How do you do, Mrs. Waters? The Doctor will see you now.
Hello Mrs. Waters. How are you feeling? Is there any discomfort?
No, I don't feel any pain.
Good. Please sit down and let me look.
The gum is healing normally. I'll take out the sutures. This won't bother you.
Should I come back to have you check it again?
Not unless you have trouble. Call me if you have pain or swelling.
用不着， 除非有问题。要是疼或肿的话告诉我吧 。
When should I make another appointment?
I think that you should wait at least two weeks before I make another appointment with you.
You haven't had a complete X-ray series (full mouth set of X-rays) for two years.
I'll ask my hygienist to take the X-rays today, if you have time. You should also have your teeth cleaned.
Thank you, Doctor.
You're welcome. Miss Jones will make an appointment for you. I'll see you in about two weeks.
How do you make a diagnosis o a localized osteitis (dry socket) after an extraction?
Severe pain is the most important symptom in a patient's that's having complications.
A dry socket will usually occur three or more days after an extraction.
If the pain is severe and if aspirin isn't effective for controlling the pain;
it's very likely that an osteitis has developed.
How do you treat an osteitis, Doctor?
An osteitis is very easy to treat.
I use a strip of iodoform gauze that has been cut to the correct size to fill the extraction socket.
I dampen the gauze with a small amount of eugenol and insert it into the extraction site.
What does this do, Doctor?
This does three things;
1. It reduces or eliminates the pain.
2. It has an antibiotic effect.
3. It keeps food from packing into the open, healing socket.
What about removing the dressing? What procedure do you follow?
I'll ask the patient to return on the next day so that I can remove the dressing and irrigate the socket with sterile saline solution.
Then, I replace the dressing.
I'll repeat this procedure daily or every other day for seven to ten days.