Dr Jaw

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Dr Jaw

J. Sekine, D.D.S., Ph.D.Comprehensive English IINagasaki University13 Nov. 2003Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Howdy?One of the dialects in the USADept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.You enjoyed last weekend ?Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.7 Nov. :Outpatient clinic8: Off 9: Overnight duty10: Operation (two cases)11: Outpatient clinic12: Operation (two cases)13: Operation (one case in the morning)Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.4. Basic Conversation in Clinical Dentistry……6 Nov.5. Basic Conversation in Clinical Dentistry……13 Nov.20 Nov. ……Cancel, No class!!27 Attending International Congress (1)Dept. of Oral & Maxillofac. Surg., NagasakiUniv.


J. Sekine, D.D.S., Ph.D.Last class………., Seeing a doctor!Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Today………., ProsthodonticsMaxillofacial SurgeryDept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.If you loose your tooth,… Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Function and Aesthetic disturbance(mastication)Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Skit!!Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Receptionist: Hello! Dr Jaws Dental Office.May I help you?You: Hello. I would like to consult you about my missingteeth.Receptionist: Well, please come to our office at 2 oclock this afernoon. And your name,please?You: Steve Feinburg.Receptionist: OK, Mr. Feinburg. We are waiting for your coming. Thanks for your calling. See you later. Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.In the ConsultingRoom Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Dr Jaw: Nice to meet you, Mr. Feinburg. I am Dr. Jaw. You: Nice to meet you, Dr. Jaw.Dr Jaw: Do you have any trouble in your mouth now?You: Yes, I am suffering from masticatory disturbance because of the missing teeth in right lower molar region.Dr Jaw: Sure. First of all I have to ask your medical history. Have you ever had an operation?And are you allergic to anything? You: Nothing except for tooth extraction. Im allergic to nothing.Dr Jaw: I see.Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Check up thepatients card!(Medical Record)Patient profile (name, age, sex…..)Chief complaint Present illnessPast historyFamily historyOthers (allergy etc…)Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Chief complaintReason why pt visited officeSymptom + RegionMasticatory disturbancedue to missing of rt.low molarsDept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Present illnessWhen the symptom occurred?Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Skit!!Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Dr Jaw: May I exam your oral cavity?You:Yes, please.Dr Jaw:Ahh…, your right lower first and second molars are missing. When you had your teeth extracted?You: Last November at the general practitioner in the US. And I came to Japan last week for business.Dr Jaw: I see. How long are you staying in Japan?You: Two more years, then I would like to have a dental treatment. How do you treat my teeth?Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Dr Jaw: Well, therere some options. One is toothtransplantation. You: Whats that?Dr Jaw: If you have an impacted wisdom tooth, I extract it and transplant to the missing area. You: Is there a wisdom tooth available in my mouth?Dr Jaw: It is very sorry you dont have…..You: Well, what is the next option?Dr Jaw: Prosthesis such as bridge work and removable denture.But, bridge work is difficult because you dont have an abutment tooth. Tooth transplantation!Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Dr Jaw: Then removable partial denture is one option toresolve your masticatory disturbance.You: Uhhh…, one of my friend wearing a denture isalways complaining of discomfort in the mouth. I do notprefer a denture…., well Dr., some more options?Dr Jaw: Yes, I can apply dental implant system.You: Yes, I have heard the word Implant. Would you explain the detail of the dental implant?Dr Jaw: Sure….Tooth transplantation!Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Clinical case2001.8.5Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.X-ray finding2001.7.17Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.2002.28Fixture & Abutment2002.8.15Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Prosthesis2003.4.15Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Go back to the skit!!Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Dr Jaw: I am sure you could understand the dental implant treatment, right?You: Yes, I would like to have this treatment. But, one question…., the treatment fee is covered by national insurance?Dr Jaw: No, it isnt. You: How much is the fee for one implant system?Dr Jaw: About 300,000 yen per one implant.You: OK, I will accept this treatment. Dr Jaw: Ill do my best for your treatment! Anyway, I have to perform an extra examinationfor your treatment. Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Final skit, quiz!!Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Try it!!At the front desk of the hotel….Could you call me taxi, please?Find out the problem of this sentence!!Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.


J. Sekine, D.D.S., Ph.D.Can I call it a day?Dept. of Oral & Maxillofac. Surg., Nagasaki Univ.

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