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Am I the most unskilled for leaving sub calc?

A pt who hasn’t come in 2 yrs is due for her prophy and exam. Doc told me to do a prophy so I did.(pockets were 2-4mm, 2 spots of 6mm on #14 and #2, where I recommended arestin) and when the time came for her xrays and exam (assistant take xrays in that office) sure enough subG calc showed up on the mesial of 31 and distal of 30, on the xrays, and it was one of those wing like interprox calc! Everything else looks perfect except for that area. I feel so embarrassed! This is why I hate it when they had me do the cleaning first before xrays. This is one of those days when I wished I take the xrays myself. Am I not as skilled anymore? (note: I have 2 yrs experience, now having self doubts) I need words of wisdom 🙁



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2 Answers

Even though we always try our best, we all leave calculus sometimes – whether you have been practicing 2 years or 20! You are not the most unskilled! I’m with you in that radiographs before scaling makes so much more sense. Also, a patient who hasn’t been in for two years should have an exam and radiographs first, otherwise how do you even know what type of treatment (prophy or SRP) a patient needs!? Radiographs (and a perio chart) are our road maps, otherwise we are flying blind, so don’t get down on yourself. You did the best you could with what you were given to work with. This experience could also be a good example of how the doctor’s protocol isn’t the most beneficial for you or the patient. Again, we all have moments like this and while it may be embarrassing at the time, it doesn’t mean you aren’t a highly skilled professional. Stay confident and scale on!

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thank you for the positive words!!! you are the bestest!

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