Deciduous dental damage

As my youngest daughter continues to her quest for her two front teeth, my eldest has lost two of hers. They came out naturally with minimal fuss though as they were hanging on by a (peri-odontal) thread she asked me lots of questions about teeth. Given that I was not trained as a dentist I thought…

Caring for children with disabilities

`I recently completed my first rotation as a doctor in the Emergency Department. Prior to entering the medical workforce, I had spent most of my employed life as a respite carer looking after and assisting children with developmental disabilities. I thought about these kids and how difficult an Emergency Department (ED) environment would be for…

Challenging consultations

A recent consultation with a patient did not go well. One initial seed of patient dissatisfaction could not be appeased and it just spiralled as the consultation went downhill. The patient left feeling unhappy, threatening to sue me if they died in the night, and I was left with a sinking sensation in the pit of…

Mandible x-rays

An orthopantomogram (OPG) is a good view to demonstrate most mandibular fractures.   A PA mandible shows the displacement of fractures. It also demonstrates symphysis menti fractures which can be missed on the OPG. If an OPG cannot be obtained, a lateral view can be helpful. The body and ramus can be viewed along with…

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