Wreb Appeal?

[2ndlife]

Advertisement - Members don't see this ad

Hi all. I took the wreb and found out I got a 74.15.😡 It's such a close margin and I feel like perhaps appealing is possible if I can just get 0.85 more. I got 3 pts deduction for perio pt rejection and I could have passed if it wasn't for that deduction.
I know I really can't argue with them on Operative since the patient is gone already. Perio is probably not possible either since it's most likely impossible to argue on pt rejection. Endo is what I want to dispute on. I had a good score on anterior access but they took away a lot for my posterior access.
My premolar had a previous restoration and when I opened it up, there was caries around the restoration. The wall was flaking off so I opened the access larger than what is ideal for a premolar in order to get rid of the soft flaking tooth structure. I showed the situation to a floorguy and wrote it on the slip but he said he could not sign for that. So I wrote on the slip "access opened larger than ideal due to caries. Please note caries still left in chamber." I used caries indicator which is green and left some color in the chamber since I didn't want to remove any more tooth. I hoped that the grader would see the green caries indicator (therefore soft tooth structure) and know that I had to open the access larger due to the caries. I guess they didnt care of this at all and just took lots of points away from the access. Obturation they gave a good score though.
Is this sometime I can argue about? Any thoughts /input appreciated.
Thanks in advance.

 

[DesiDentist]

So I wrote on the slip "access opened larger than ideal due to caries. Please note caries still left in chamber." I used caries indicator which is green and left some color in the chamber since I didn't want to remove any more tooth.

You shouldn't have used caries indicator, you should not have removed caries, you should not have made that note "caries still remains."

Remember the endo portion of the exam they already know if its an extracted tooth it is a diseased tooth and there is possibility of fracture, caries, etc. The goal of this exercise is to show them you know what an ideal access looks like, Instrument and fill the canal to the minimal standards. I'm sure you didn't get all the caries indicator out, also stating you left caries tells the examiner you were going to do the ideal prep but you still didn't acheive it.

Either you leave it alone and do the perfect access and fill it or you take out all the caries. For extracted tooth it is not worth trying to remove caries since the tooth is already dried and breaking.

I don't think the appeal would be the choice right now. You need to gather your bearings and re-take this exam. It's horrible but next time pick teeth for endo without restorations and extensive caries. This is the first time I heard of anyone using caries detector for the endo portion. I mean I used a ton of it on my patients but not for endo. From what I read in the manual, correct me if I am wrong, the goal is to do the ideal prep and fill. If there were mods in endo, then you would need the floor examiner to sign you off for "extending access due to caries." Now do you see where I am coming from?

Just remember this is another bump in the road. You will get there.

DD

 

[nuts]

I agree with DesiDentist. I think it won't hurt to try to appeal but you will have to waste a lot of energy whether you make it or not.

 

[ItsGavinC]

I agree with DesiDentist. I think it won't hurt to try to appeal but you will have to waste a lot of energy whether you make it or not.

The appeal is $500 and probably a waste of time. The examiners won't tell you why your grade is what it is, or where you went wrong. They don't even have that information. The only way to pass an appeal is if there was a technical error on the examiners part.

Even if the examiners were to look at your case and think it could be graded higher, or lower, they won't change the grade. It's a lost cause.

 

[ItsGavinC]

Out of curiosity, what were the points you receieved for your endo?