Date Added: 26/08/2008 Posted by: admin infojohnstanfield.co.uk
Author/Source: Anneliese Bradley (Annie.B )
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Extended Duties: Inferior Dental Nerve Blocks.
This course was organised by the South West Dental Postgraduate Department for Hygienists living in south west Cornwall. Nine very nervous Hygienists attended Waterside Dental Care,Penryn, where Dr Martin Wills had very kindly agreed to host us. The air of tension was broken by the arrival of James Parker (BDS, MFGDP, MsurgDent RCS England) our tutor for the afternoon.
The first part of the afternoon was taken up by an excellent power point presentation. This covered everything from types of anaesthetic through to complications. Anatomy of the area was thoroughly revised, a relief to most of us who's student day's are a dim and distant memory.
James then demonstrated on a very willing Martin. Operator position, anatomical landmarks and point of needle insertion were all clearly explained and shown. Then came the moment most of us had been dreading, it was our turn. In pairs we practised our positioning and demonstrated where we would insert the needle (with the sheath on) whilst James checked and helped us all individually. Feeling confident myself and my colleague Ruth decided we were ready to " go for it " and do the real thing. I went first with a very brave Ruth being the patient and a very helpful James being my nurse. I decided to do the left side as this felt more comfortable for my first attempt. So with my thumb on the external oblique ridge and my fingers firmly on the angle of the mandible in went the needle. A word of warning to anyone who is going to take this course, that long needle goes in a surprisingly long way until you feel bone - don't panic! All went well and James was happy with my technique. A quick swap over and it was my turn to be the patient. I hardly felt a thing, so well done and thankyou Ruth.
Afterwards all nine of us agreed that we felt much more confident and we were all eager to get back to work on Monday and try it out on real patients or at least willing colleagues. Ten IDB's must be carried out, supervised, in practice before your full certificate is granted. There appears to be no time limit on this but James felt that it was probably best to do them as soon as possible so as not to lose the impetus.
Finally I must give thanks to James Parker, a truly excellent tutor, and also Martin Wills for providing his excellent facilities.