what it's really like - advice for rookies

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sammas

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Passing this along from someone smarter than me. Learn it and live it. Sorry about all the >'s.

Dental school is not medical school nor is it a Ph.D program. It is
> primarily a technical rather than an academic degree. All that
> studying that you did for the DAT will be very unlike what you will do > when actually in school. You must learn the lab skills. These will > be far more important than book skills. Again, if interested, I will > later give you my thoughts on how to prepare so that that first > semester is not so much of a shock. I will give you one hint now. Do > NOT study gross anatomy over the summer. I know that this is the > largest of the first-year classes and scares many people. However, > the textbooks are so huge and so detailed that no person could > realistically learn them on their own. Much more important and useful > would be to spend the summer becoming familair with dental anatomy.

Academically, dental school is not very hard. Very few people (almost > no one actually) has major problems with biochemistry, physiology, > histology, etc. There is much material, but it is straight forward > enough. This is true even for non-science majors. There seems to be > a real "rise to the challenge" mentality once school starts. Even > people with the lowest GPA's and DAT scores do well enough with the > books. For example, my class contains several former English majors
> who had only enough science to meet the entrance equirement. There > is also a guy with an M.A. in microbiology and a former junior college > science professor. And everybody in between. Still everybody passed > gross anatomy - most with grades no more than one letter apart. > Therefore, I would not use the summer to prepare for "book work." > This is especially true for gross anatomy.

I don't know why anyone would do that anyway. Shouldn't you be golfing or something? (Or working?)
It would take months just > to learn one chapter. But not to worry the professors will shorten it > to a manageable amount. As an aside -- do not worry about the > cadaver. When I was walking to the gross lab for the first time, my > legs almost gave out from the fear of it. Truly, I felt light in the > head. But within a week, it will be no problem -- easy as cake to do > things that a few weeks ago would have made you pass out.
>
> So if the books are not much of a problem, the lab classes are. These > laboratory courses probably make up the biggest difference between > medical and dental school. I have some intimate knowledge of this as > my ex-wife was a medical student. (We were married a month before > her school started and divorced a year before her residency ended -- > but that is another story.) The first two years of medical school are
> made up of books and tests, books and tests, books ..... and so on. I > do not remember her having many lab classes at all, besides gross, of > course. In dental school, however, the labs are the main thing. As > the semesters go on they start becoming more and more significant in > both complexity and time. This can be good and bad. Good in that
> they are essentially mindless and thus provide relief from studying. > Bad in that the work will be graded with almost unbelievable > strictness. I was once told to move a wax cone over two hair widths. > And this was not meant to be funny!
Of course not. Imagine if that had been a patient's mouth. 2 hair widths can mean the difference between a good filling and an extra contact point, which could need a root canal down the road.

> Here is the other main difference > between medical and dental schools -- the failure rate. When my ex > was in school, only two people failed, and they did not really fail, > but simply got fed up and left. In dental school, if a person fails a > laboratory class, they will have to repeat the entire year --
> everything, not just the failed lab class. What is worse is that this > really happens. what is more, it happens to very bright people. > Frankly, waxing model teeth and cutting preps is a skill; intelligence > just is not a big part of it. I doubt that Einstein could do a Class > III amalgam prep. And I doubt you could have come up with the theory of relativity.

>Therefore, when school starts, make the labs your > primary concern. I stated class with people who were repeating the
> first year, and I remember thinking that they must really be stupid or > lazy. Not true. They just messed up a few lab practical tests. Too > often people dismiss the labs as less important or think that it will > be a natural ability or that the technology will be so advanced as to > replace the "art" of it. Don't believe it. Practice, practice, > practice. Of course, you may be one of the naturally gifted. In > which case, dental school will be a breeze.

> Here are so more general hints -- for what they are worth: everybody > has a different opinion. These are only mine.
> * Do not be shy. Dentistry tends to attract independent people who > dislike to show off and who are easily offended. I understand this. > However, there is no hiding in dental school. When you are called on, > give an answer and give it quickly even if it is wrong. Go to the > professors with your lab work and get feedback -- even if you do not > feel that you need it. Volunteer to demonstrate a procedure even if > doing so may make you look foolish. I do not mean that you should > become a boot-licker, but you must get involved. > * You will not have to do everything the teachers tell you to do.

What? Don't always do everything you're told? Are you mad?
> Often reading assignments can be ignored or lab procedures practiced > only a few times (If you are good at it.). If you did every thing you > were told to do, well there would not be time enough in the day. > Trust your abilities. Also, ask second years students what textbooks > you really need. I spent over one thousand dollars on books I never > even opened.

If you have a choice between a less expensive state school and a
> prestigious private one -- go for the "cheap" one. I hate to get
> practical here, but you will;l need all the money you can get. I
> spent on average thirty dollars a week on extra lab supplies -- an > expense they do not talk about in the catalogs. I knew one guy who > spent $100 just on a single weekly lab project. Also, you do not want > to finish school with a huge debt. Terrible.
> * Do not compete with other students. Unless you want to be an > orthodontist, grades or class rankings no longer matter in the long > run -- not like they did in college. Therefore, help each other. > I've been saved many times by others. > * Get used to the feeling that you are no longer the smartest person
> in class. Here the dumbest person is extraordinarily bright. At
> first this is a bit of a shock. But it rapidly becomes one of the
> best things about being in school. You really feel as if you are a
> part of something meaningful and important. You start to hunger to be > around such sharp people.
>
> * As I have said before, buy a copy of Fuller and Denehy's "Concise > Dental Anatomy and Morphology". You should be able to get through it > by yourself over the summer. If so, you will have much more free time > in the fall and also you will be able to understand laboratory > assignments with greater ease. This is a terrifically boring book > but its contents are invaluable. You will learn every bump and groove > on every tooth. Plus you will get to say things like "the mesial > secondary groove of the mesial-buccal cusp of number 3", and actually
> know what it means.

Go to the school and find out if they make wax models by the
> carving or addition waxing technique. They will know what you are > talking about. You should be able to buy dental wax and waxing > instruments for less than $50. Ask a freshman to lone you their > morphology and occlusion lab manuals for the summer. Then practice > "waxing" the teeth at home. They will look like hell, and there will > be no way for you to get feedback. But when school starts, at least > you will have a feel for it. This thing called "waxing" is without a > doubt the most hated thing in dental school -- with the possible > exception of the professors who teach waxing.

Buy a copy of Rohen and Yokochi's "Color Atlas of Anatomy" (ISBN
> 0-683-30492-5) -- about $70 and a computer anatomy program called > "A.D.A.M." -- about $120. You will not need them this summer, but > they are a great help in gross anatomy lab. In fact, I have know > several people who found these two aids more important for passing > gross anatomy than actually doing the dissection
 
Sammas, thank you for taking the time to write of the realities. I I am going to look into all the resources you mentioned ASAP and will follow-up on all your advice---that is if I get in school😀 You have prepared me more than you know. There is much disparity between medical school and dental school----most of them I assumed but I now know. Thanks again!
 
Umm... There is one very BIG caveat. What Sammas posted might be true for one dental school (whichever one the original author of that conversation went to), but it will NOT be true for others.

Many dentists will disagree that a D.D.S. is a "technical" degree rather than an "academic" one like an M.D.. While the school that poster went to apparently emphasizes lab skills, you can be sure that other dental schools might emphasize instead the didactic aspects. My class for example took all the same courses as the med students during our first two years IN ADDITION to the lab courses.

And if you are not academically prepared, you will be hammered in clinic during your upperclassmen years for lack of biomedical knowledge, because the majority of patients you will most likely see in a dental school clinic are MEDICALLY COMPLEX patients. I'd love to see that original poster treat a senior patient with advanced systemic disease and taking 20 different meds if all he learned were "technical lab skills."

It's not just orthodontic PG programs that need good grades. If you want to get into any sort of competitive PG program such as oral surgery or endo or even peds at a nice, competitive busy suburban hospital, your grades had better be good.

Oh... And at my school, the preclinic lab instructors don't care if you add or carve wax. As long as it ends up looking reasonably like a tooth you are OK. :laugh:
 
Is there anything else that is recommended to do to prepare oneself for the technical and academic loads of dental school. Would it really help to practice with spare clay? Even though I have not been accepted yet, I miss playing with playdough---such fun childhood memories:laugh: Further, I was hoping there may be some book that specializes in head/neck anatomy---most notably of course the oral-maillofacial region? Thanks!!!

-Richard
 
My advice:

Enjoy your summer before dental school! It would be the last stretch of freedom you will have for a while.

Seriously. Don't worry about anatomy, wax carving or histology or any of that stuff. Enjoy your summer free from any responsibilities and get yourself mentally refreshed and prepared to face the challenge of the four years ahead. Yeah, you might casually look through an anatomy atlas (I prefer Netter's) or a dental development or morphology book (I prefer Woefel's dental anatomy text), but don't try to memorize things. Just glance through and look at the pretty, big pictures. School is where you will worry the nitty gritty details.

Go and enjoy a Shakespeare play in the park or something. And I don't want to see you wrestle Hamlet to the ground to look at the anatomical landmarks on the skull he was soliloquizing to. :laugh:

Good luck!
 
"Woeful's dental anatomy" results in an invalid entry on Amazon. Similarly, a website dedicated to dental students does not have this book as an entry either 🙁 Do you know where I may be able to buy this text?
 
By the way---thanks for helping me out🙂 I can take Hamlet any day

-Richard😡
 
I agree with Tom. That may apply to some dental schools but I don't think it applies to most.

Dental school is every bit as difficult as medical school and then some.

Just wait, you'll see.
 
to Gavin:

I just checked out the stuff you guys will have for your 2nd semester and I'm impressed! Here at my school we didn't touch basic ortho or pharm until 3rd year. Those will indeed come in very handy whenever you start treating patients in clinic.

Here at my school when we first started clinic late in our sophomore year, we did so with very little pharm knowledge (only what little we picked up in physiology and biochem) and no ortho at all, and there was some resulting fumbling-- In the adult clinics when we see patients who are on multiple meds, and in the pedo clinics when we didn't have any idea how to tx-plan some kids. 🙄

Keep on truckin'!
 
I must say..... that is a damn good post sammas!! Whether dental school is like a "technical school" might be an accurate description for some and not for others. However, I think that in your case (just from your post) I would bet that you have no problem at all with the didactic learning and have a strong science background so you don't feel the burden of learning biological sciences. Also, perhaps the pre-clinical aspects of dental school are what you have to work hardest at and that is why you stress the importance of being determined and diligent with the wax.

It is a well known anectodally that there is a learning curve with the manual skills of dentistry and eventually all hard-working dental students will succeed. I was told this by a prof at one of my interviews and it is an invaluable peice of advice..... "I don't want someone who is just good with their hands, I want dental students to be good with their brains because the manual skills can be taught." It is like what they say in basketball..... you can't teach height.

Oh yeah, sammas, I enjoyed hearing your candid dental school experience but would make only one suggestion with your post, please try to break up your post.

Almost forgot, but I was wondering if you had any advice with learning the handpiece and also if you have treated patients, what are some of the things that dental students need to work on in order to succeed in the clinic? I DO NOT want to go into a residency program (gpr or aegd) and would like to become competent and comfortable treating patients after my four years in school.
 
Gavin, I don't think that sammas was trying to say dental school was any easier, just showing that it was different, and by acknowledging those differences you can be more sucessful.

Most people I have talked with say that dental school is very similar to medical school the first two years with regards to effort required. After that our paths diverge- the med students are off to rotations and 36 hour shifts and we get the nice 9-5 clinic work. The sad thing for our medical friends is that it these paths don't converge anytime in the future. However, it's good for us- isn't that why we picked dentistry?
 
....Unless of course you choose to go 6-year OMFS. The path would then converge-- And then some! 😀
 
Tom, somtething tells me that won't be a problem for you. (Just one more year to go! YEEHAH!!)
 
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