《医生诊疗英语会话》每日一听第137期
2ROUTINE FILLING
Routinefilling
Good morning. Come in, sit yourself down. Now, I’m going to give you a smallroutine filling. First, I need to give you an injection. Before the injectionI’m going to put some cream on your gum to make the injection less painful. Icould use a spray but this time I’ll use cream. I’m going to put this scream ona small cotton wool roll/swab/, and put it next to your tooth. Now, just leaveit for a few minutes and then when it starts to take effect, because it’s anupper tooth, I’m going to put the injection next to your tooth. If it were alower tooth then I would put the injection in the black of your mouth and thatwould make the whole of your jaw numb. Now, I’ll put the injection next to yourtooth here, and that will take about two minutes before it takes effect on thetooth. In the meantime, what I’ll do is I’ll scale and polish your tooth, andthat means I’m going to take off the plaque that grows around the salivaryglands. And polish them up.
Ok now, The injection has worked. I’ve scaled and polished your teeth and I’mgoing to start doing the drilling now, I’m going to take out the old fillingbecause it’s leaking on one side. For this, we you excuse me if we wear myprotective glasses because this drill works very very quickly and debris canfly out of your mouth, and hit me in the eye. I’m also going to put on myprotective face mask. Now, I’ll take out the old filling. First of all, I haveto put the salivary suction/sucker/ ejector in your mouth to remove the saliva.When I’ve done that, I’ll be using a slower drill. This will vibrate quite alot, but I need to do that to take out the decay which will be under the oldfilling. If the decay has gone quick deep into your tooth then I’ll use somethingwe call an excavator. It’s a small spoon- like tool which will scrape out allthe decay.
Ok, I’ll start that right now. ok, now then we’ve moved the old filling, I’vetaken out the decay under the filling, now I’m going to putting in a lining, inthis case it’s calcium hydroxide. The fact is this is an insulating layer whichinsulate the tooth from the filling so that the heat passing through thefilling doesn’t reach the never. I’ve put that in, now I’m going to put a stripof steel, the matrix retainer, around the tooth, and then I’m going to put inthe amalgam to fill in the tooth. amalgam is the normal sort of filling whichwe use. Ok. Off we go, ok, now the filling is all in place. I’d like you tovery, very gently bite on the filling, then I can see if there’s any partthat’s a little bit high. Ok, bite very gently please. Now, move your jaw fromside to side. Right, open, thank you. Ok, the filling is a little bit high, soI’ll shave it off a little bit. Ok, bite together again, very gently…., ok,side to side, open, ok, yes, I think that is good, fine, how does it feel? Now,I’d like you to come back in a week time.
There is another filling to do and I’d also like to polish the amalgam surfaceso that it does not attract food,---so the food doesn’t stick to it. Thank youvery much. See the receptionist on the way out. I’m sorry, there is one morething, try not to eat on the side where the filling is for the next two orthree hours. By tomorrow morning, it’ll definitely be set solid, so you caneat. Just for two or three hours, eat on the other side preferably avoid eatingtogether. Ok, thanks a lot, see you next week, bye- bye!
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