Fissurotomy Lunch & Learn Slides
w my lunch box英语作文
My Unique Lunch BoxIn the hustle and bustle of daily life, lunch often becomes a hasty meal, shuffled between the demands of work, school, or simply the never-ending to-do list. But for me, my lunch box is not just a container for food; it's a repository of memories, a testament to my personal style, and a constant reminder of the importance of self-care.My lunch box is a vibrant mosaic of colors and textures. It's a canvas where I express my creativity through the art of food presentation. Each compartment is carefully planned, filled with dishes that not only taste delicious but also look appealing. From the brightly colored fruits and vegetables to the精心制作的三明治, each item represents a choice I make to prioritize my health and well-being.My lunch box is also a time machine, taking me back to childhood memories of packing lunches with my mother. She always made sure my box was filled with营养均衡的食物,from the protein-packed chicken breast to the vitamin-rich carrots. These days, as an adult, I carry on this tradition, packing my own lunch box with love and care.The lunch box is not just about what's inside; it's also about the journey it takes. Whether it's a picnic in the park or a quick bite in the office, the lunch box accompanies me throughout the day, becoming a constant companion in my busy life. It's a reminder to pause, to enjoy the simple pleasure of a meal, and to appreciate the small moments of peace and quiet.In a world where convenience often rules, my lunch box is a symbol of resistance. It's a declaration that I value my health, my time, and my life experiences. It's a statement of independence, a refusal to settle for the ordinary, and a celebration of the joy that comes from taking care of oneself.So, when I unpack my lunch box, it's not just about eating; it's about connecting with myself, with my past, and with the present moment. It's about reminding myself that, in the midst of all the chaos and hustle, there is still room for self-care, for creativity, and for joy. My lunch box, with its colorful contents and personal touches, is a constant reminder that life is not just about surviving; it's about living, and living well.**我的独特午餐盒**在忙碌的日常生活中,午餐往往成为了一顿匆忙的饭食,被工作、学校或永无止境的任务清单所挤压。
my lunch box英语作文
my lunch box英语作文英文回答:My lunch box is an essential part of my daily routine. It is not just a container for my food, but also a reflection of my personal taste and preferences. Every morning, I carefully prepare my lunch and pack it into my lunch box before heading out for the day.Inside my lunch box, you will find a variety of delicious and nutritious foods. I like to include a balance of protein, carbohydrates, and vegetables to ensure that I am getting all the necessary nutrients. For example, I might pack a sandwich with turkey, lettuce, and tomato on whole wheat bread, along with a side of carrot sticks and hummus. I also like to include a piece of fruit for a sweet and refreshing treat.One of the reasons I enjoy packing my own lunch is because it allows me to have control over what I eat. I canchoose high-quality ingredients and avoid unhealthy additives or excess salt and sugar. Additionally, packing my own lunch is more cost-effective than eating out every day. It saves me money and allows me to allocate my budget to other things that are important to me.Another benefit of bringing my own lunch is that it helps me stay on track with my health and fitness goals. By packing a balanced meal, I am able to fuel my body with the nutrients it needs to perform at its best. This is especially important for me, as I lead an active lifestyle and participate in regular exercise. Having a nutritious lunch helps me stay energized throughout the day and prevents me from reaching for unhealthy snacks.In addition to the practical benefits, my lunch box also holds sentimental value for me. It was a gift from a close friend, and every time I use it, it reminds me of our friendship. It serves as a daily reminder of the importance of nourishing my body and taking care of myself.Overall, my lunch box is more than just a container formy food. It is a symbol of my commitment to my health and well-being. It allows me to make mindful choices about what I eat and helps me stay on track with my goals. I amgrateful for the convenience and flexibility it provides, and I look forward to continuing to pack my own lunch every day.中文回答:我的午餐盒是我日常生活中不可或缺的一部分。
my lunch box英文作文
my lunch box英文作文英文回答:My lunch box is a reflection of my personality and dietary needs. It is a carefully curated collection of foods and drinks that will sustain me throughout the day, provide me with the nutrients I need, and bring me joy.I typically start my day with a nutritious breakfast, so my lunch box is usually lighter and more portable. I often pack a sandwich or salad, some fruit, and a yogurt or cheese stick. I also include a variety of snacks, such as nuts, seeds, or granola bars, to keep me going throughout the afternoon.When I am short on time, I often pack a pre-made meal from a local deli or grocery store. These meals are typically healthier than fast food options and can be just as convenient.I also make an effort to pack my lunch box in a waythat is visually appealing. I use colorful containers and arrange the food in a way that makes me smile when I open it. I believe that eating should be a pleasurable experience, and my lunch box is an extension of that belief.No matter what I pack in my lunch box, I always make sure to include a few of my favorite foods. This helps meto stay motivated to eat healthy and makes lunchtime something I look forward to.中文回答:我的午餐盒反映了我的个性和饮食需求。
my lunch英语作文40词
my lunch英语作文40词As the mid-day sun cast its golden rays upon the bustling city below, I found myself drawn to the enticing aromas wafting from the myriad eateries that lined the streets. With an empty stomach and a growing hunger, I set out in search of a delectable lunch that would satisfy both my taste buds and my soul.After carefully considering my options, I decided to venture into a charming little bistro nestled amidst the quaint cobblestone alleys. The establishment's inviting ambiance, with its warm lighting and cozy seating, immediately put me at ease. As I perused the menu, I was pleasantly surprised by the diverse culinary offerings, each promising a unique and tantalizing experience.After much deliberation, I settled on a succulent grilled salmon fillet, accompanied by a medley of roasted vegetables and a dollop of zesty lemon butter sauce. As I eagerly awaited my meal, I sipped on a refreshing glass ofice-cold sparkling water, its bubbles dancing merrily on my tongue.The anticipation building within me reached its peak when my lunch arrived at my table, beautifully presented on an elegant white plate. The aroma of the freshly grilled salmon mingled harmoniously with the earthy fragrance of the roasted vegetables, creating an olfactory masterpiece that teased my senses.With a fork in one hand and a knife in the other, I gently separated a succulent flake of salmon from the rest. Its delicate texture melted in my mouth, releasing a burst of rich and savory flavors that danced across my palate. The roasted vegetables, a vibrant symphony of colors and textures, provided a delightful contrast to the fish, their natural sweetness complementing the salmon's salty tang.As I savored each bite, I couldn't help but appreciate the artistry and craftsmanship that had gone into creating this culinary masterpiece. The chef had clearly taken great care in selecting the freshest ingredients and preparingthem with the utmost precision, resulting in a dish that was not only delicious but also visually stunning.With each forkful, I felt a sense of contentment wash over me. The food was not merely sustenance; it was an experience that nourished both my body and my soul. As I slowly finished my meal, I realized that I had not only satisfied my hunger but had also created a lasting memory that I would cherish for years to come.As I stepped back into the hustle and bustle of thecity streets, I couldn't help but smile. The memory of my exceptional lunch lingered in my mind, a reminder that even the most ordinary of meals can become an extraordinary culinary adventure when approached with a discerning palate and an open heart.。
五年级下册英语第三课的′食午作文!
五年级下册英语第三课的′食午作文!Lunch is the most anticipated meal of the day for me.It's not just about filling my stomach, but also about satisfying my taste buds with delicious and nutritious food. Every day, I look forward to what my mom has cooked for me, and the anticipation builds up as the clock ticks towards noon.On a typical day, my lunch usually consists of a main dish, a side dish, and a dessert. The main dish is usuallya hearty meal like chicken curry or vegetable biryani. The curry is a blend of spicy flavors that makes my mouth water just thinking about it. The biryani, with its perfect blend of rice, vegetables, and spices, is a comfort food that I can't get enough of.The side dish is usually a salad or a raita, which is a yogurt-based dish. The salad is a vibrant mix of fresh vegetables like cucumbers, tomatoes, and carrots, dressedin a lemony vinaigrette. The raita, on the other hand, is cooling and refreshing, with its blend of yogurt, cucumber, and spices.For dessert, I usually have a fruit or a small cake.The sweetness of the fruit or the cake balances out the spiciness of the main dish, and leaves me feeling satisfied and content.But what I love most about lunch is not just the food, but also the atmosphere. The whole family sits down together, and we enjoy our meal while chatting and laughing. It's a time for us to catch up on each other's lives, share stories, and just be together.Lunch is not just a meal to me; it's an experience.It's a time for me to appreciate the delicious flavors of food, the warmth of family, and the joy of sharing. And I cherish these moments every single day.**我最喜欢的餐食:午餐**对我来说,午餐是一天中最令人期待的餐食。
我的午餐盒英语作文
我的午餐盒英语作文英文回答:My lunchbox is a rectangular-shaped container made of durable plastic. It measures approximately 20cm in length, 15cm in width, and 10cm in height. The lid of the lunchboxis transparent, allowing me to easily see the contents inside. It closes securely with two sturdy latches oneither side.Inside the lunchbox, there are two compartments. The larger compartment is perfect for storing sandwiches, wraps, or salads. The smaller compartment is ideal for snacks such as fruit, vegetables, or nuts. The compartments are removable, making it easy to clean the lunchbox.The lunchbox is insulated with a thick layer of foam, which helps to keep food cold or warm for several hours. It also has a carrying handle on the top, making it easy to transport.I love my lunchbox because it is practical, easy to clean, and durable. It keeps my food fresh and organized, and it is the perfect size for my lunchtime needs.中文回答:我的午餐盒是一个长方形容器,由耐用的塑料制成。
我的饭搭子英语作文800字
我的饭搭子英语作文800字英文回答:My lunch companion is a person who I enjoy spending my lunchtime with. This person is usually someone who I have a lot in common with, and who I can have interesting conversations with. I also appreciate it if they are someone who is willing to listen to me, and who is supportive of me.I believe that it is important to have a good lunch companion, because it can make the midday meal a more enjoyable and relaxing experience. It can also help to make the day go by more quickly, and it can give you something to look forward to.One of the best things about having a lunch companion is that it gives you the opportunity to socialize with someone. This can be especially important for people who work in isolated environments, or who do not have manyother opportunities to interact with others.Having a lunch companion can also help you to learn new things. This is because you can share ideas and experiences with each other, and you can learn from each other's perspectives.Finally, having a lunch companion can simply be a lot of fun. It can be a great way to relax and de-stress, and it can give you a chance to laugh and have a good time.中文回答:我的饭搭子通常是指在午餐时间陪我吃饭的人。
mylunch英语作文50字三年级
My Delicious LunchEvery day, I look forward to my lunchtime with great enthusiasm. It's not just a meal, but a time for me to enjoy a variety of delicious dishes and refresh myselfafter a morning of hard work.Today, my lunch was particularly satisfying. It consisted of a sandwich filled with succulent ham and fresh vegetables, a cup of fruit salad filled with juicy strawberries and sweet pineapple chunks, and a glass of refreshing lemonade. The sandwich was soft and tasty, with each bite revealing a burst of flavors that filled my mouth with joy. The fruit salad was a burst of freshness, with the sweet and sour flavors complementing each other perfectly. The lemonade was a refreshing treat, cooling me down on this hot summer day.As I enjoyed my meal, I felt a sense of contentment wash over me. This simple lunch had given me more than just nourishment; it had given me a break from the monotony of the day, a chance to relax and refresh myself. And with that, I looked forward to the rest of the afternoon with renewed energy and enthusiasm.**我的美味午餐**每天,我都满怀热情地期待着午餐时间。
mylunch中英文作文
mylunch中英文作文My lunch is the most important meal of the day for me. It provides the energy and nutrients I need to power through the second half of the workday. I always look forward to my lunch break and the chance to refuel and recharge.My typical lunch consists of a hearty main dish, a side salad or vegetable, and a piece of fruit for dessert. I try to pack a balanced meal that will keep me feeling full and satisfied until dinner. For the main course, I often bring a sandwich, a salad, or a warm dish like pasta or a stir-fry. I like to change it up to keep things interesting and ensure I'm getting a variety of nutrients.My go-to sandwich is turkey and cheese on whole wheat bread. I add some crunchy veggies like lettuce, tomato, and cucumber to give it extra flavor and texture. If I'm in the mood for something warm, I'll pack a thermos of soup or a microwavable frozen meal. Salads are another favorite - I'll load them up with greens, grilled chicken or hard-boiled eggs for protein, and a light dressing on the side.To round out my lunch, I always include a side of fresh fruit. Apples, bananas, and clementines are my usual picks, but I'll switch it up with seasonal options like berries, melon, or stone fruits when they're available. The natural sweetness of the fruit provides a nice contrast to the savory main dish and gives me an energy boost from the natural sugars and fiber.Staying hydrated is also a priority for me at lunchtime. I make sure to bring a large water bottle and sip on it throughout the meal. Sometimes I'll mix it up with unsweetened iced tea or sparkling water to add a little flavor without the calories of soda or juice.Packing a healthy, satisfying lunch takes a bit of planning and preparation, but I find it's well worth the effort. Eating a good lunch gives me the physical and mental fuel I need to power through the rest of the workday. It also helps me avoid the dreaded afternoon slump that can come from eating an unhealthy or heavy meal.I try to make my lunch as varied and interesting as possible to keep me looking forward to it each day. I'll experiment with new recipes, switch up the ingredients, or try a different cuisine. Having a tasty, nutritious lunch to look forward to makes the workday go by much more quickly.Of course, there are days when I don't have time to pack a lunch orI'm craving something different. On those occasions, I'll venture out and grab something from a nearby cafe or restaurant. I try to make healthy choices even when eating out, opting for salads, wraps, or grilled protein dishes. But I also allow myself the occasional indulgence, like a sandwich from the deli or a slice of pizza.No matter what I end up eating, my lunch break is a sacred time for me to step away from my desk, clear my mind, and refuel. It's a chance to recharge both physically and mentally so I can tackle the rest of the workday with renewed energy and focus.Eating a healthy, satisfying lunch is an important part of my daily routine. It gives me the nutrients and fuel I need to stay productive and energized throughout the afternoon. Plus, it's a chance to step away from my work, enjoy a delicious meal, and reset before diving back in. I always look forward to that midday break and the chance to refuel my body and mind.。
mylunch作文10句英文
mylunch作文10句英文下载温馨提示:该文档是我店铺精心编制而成,希望大家下载以后,能够帮助大家解决实际的问题。
文档下载后可定制随意修改,请根据实际需要进行相应的调整和使用,谢谢!并且,本店铺为大家提供各种各样类型的实用资料,如教育随笔、日记赏析、句子摘抄、古诗大全、经典美文、话题作文、工作总结、词语解析、文案摘录、其他资料等等,如想了解不同资料格式和写法,敬请关注!Download tips: This document is carefully compiled by theeditor. I hope that after you download them,they can help yousolve practical problems. The document can be customized andmodified after downloading,please adjust and use it according toactual needs, thank you!In addition, our shop provides you with various types ofpractical materials,such as educational essays, diaryappreciation,sentence excerpts,ancient poems,classic articles,topic composition,work summary,word parsing,copyexcerpts,other materials and so on,want to know different data formats andwriting methods,please pay attention!I had a hamburger for my lunch. It was delicious.My lunch today was a bowl of noodles. Yummy!I made a sandwich for lunch. With lots of veggies.For lunch, I had some pizza. It really hit the spot.I grabbed a salad for lunch. So fresh.My lunch was a plate of fried rice. Tasty.I had a cup of soup for lunch. Warm and comforting.At lunch, I ate a chicken wrap. Quite good.I treated myself to a steak for lunch. What a treat.My lunch consisted of a variety of fruits. Healthy and refreshing.。
myschoollunch英语作文8句
myschoollunch英语作文8句Every day, students across the country enjoy their school lunches. My school lunch is always a highlight of my day. The cafeteria offers a variety of delicious and nutritious options that cater to different tastes and dietary needs. From fresh salads to hot meals, there is something for everyone to enjoy.One of the best things about my school lunch is the variety of options available. There are always different main dishes, sides, and desserts to choose from. Whetheryou're in the mood for a classic cheeseburger or a healthy quinoa bowl, there is something for every palate. This variety ensures that students never get bored with their lunch choices.In addition to the delicious food, my school lunch is also nutritious. The cafeteria staff takes great care to provide balanced meals that meet the dietary guidelines for children. Fresh fruits and vegetables are always available, and the meals are low in unhealthy fats and sugars. This ensures that students are getting the nutrients they need to fuel their bodies and minds for the rest of the school day.Another great thing about my school lunch is the sense of community it fosters. Eating together in the cafeteria allows students to socialize and bond over shared meals. It's a time to catch up with friends, make new connections, and enjoy each other's company. This sense of community adds to the overall positive experience of school lunch.Furthermore, my school lunch is convenient and efficient. The cafeteria staff works hard to ensure that students are served quickly and efficiently, so they have plenty of time to eat and relax before heading back to class. This allows students to refuel and recharge for the rest of the school day.Overall, my school lunch is a highlight of my day. With its delicious and nutritious options, sense of community, and convenience, it provides a positive and enjoyableexperience for students. I am grateful for the hard work of the cafeteria staff in providing us with such a great meal every day.。
以i'm lunch为题写一篇英语作文
Title: I'm LunchI'm Lunch. It's a simple yet profound statement that encapsulates the essence of my daily existence. As the midday meal, I'm the connector, the bridge between the morning's hustle and bustle and the afternoon's rejuvenation.I am not just a meal; I am an experience. I am the sizzling of the pan as it welcomes the sizzling sausages, the gentle steam rising from the bowl of soup, and the crisp crunch of a fresh salad. I am the aroma that fills the air, the taste that lingers on the tongue, and the warmth that spreads through the body.I am the conversation starter, the icebreaker that brings people together. Over me, friends share stories, families bond, and colleagues relax. I am the common denominator, the uniting force that brings diverse individuals together.But I'm also more than just a meal. I am a reflection of culture and tradition. In different parts of the world, I manifest in diverse forms - from the hearty stews of Europe to the spicy curries of Asia, from the grilled meats of the Americas to the delectable pastas of Italy.I'm Lunch, and I am essential. I provide the fuel that powers the afternoon, the energy that drives us through the rest of the day. Without me, the world would be a much colder, hungrier place.So, the next time you sit down to enjoy your midday meal, remember that you are not just eating; you are embracing the essence of "I'm Lunch" - a time for nourishment, for connection, and for celebration.。
我的学校下午餐英语作文
As a high school student, I cherish the moments when the lunch bell rings, signaling the end of a morning filled with classes and the beginning of a muchanticipated break. The school cafeteria is a bustling hub of activity, where the aroma of various dishes wafts through the air, enticing us with the promise of a hearty meal.My schools lunchtime is more than just a break from the academic rigors its a social gathering that brings together students from different classes and backgrounds. Its a time when we can unwind, share stories, and enjoy the camaraderie that comes with sharing a meal.The cafeteria offers a diverse menu that caters to the tastes of all students. From the classic comfort food of fried chicken and mashed potatoes to the healthier options of salads and grilled vegetables, theres something for everyone. I often find myself torn between my cravings and the need to maintain a balanced diet. But the cafeteria staff always manages to strike a perfect balance, ensuring that we have a satisfying meal without compromising on nutrition.One of the highlights of our school lunch is the dessert selection. The sweet aroma of freshly baked cookies, the tangy taste of fruit salad, and the creamy goodness of ice cream are just some of the treats that await us. Dessert is a delightful way to end our meal, leaving us with a sense of contentment and satisfaction.However, the lunch period is not just about the food. Its also a time for us to engage in meaningful conversations and build friendships. We discussour classes, share our dreams and aspirations, and sometimes even debate on current issues. These interactions help us to broaden our perspectives and understand different viewpoints.Moreover, our school encourages us to participate in the recycling program during lunchtime. We are taught the importance of reducing waste and preserving the environment. Its heartening to see how our small efforts contribute to a larger cause.Despite the hustle and bustle, theres a sense of order and discipline during lunchtime. The lunch monitors ensure that we follow the rules and maintain a clean and hygienic environment. Its a testament to the schools commitment to instilling values of responsibility and respect in us.As the lunch period comes to an end, we reluctantly leave the cafeteria, already looking forward to the next days meal. The anticipation of whats on the menu and the prospect of another enjoyable lunchtime with friends make the wait worthwhile.In conclusion, the lunchtime at my school is an integral part of our daily routine. Its not just about nourishing our bodies but also about nurturing our minds and building relationships. The school cafeteria is a place where we come together, share experiences, and create memories that we will cherish for a lifetime.。
my lunch作文
【篇一】My Lunch.I have my lunch in the school canteen. Usually we have so called four plates and one bowl, i.e., using four plates to have four different foods in which one must be fried with meat, and a bowl to take some soup.We don't have choice if we go school canteen but to have the same everyday because my parents have paid the cost in advance.Sometimes I like to have some snacks or sandwich in my lunch, but I can't go out the school without my teacher's permission. Therefore my lunch is same duty as I have to go to school.【篇二】My lunchI usually have lunch at school, because the school lunch delicious,Our school dining room is very big ,The food is very goodI usually eat rice, tomato and egg noodles, stewed fish fillet and some meat,Sometimes I also eat mplings and beef noodles【篇三】I study in a primary school, my home is a little far from my school. at noon, I have lunch at school.My mother cooks lunch for me in the morning, I will bring it to school. I like what my mother cooks for me, it is delicious.It using four plates to have four different foods in which one must be fried with meat, and a bowl to take some soup.Sometimes have some snacks in my lunch.when I have the lunch at noon, I can feel her love.。
[英语学习]裕兴新概念学习笔记 第一册81-84
Lesson 81 Roast beef and potatoes 烤牛肉和土豆New Words and expressions 生词和短语bath n. 洗澡nearly adv. 几乎,将近ready adj. 准备好的,完好的dinner n. 正餐,晚餐roast adj. 烤的restaurant/cafe n. 餐馆/小店bath n. 洗澡take a bath/have a bath 在浴缸里洗澡take a shower/have a shower 淋浴eg. I shall have a hot bath and go to bed.我会洗个热水澡后上床睡觉.He takes a cold bath every morning.她每天早上洗个冷水澡.bath tube 浴缸bathrobe 浴衣bathroom 洗手间eg. I need to go to the bathroom.我要上厕所.bathe v. 洗澡nearly adv. 几乎,将近与almost的意思基本相同eg. It's nearly one o'clock.现在快要一点了.That car nearly ran over a dog.那辆小汽车差点碾过一条狗.I nearly finished.我快要完成了.ready adj. 准备好的be/get ready for .... 做好...的准备eg. Everything is ready for the party.聚会的一切事情都已准备好.You must get ready for the race.你必须为比赛做好准备.Is dinner ready?晚餐准备好了吗?be ready to do1) 已准备好做 ...eg. I am ready to go.我已准备好出发.2) 愿意做...eg. She is always ready to help others.她总是乐意助人.3) 眼看就要...eg. The rope is ready to break.绳子眼看就要断了.The child is ready to burst into tears.那小孩眼看就要大哭起来.dinner1) n. 餐,正餐(三餐中的主要一餐)eg. It's time for dinner.该进晚餐了.Dinner is ready.晚餐准备好了.2) n. (正式的) 宴会,晚会dinner party 宴会give a dinner 设宴be at dinner 用餐中have breakfast 吃早餐have lunch 吃午餐have supper 吃晚餐have dinner 吃晚饭restaurant n. 饭馆、餐馆cafe n. 小餐馆(在英国通常不供应酒类) cafeteria n. 自动食堂; 自助餐厅inn n. 小酒馆,小旅馆roast1) adj. 烤过的a roast chicken 烤鸡Beijine Roast Duch 北京烤鸭2) v. 烤、烧eg. I roasted a chicken.我烤了一只鸡.The beef is roasting nicely in the oven.牛肉在烤箱里烤得正好呢.3) n. 烤肉eg. I want some roast.我想要一些烤肉.grill v. (用烤架) 烧烤n. 烤架;烧烤的肉类食物grill room 烤肉馆bake v. 烤( 面包, 饼, 通常指在炉中烤)eg. Mother bakes bread or cookies on every Sunday.母亲每逢星期日就会烤面包或饼干.The bread is baking.面包正在烤着.baker 面包师/商at the baker's 在面包店里fry v. 油煎deep fry 油炸eg. Can you fry fish?你会煎鱼吗?fried adj. 油煎的deep fried adj. 油炸的fried fish n. 油炸鱼fried potatoes n. 油炸土豆fried eggs n. 煎鸡蛋stew v. 焖,炖/ n. 炖肉,焖菜eg. I have stewed the beef for two hours.牛肉已炖了两小时.stewed adj. 焖煮的stew pan n. 炖锅boil v. 烧开,煮熟boil an egg 煮鸡蛋instant boil 涮instant boil mutton 涮羊肉TEXT 课文Question: Why is Carol disappointed? 卡罗尔为什么感到失望? Listen to the tape then answer this question.听录音,然后回答问题。
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Christensen RP, Ploeger BJ, Palmer TM. The role of pit-and-fissure discoloration in caries assessment. Compendium Contin Educ Dent. Nov 2001;22(11A):996-1007.
24 Doctor Beta Trial Results
• High they would use at least once per week – 18/24 said they would purchase this product at $3.00
Signs of Decay
Subsurface Staining
White Decalcification
According to a Compendium study, 92% of teeth with subsurface staining or white decalcification have decay present.
0.5mm deep (Cubic mm) 0.441 0.012
• At 2mm depth, 557s remove 8.4x more tooth structure. • At 0.5mm depth, 557s remove 36.7x more tooth structure.
What is the opportunity value for…
Other
5%
Q: What did you like most about the Fissurotomy Bur? A:
Conservative nature Ability to cut with no anesthesia Ability to help uncover hidden caries 61% 27% 16%
• Science Done During Development:
– Enamel wall thickness – Explorer to dentin
• Market Research:
– 24 Doctor Beta Trial Results and 40 Doctor Post Purchase Survey Results
A practice builder
No need for anesthesia on limited amount of decay Other
3%
18% 2%
Q: How were you treating suspect fissures prior to using the Fissurotomy Bur? A:
• High Patient Value
– 10/24 were comfortable recommending no anesthesia before using 10 burs – 16/24 were comfortable recommending no anesthesia after using 10 burs – About 10-15% of patients required anesthesia – Much more conservative and helps catch it early
Watch and wait Operative carbide bur Diamond Instrument 36% 33% 5%
Air abrasion
Sealant Other
7%
18% 0%
Q: On average, how many patients do you expect to treat each week with the Fissurotomy Bur?
Adjust Occlusion & Finish Composite with 12 + 20 bladed finishing burs
Polish Restoration in One Step with Jazz Polishers
Outdated Class I Treatments
– Methods including Visual, CLAA, Laser Fluorescence, Radiographic (x-ray) and Fibre-Optic Trans-Illumination rated “poor”. Electrical Conductance (EC) was rated “fair”. – Visual methods should remain the standard for clinical assessment.
Doctors report 85%90% of the time decay is just to DEJ. When caries has progressed past DEJ, switch to SmartBurs II for anesthetic-free removal and pulp exposure protection.
1. Watch & Wait 2. Sealants over stained fissures
3.
#557 Bur Parallel axial walls Head length: 3.5mm
4. #330 Convergent axial walls Head length: 1.5mm
Modern Class I Treatment
A:
1-2 3-4 29% 42%
5-7
8-9 10+
9%
4% 16%
Q: Which of the following best describes how you use the Fissurotomy Bur? A:
To progressively explore suspect fissures Do a replacement for your current main operatory bur To excavate small amounts of decayed dentin 75% 9% 14%
Fissurotomy Bur Divergent axial walls Head length: 2.5mm to enamel wall thickness
Full depth (4mm) (Cubic mm) 557 NTF 3.531 0.805
2 mm deep (Cubic mm) 1.765 0.21
Cutting performance
Shape Other
16%
14% 2%
Q: Will you reorder the Fissurotomy Bur?
A:
Yes 93%
No
7%
Doctor Testimonials After Trial
“I am usually a skeptic of a new product coming to market, but was impressed with your new fissure bur. The samples were used on select patients and performed with complete satisfaction. Nine were used without anesthesia, and one required Lidocaine, which I felt was more toward apprehension than pain. The three drawbacks encountered from the samples were: 1) A maximum of 3 large teeth could be prepped from a single bur before it dulled. 2) A short shank was needed on a 7 year old’s first permanent molar. 3) Could not prepare an adequate Class II when decay undermined a mesial contact point.” - Dr. Robert J. Anderson
Conversations on Fissurotomy
Tom Gallop September 5th, 2014
Diagnostic Challenge on Fissure Caries is Real
• X-ray KVP: 90 70 • Fluoride ↑ • 42 studies on diagnostic accuracy of caries summarized:
Cavitated Fissures – Prior to Fluoridation (Explorer Works)
Non-Cavitated Fissures – After Fluoride Use (Explorer/X-Ray Does Not Work)
Explorer is an Ineffective Tool in Fluoridate Fissures
• Large Market ~ $80M domestically
– The average Doctor sees 6.6 patients per week who would be candidates – The average patient had 3.5 stained demineralized pit & fissures
• Patient?