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CLINICAL EXPERIENCE LOG - PAEDIATRIC DENTISTRY

Clinical
Competency

Management

History:
Present complaint
Medical
Dental

*Observe
(O)/ Assist
(A)/
Conduct
(C)
O
A
C
/

Date
Notes
(in brief)
28/1/16

Pts name : Muhammad Shaufhie


IC No. : 120105-11-0211
4 y.o malay boy
CASE : Multiple dental Caries
Seen by : DR Arni
C/O : claimed by mother pain
since 2 weeks ago at lower right
tooth
HOPC : throbbing pain at lower
right quadrant when eating and
sometimes disturb sleep
PMH : Had asthma and on
medication (inhaler) when
needed, last attacked was early of
January 2016
PDH : his 2nd visit to the dentist,
never had any treatment done
before
DIET : - loves to eat chocolate
and ice-cream
-toothbrush 2x daily using
Kodomo toothpaste
-ceased bottle feeding at age 1
y.o
SOCIAL HISTORY:
-Number 4 out of 5 siblings (all
healthy)
-lives at Beladau Kolam,Manir
-father works as a Juruteknik at
Unisza
-mother is a housewife

Patient clerking

HABIT : Lip biting

Examination:
General
Extra-oral
Intra-oral

28/1/16

G/C : Well-ambulated, had cough,


cooperative
E/O : NAD
I/O :
55,54,51,61,64,65,75,74,84,85 :

*Please tick () where applicable

Clinical
Competency

Management
Management
Investigation
Treatment(s)
Mandibular
Prescriptionfracture (if
applicable)

*Observe
(O)/ Assist
*Observe
(A)/
(O)/ Assist
Conduct (C)
(A)/
O
A
C
Conduct
/
(C)
/
O A
C
/

Date

13/1/16
13/1/16
13/1/16

Others: (Specify)
Physical impairment

Educational impairment

Pt name : Siti Nor Zulaikha


HSNZ00240164
12y.o malay girl
By Dr Arni
C/O : come as appointed
HOPC : episodes of swelling
and ruptures on lowr lip since 1
month, sometimes with pain
a/w : mother

Maxillary fracture (if


applicable)

Management of
Children with
special needs

Notes
(in brief)

Date

20/1/16

Pts
Nur Damia Irsalina
G/C:name
alert. :Well-ambulated
binti
Daeng
Malis
E/O: NAD
HSNZ00189494
I/O:OH good, swelling on inner
CASE : Oral hygiene review
lowerby
lip,
smaller
in size abaout
Done
DR
Yushaini

4mm x 4mm, pinkish in colour,


non-tender
C/O
: Nil, come as appointed
PMH : had Tetra-amelia syndrome
TREATMENT
:
G/C
: on wheel chair,
fit, tx done
holded
by herTAKEN
motherFROM
on dental
~CONSENT
chair
MOTHER

~SURBICAL EXCISION OF

Outpatient
management

E/O
: NAD ON LOWER INNER
MUCOCELE
I/O :
LIP
-fair OH (good at the posterior but
-surgical
area
are wiped with
fair
at upper
anterior)
chlorhexidine
-thick yellowish stained plaque at
-topical
applied,
Labial
of benzocaine
12-22. Mother
claimedthe
LA Mepivicaine
in adrenaline
that
she had brushed
that area (1
1/3 catridge)
thoroughly
-early
caries
interproximally
-secured
swelling
with Vicryl
between
11 and 21
4/0
-multiple
teeth near
-excisionmobile
of swelling
done,
exfoliation
time
underneath hyperactive minor

salivary gland

Tx:
-wound cleaned with
-12-22 plaque disclosed. Ask
chlorhexide
mother
to perform toothbrushing
-released
wound margin
-adv
on toothbrushing
tech given,
-sutured with
Vicrilusing
4/0 floss
interdental
cleaning
-Gengigel
with
handleapplied
shown
-Fuji
VII FS on 16,15,46,25,36
Heamostasis
achieved
-FV
application
all teeth given
-post
surgical on
instruction

-GIVEN : Gengigel TDS

TCA 6/12

OE-PaedDent

Name of FYDO

Supervisors signature

Name& Official Stamp of Supervisor

: Date :

OVERALL EVALUATION OF PERFORMANCE


A

CLINICAL CASE PRESENTATION

1.

Skill in gathering clinical information (including emergency


cases)

2.

Competence to diagnose & Formulate treatment plan

3.
B

Below
Averag
e

Averag
e

Below
Averag
e

Avera
ge

COMMUNICATION SKILL

Effective doctor-patient communication skill

2.

Communicate effectively with other professionals

3.

Ability to address conflict

PROFESSIONALISM

2.

Avera
ge

Good

Outstand
ing

Implementing treatment

1.

1.

Grading
Below
Averag
e

Grading
Good

Outstand
ing

Grading
Good

Outstand
ing

Integrity Value
Accountability
5

3.

Clinical competency

OE-PaedDent

Overall comments:
A) CLINICAL CASE PRESENTATION

B) COMMUNICATION

..
C) PROFESSIONALISM

...

Supervisors signature

Name of Supervisor
Date

:
:

Official Stamp of Supervisor

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