Patient: Good afternoon, Doctor. I have an appointment for today at 4:00 p.m.
Doctor: Good afternoon. Yes, as far as I remember you were scheduled for a consultation.
Patient: That’s right. My dentist referred me to you. Apparently, I should have some surgery on the gums done because of some granulation tissue.
Doctor: Yes, of course, but first I must examine you. Oh, it’s good that you have with you your radiological documentation.
After the examination
Doctor: Well, I see. I agree with my colleague that the treatment with curettage should be performed in a few places.
Patient: Is it because of the granulation tissue?
Doctor: Of course, it’s a reason as well. Because of the relatively deep pockets I should perform open curettage, which consists of cutting the gums, which will allow me to see the tartar and dead tissue that must be removed. If the pockets were shallower I could perform closed curettage, that is a procedure without cutting into the gum.
Patient: So I assume it will be painful.
Doctor: In the course of treatment it will not hurt because of anesthesia, afterwards you will take the analgesic tablet and it should not be bad either.
Patient: Will I have the procedure today?
Doctor: Not today, because I need more time, and you must still do some additional tests.
Patient: So when can make an appointment?
Doctor: I suggest in a week.
Patient: Ok, I will show up. And will I be able to go to visit my family the next day? I’m having a niece’s wedding.
Doctor: Unfortunately it won’t be possible. It is a surgical procedure and each is different. You can have a small swelling, even the face. And sometimes minor bruises can appear, so you probably should not plan any social events. You can not drink alcohol for at least 2 days, and you mustn’t smoke. Besides, throughout the week following the procedure soft diet and chewing on the other side are recommended. And dancing is not allowed.
Patient: I see. I have to go to the wedding – I am my niece’s godmother, so we have to postpone the surgery in two weeks. I do not plan more trips before the holidays. Also, it will be before May long weekend so I do not have to go to work.
Doctor: Indeed. A few days at home after the surgery will be helpful. Anyway, I always give my patients at least 1 day of sick leave or I do it just on Friday so they can rest over the weekend.
Patient: And will I be able to brush my teeth?
Doctor: Of course, but with a special brush, with soft bristles. And it would be recommended to apply some rinses. But I will tell you this all this after the surgery. Anyway, I always give my patients an accurate written information. So you will also get it.
Patient: Ok. So our next visit is scheduled on 30th April.
Doctor: Yes. I will see you on the 30th!
Patient: See you!
VOCABULARY PRACTICE
Match sentences’ halves
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1) Curretage treatment is the cleaning |
A) important steps to treat peridontitist and to stop gum recession. |
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2) We can distinguish an open curretage |
B) by the dentist or a surgeon. |
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3) Both types of curretage are |
C) of dental pockets. |
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4) Closed curettage is a simple procedure |
D) a better look at the pockets. |
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5) Open curettage is performed only |
E) side and left side. |
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6) Open curettage is done under |
F) and closed curettage. |
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7) The gums are cut in order to have |
G) ‘curette’ which is selected for the procedure. |
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8) After the operation the gum is replaced and fixed with |
H) of ultrasonic scaler. |
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9) In closed curettage the teeth are cleaned with the use |
I) it is always preceded by scaling and root planning. |
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10) There is a small hand held instrument called |
J) stitches which are removed after 10 days. |
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11) There are different curettes for right |
K) local anesthesia. |
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12) Curettage can not eliminate the complete cause of periodontal infection so |
L) during which the dentist or the dental hygienist cleans the surrounding tissue with special instruments. |
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Rearrange the pieces of advice that should be given to a patient before/after the curettage procedure
- if you are allergic to/iodine or latex/any medication, /please let me know/
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- you must inform me/bleeding disorders or/if you are taking any/if you have any history of/blood‑thinning drugs
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- you will be awake/and numbed/if you have local anesthesia,/throughout the procedure
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- /you may experience/which can be easily managed/some post‑surgery pain and discomfort/ with some OTC painkillers.
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5. some patients experience/due to exposed roots/hypersensitivity to cold or hot/
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- in severe cases, with dental restoration/problems with hypersensitivity/the use of/may be eliminated thanks to/topical fluoride treatments or,/
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Complete these texts with words below
1) CURETTES
lateral simply surfaces activated angle instrument moderate tilted edges strokes
Universal curettes are designed for the removal of 1)................... to heavy calculus from all supra‑ and subgingival tooth 2).......................
For calculus removal one of the cutting 3)................... of the universal curette is placed against the tooth surface. The instrument is 4)................ toward the tooth to achieve 70° to 80° 5)................ between the tooth and the blade. 6)................. pressure is applied and the curette is 7).................... by using vertical, diagonal or horizontal pull 8)....................... Both cutting edges of the same curette can be used by 9)...................... tilting the 10).................. one way or the other.
2) ULTRASONIC SCALER
adherent walls vibrating dilute accretion bubbles loose washes frequency inflamed
It is a 11).................... crystal‑driven high 12).................... (18 to 50 kHz) instrument with a tip for supplying high‑frequency vibrations. It produces 13)......................... that form and collapse, allowing the removal of 14)...................... deposits such as bacteria, biofilm, calculus, and other root surface 15).................. from the teeth. The water stream 16)................. the gingival pocket and the root surfaces to 17).................... and remove endotoxins along with bits of 18)................ tissue from the 19)....... of the gingival crevice and 20)................ debris.
Lesson 66 - answers
