In the clinic on Thursday I had something come across that I hadn't seen before.  A patient that I was doing a comprehensive periodontal exam and some cool radiographs.  He had had orthognathic surgery thorugh the Army in the past (jaw surgery).  That is what all the white things are that look like they are from an erector set.  In addition he had had transcortical implants placed.  An implant that goes from one part of the jaw almost through the other side.  You can see how long they are - not much chance that he will loose them.  Current implants are generally much shorter.  Suprisingly enough he said he did not have any type of numbness or nerve damage on that side.

By the end of the day (including 2 failed appointments) we had done: 4 exams, 4 fillings on 2 patients, 2 extractions on 1 patient, 2 temporary dentures on 1 patient.