair he had on his head! Then we went on to see the cheetas, hippo, lions, monkeys and several other unique animals. We also were able to see the new baby bear that has not been seen by the public yet. He was several months old, but was really anxious after his move here. We couldn't get too close, but were able to watch him run and play in his pen. This was just one of the funnest days I've ever had! Such a great time with such great friends! I'll remember it forever!
Monday, April 5, 2010
7:37 PM | Posted by
Stacey Stafford |
Edit Post
Well, I got the results of my written board exam, and I passed!!! I got an 89%! And now that I know I passed, I can blog about it. It was too terrifying to go over it all again before I knew whether or not I had passed! So, here's the scoop:
I woke up at 6:45 and had to pick up my friend, Mallory, at 7:00! I have never, NEVER, been late to class in this program and the one, most important day of all, I set my alarm wrong! I could not believe it! The panic must of lent me wings because I was at Mallory's at 6:55!
Mallory and I pick up Alicia, and we head off! We arrive at the testing center and prepare to take the hardest test of our lives. Gradually, the rest of our class arrives. We all wait nervously for the testing center to open. I hand out some Imodium (won't mention any names here!) to calm some anxious tummies, and pop some Xanax myself! All to soon, the doors open, and we are ushered in.
We step up one at a time and present our exactly, to the letter correct, id's (two forms, mind you!) and place our palm on a sensor that takes a picture of your palm for identification. We are then instructed to place all of our belongings, except our id, into a locker. We are taken back, one by one, to the death chamber. We are placed in a small room, lined with cubicles along three walls, and glass windows along the fourth. Behind those glass windows is a testing center employee whose sole job is to watch the test takers to make sure they don't cheat. Each time you leave the room (which I only did twice, once to pee and once to go to lunch) you have to have your palm read again to make sure you are who you say you are! It felt very strange, but was kinda neat to see the technology! As I sit down, I can't believe the day has finally arrived...
I begin the test. I immediately panic because I don't know the answer to the first question. I HATE when I don't know the first question! It sets a bad tone for the entire exam. I move to the second question, not sure about that one either! Crap! On to number three......you have GOT to be kidding me..... where are they getting these questions??? Finally, the fourth question is reasonable and I have some idea of what they are asking. By that I mean that I had heard of the choices before. I continue on through the test, feeling like I had studied all the wrong information! Finally, I come to the end of the morning session. I just prayed that I had answered enough of the 200 questions correct to allow me to pass.
Mallory and I finish around the same time. We had planned to go to Mom and Dad's with Alicia and eat lunch. However, the ADA failed to tell us that we had exactly one hour from the time we finished the morning session to eat lunch and return for the afternoon session. We thought we were scheduled to take lunch from 12-1, no matter how early we finished. Alicia had finished much earlier than us, and we had no idea where she was. Hoping that she had found someone to take her to lunch, we head to Mom's. We eat as fast as we can and return for the afternoon part. We finally see Alicia and, together, we all complain about the misleading information from the ADA!
We return to the testing room and submit our palms for reading. After feeling so incompetant after the morning session, I pray that the case studies portion is easier. This is one of the most tiring exams you can sit. They give you 15 case studies with 10 questions each. You have to read the health history, perio charting, medication list, hard charting, x-rays and intraoral pictures on each case. I felt that the case studies were rather simple, a definite relief. I was so tired by the last 3 cases, that I was sure I was making stupid mistakes. Finally I answer the last question and submit my answers. I can't believe it's over.
I was completely exhausted after 8 hours of answering question after question. I was so relieved it was over, but I was really worried about passing. I felt as though I had studied all the wrong information! The test did not seem to be very dental-specific. It was more general health questions that any health professional could answer. Looking back on that day, I felt like I was in a fog, like I was only there for a couple minutes, rather than 8 hours. I am just sooooo thankful it is over and I never have to do it again!
We waited almost 2 weeks to find out if we had passed. Today, after clinic, Autumn told me that she had heard from some fellow students that our scores would be waiting in our mail box when we got home! That was the longest ride home ever! Alicia and I rode together, and normally I drop her off at home and then head home myself. Well, today, I was freaking out, so my wonderful friend offered to let me go home first and get my score. We pull up to our mailbox and I open it slowly. I swear, it was happening in slow motion. I see the envelope and grab it! I open it and pull out the paper. All I see are numbers.....numbers everywhere. Numbers that make no sense whatsoever to me. I can't find a percentage sign for the life of me! Finally, I yell out, "I can't find my score!!!" Alicia calmly takes the paper and finds my score for me! What a great girl! After that, we head to her place and her awaiting score card. I stood next to her as she, much more calmly than me, opens her letter. She passed too! In fact, our entire class passed! I was so proud of us!
I immediately call everyone I know and tell them the good news. Cody was so sweet and brought me home some flowers, wine and cookie dough ice cream! Does that boy know me or what? Here's a picture of my beautiful flowers!

Thanks to everybody for putting up with me and my craziness these past 3 years. I couldn't have done it without the support of everybody. Especially Cody. He has sacrificed so much for me to be in this program. Thanks babe, I love you so much!
I woke up at 6:45 and had to pick up my friend, Mallory, at 7:00! I have never, NEVER, been late to class in this program and the one, most important day of all, I set my alarm wrong! I could not believe it! The panic must of lent me wings because I was at Mallory's at 6:55!
Mallory and I pick up Alicia, and we head off! We arrive at the testing center and prepare to take the hardest test of our lives. Gradually, the rest of our class arrives. We all wait nervously for the testing center to open. I hand out some Imodium (won't mention any names here!) to calm some anxious tummies, and pop some Xanax myself! All to soon, the doors open, and we are ushered in.
We step up one at a time and present our exactly, to the letter correct, id's (two forms, mind you!) and place our palm on a sensor that takes a picture of your palm for identification. We are then instructed to place all of our belongings, except our id, into a locker. We are taken back, one by one, to the death chamber. We are placed in a small room, lined with cubicles along three walls, and glass windows along the fourth. Behind those glass windows is a testing center employee whose sole job is to watch the test takers to make sure they don't cheat. Each time you leave the room (which I only did twice, once to pee and once to go to lunch) you have to have your palm read again to make sure you are who you say you are! It felt very strange, but was kinda neat to see the technology! As I sit down, I can't believe the day has finally arrived...
I begin the test. I immediately panic because I don't know the answer to the first question. I HATE when I don't know the first question! It sets a bad tone for the entire exam. I move to the second question, not sure about that one either! Crap! On to number three......you have GOT to be kidding me..... where are they getting these questions??? Finally, the fourth question is reasonable and I have some idea of what they are asking. By that I mean that I had heard of the choices before. I continue on through the test, feeling like I had studied all the wrong information! Finally, I come to the end of the morning session. I just prayed that I had answered enough of the 200 questions correct to allow me to pass.
Mallory and I finish around the same time. We had planned to go to Mom and Dad's with Alicia and eat lunch. However, the ADA failed to tell us that we had exactly one hour from the time we finished the morning session to eat lunch and return for the afternoon session. We thought we were scheduled to take lunch from 12-1, no matter how early we finished. Alicia had finished much earlier than us, and we had no idea where she was. Hoping that she had found someone to take her to lunch, we head to Mom's. We eat as fast as we can and return for the afternoon part. We finally see Alicia and, together, we all complain about the misleading information from the ADA!
We return to the testing room and submit our palms for reading. After feeling so incompetant after the morning session, I pray that the case studies portion is easier. This is one of the most tiring exams you can sit. They give you 15 case studies with 10 questions each. You have to read the health history, perio charting, medication list, hard charting, x-rays and intraoral pictures on each case. I felt that the case studies were rather simple, a definite relief. I was so tired by the last 3 cases, that I was sure I was making stupid mistakes. Finally I answer the last question and submit my answers. I can't believe it's over.
I was completely exhausted after 8 hours of answering question after question. I was so relieved it was over, but I was really worried about passing. I felt as though I had studied all the wrong information! The test did not seem to be very dental-specific. It was more general health questions that any health professional could answer. Looking back on that day, I felt like I was in a fog, like I was only there for a couple minutes, rather than 8 hours. I am just sooooo thankful it is over and I never have to do it again!
We waited almost 2 weeks to find out if we had passed. Today, after clinic, Autumn told me that she had heard from some fellow students that our scores would be waiting in our mail box when we got home! That was the longest ride home ever! Alicia and I rode together, and normally I drop her off at home and then head home myself. Well, today, I was freaking out, so my wonderful friend offered to let me go home first and get my score. We pull up to our mailbox and I open it slowly. I swear, it was happening in slow motion. I see the envelope and grab it! I open it and pull out the paper. All I see are numbers.....numbers everywhere. Numbers that make no sense whatsoever to me. I can't find a percentage sign for the life of me! Finally, I yell out, "I can't find my score!!!" Alicia calmly takes the paper and finds my score for me! What a great girl! After that, we head to her place and her awaiting score card. I stood next to her as she, much more calmly than me, opens her letter. She passed too! In fact, our entire class passed! I was so proud of us!
I immediately call everyone I know and tell them the good news. Cody was so sweet and brought me home some flowers, wine and cookie dough ice cream! Does that boy know me or what? Here's a picture of my beautiful flowers!
Thanks to everybody for putting up with me and my craziness these past 3 years. I couldn't have done it without the support of everybody. Especially Cody. He has sacrificed so much for me to be in this program. Thanks babe, I love you so much!
Subscribe to:
Posts (Atom)