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Any questions? Would love to answer them for you.
Just took and passed my WREB
- Thread starter DDS4tehwin
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congrats.
I do have several question, maybe you can help me out.
if the calculus sites are more than 8 sites, do we need mark all the sites or just 8 sites is OK? (some sites of calculus is not very obvious and I am not sure about it is or not)
after perio SRP, do we need polish teeth as we did in clinic? in another word, do examiner evaluate the polishing?
thank you so much!
I do have several question, maybe you can help me out.
if the calculus sites are more than 8 sites, do we need mark all the sites or just 8 sites is OK? (some sites of calculus is not very obvious and I am not sure about it is or not)
after perio SRP, do we need polish teeth as we did in clinic? in another word, do examiner evaluate the polishing?
thank you so much!
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Less than a week, my heart was beating so fast when I opened that email!
Day one= orientation
Day two= Clinic 7-4:30. Patients seat at 7:45. You have the whole day to schedule what you want
Day three= Clinic 7-4:30. Patients seat at 7:45. You have the whole day to schedule what you want
Day four= spillover day in case you couldnt finish something
(Endo will be scheduled by WREB)
Read the manual! Know your mod requests! Best advice is, be prepared to wait for prep checks and pt. acceptances. Don't worry, the longer they take doesnt mean you did something bad, I waited 1.5hrs for mine to be graded! Both my operatives had indirect pulp caps! If you leave >.5mm caries, you fail. <.5mm caries, you pulp cap. The sure thing to do to guarantee a pass would be to pulp the tooth no matter what (ONLY if you are close to the pulp after mod requests), but I couldn't bring myself to doing that to a patient, so I took a HUGE gamble for indirect pulp caps and both were accepted! Any caries left behind = failure. Only time you can leave caries if it is <.5mm on the pulp. Only way to verify this is with a xray, but I did it visually (floor looks pink and reddish). As long as you dont get pink slips, its usually assumed you passed. Endo was easy, I used rotaries. Perio can be intimidating, 2+ clicks calculus = you fail. But everyone I asked passed. That's about it, I know everyone says "don't stress" but it's impossible not to. Just don't stress enough to hinder your dentistry. Good luck!
Yes, mark all the sites. I just randomly marked, it really doesnt matter. They pick the 8 that they will check. They do not evaluate polishing per say, but make them look pretty. After you scale, polish. Then scale again to remove polishing debris. I had them swish with hydrogen peroxide to control bleeding.
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thank you so much! Great help!
I have one more question: what is different class II preparation between amalgam and composite in WREB exam? I will do two class II preparation and but I come from east coast of US. I heard there is much difference about wreb class II preparation between dental schools of east coast and ones of west coast. at least different school have different standard.
thank you again.
I have one more question: what is different class II preparation between amalgam and composite in WREB exam? I will do two class II preparation and but I come from east coast of US. I heard there is much difference about wreb class II preparation between dental schools of east coast and ones of west coast. at least different school have different standard.
thank you again.
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I have a question about Perio, do you get a pink slip if you leave any calculus ?
I took wrebs this weekend, everything went great except perio, my patient was rejected so I had to come back the 4th day to finish perio which I did, and everything was ok then, but now I'm paranoid if I did a really good job cleaning because they say you can only leave 1 piece of calculus after 10% deduction. I'm scared I missed something!!
I took wrebs this weekend, everything went great except perio, my patient was rejected so I had to come back the 4th day to finish perio which I did, and everything was ok then, but now I'm paranoid if I did a really good job cleaning because they say you can only leave 1 piece of calculus after 10% deduction. I'm scared I missed something!!
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I just took operative and endo. I have no idea if I passed or not, but I'll throw some tips in. For operative, if you have an existing fill on the same tooth, always make a note to the examiners that you may have to modify the prep to include it. I didn't, and was dinged for under-treatment. Don't rush the procedures. Grading times are highly variable. Sometimes they come out in 15 minutes, sometimes an hour. The latter was because the grader couldn't figure out hours to use the computer. Practice with the materials you're going to use in the exam. I'm taking my test in another state, so I bought some materials at the exam site. The composite was very different than what I'm used to, and the endo equipment felt different as well.
I'm an endodontist, so endo was easy. Pick teeth with big pulp chambers, relatively straight canals, canals that exit at the anatomic apex, and canal size between 20 and 30. Too small and you'll have length issues, too big and it will look under prepared. Buy a pathfile. It's a size 10 or 12 file that's niti. If you choose the tooth right, it will sink to length without any effort, and will confirm a smooth glide path. Pick a snug file and take a working length film. Make sure this is a good one, and adjust and retake as necessary. If you are good on this one, you can skip the rest. Instrument according to the guidelines. Remember that you can be 2mm short and still pass, so it's better to be short than ledge or transport. It's also better to be short than long, so adjust accordingly. I personally instrument a bit long with the smaller rotaries so as not to lose length, but it can lead to over fill problems if you don't size the apex right. Use water in a syringe to clear out debris periodically so you don't block yourself out. Use a micro brush to clean the access before you turn it in.
Don't buy teeth from anyone. Ask an oral surgeon, and they will give you teeth for free. Always use "new" teeth, otherwise you risk the tooth breaking while you're working.
That's about all I can think of. I'm taking the perio exam today. 9 years since my last perio pt...
I'm an endodontist, so endo was easy. Pick teeth with big pulp chambers, relatively straight canals, canals that exit at the anatomic apex, and canal size between 20 and 30. Too small and you'll have length issues, too big and it will look under prepared. Buy a pathfile. It's a size 10 or 12 file that's niti. If you choose the tooth right, it will sink to length without any effort, and will confirm a smooth glide path. Pick a snug file and take a working length film. Make sure this is a good one, and adjust and retake as necessary. If you are good on this one, you can skip the rest. Instrument according to the guidelines. Remember that you can be 2mm short and still pass, so it's better to be short than ledge or transport. It's also better to be short than long, so adjust accordingly. I personally instrument a bit long with the smaller rotaries so as not to lose length, but it can lead to over fill problems if you don't size the apex right. Use water in a syringe to clear out debris periodically so you don't block yourself out. Use a micro brush to clean the access before you turn it in.
Don't buy teeth from anyone. Ask an oral surgeon, and they will give you teeth for free. Always use "new" teeth, otherwise you risk the tooth breaking while you're working.
That's about all I can think of. I'm taking the perio exam today. 9 years since my last perio pt...
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Congrats on passing the WREB! 🙂
Did you travel for the exam, or was it at your home school?
What did you use to study for the PATP and CSW portion? I am thinking of buying the WREB busters - did you use that by any chance?
Thanks!
Did you travel for the exam, or was it at your home school?
What did you use to study for the PATP and CSW portion? I am thinking of buying the WREB busters - did you use that by any chance?
Thanks!
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Took the perio section. Make sure your perio probe is accurate. I compared a few 3/6/9 probes, and some were off by 0.5mm. Pick the probes with the shortest 6mm marking so that your 5mm pockets are easy to identify. I asked my patient how they checked the remaining calculus. There's a language translation barrier, so I didn't fully understand, but he essentially said that two examiners quickly probed interproximally, while a third was more thorough. He said they checked the posteriors from the lingual and the anteriors from the buccal (I did all maxillary). I bought all new scalers, because I can't sharpen instruments... The after 5 instruments by Hu Friedy were great. They're a bit thinner so they're easier to get into tighter pockets. A hygienist gave me another instrument, can't remember what it's called, but its a posterior sickle scaler, and it worked great for tight pockets and hard to reach areas.
In regards to the previous poster, the post was not addressed to me, but I'll answer part anyways. I used Mosbys NBDE part ii first aid, WREB Busters, and the reference books in the WREB manual. For the perio section, none of the references really helped much. I can't really say what it is about the books, but maybe it's that the books go into more detail about physiology and processes, whereas the exam was more broad? I'm not sure. In any case, it seemed like you had to draw on your prior experiences when answering perio questions. I'd still read one of the reference books anyways, just as a refresher. I read the pertinent sections of fixed prosth, but again, your own prior experience cutting preps is a better guide. Other than knowing optimal reduction amounts, the book is not useful. I read the complete and rpd denture books. It was a nice refresher, but overkill for the exam. If you feel comfortable about dentures, then the board buster book or Mosbys is all you need. If you don't remember anything about dentures, you may want to read a textbook.
Bottom line is that the more prior knowledge you have on the subjects, the more you can rely on review books. If you don't have a decent understanding of the concepts, the review books will feel disjointed and not make as much sense. Thus you'll have to go to the textbooks for a more thorough discussion of the topic. And then topics like implants aren't really discussed at all, in the review books or the implant book I looked at, in regards to what the exam is looking for.
In regards to the previous poster, the post was not addressed to me, but I'll answer part anyways. I used Mosbys NBDE part ii first aid, WREB Busters, and the reference books in the WREB manual. For the perio section, none of the references really helped much. I can't really say what it is about the books, but maybe it's that the books go into more detail about physiology and processes, whereas the exam was more broad? I'm not sure. In any case, it seemed like you had to draw on your prior experiences when answering perio questions. I'd still read one of the reference books anyways, just as a refresher. I read the pertinent sections of fixed prosth, but again, your own prior experience cutting preps is a better guide. Other than knowing optimal reduction amounts, the book is not useful. I read the complete and rpd denture books. It was a nice refresher, but overkill for the exam. If you feel comfortable about dentures, then the board buster book or Mosbys is all you need. If you don't remember anything about dentures, you may want to read a textbook.
Bottom line is that the more prior knowledge you have on the subjects, the more you can rely on review books. If you don't have a decent understanding of the concepts, the review books will feel disjointed and not make as much sense. Thus you'll have to go to the textbooks for a more thorough discussion of the topic. And then topics like implants aren't really discussed at all, in the review books or the implant book I looked at, in regards to what the exam is looking for.
