Who performs the action: three groups of subject
The clinician: examine, diagnose, drill, prepare, excavate, extract, fill, restore, bond, cure, cement, polish, adjust, scale, plane, graft, prescribe, refer. These take an object: the dentist extracted the tooth.
The patient: bite, chew, clench, grind, swallow, spit, gargle, rinse, open, brush, floss. Most appear as imperatives during treatment.
The tooth or tissue, with no agent: hurt, ache, throb, swell, bleed, decay, erode, wear, chip, crack, break, fall out, erupt, shed, heal, resorb. These are intransitive — not I decayed my tooth but my tooth decayed.
Hence the consequence that matters: I had a tooth extracted marks you as the patient, I extracted a tooth as the clinician. One word decides which.
Chairside commands: recognise, don't translate
These arrive fast and unexplained, so recognition has to be instant:
- Open wide
- Bite down; bite down on the gauze
- Rinse and spit
- Close; relax
- Let me know if it hurts and raise your hand — the signal to stop
Note the regional split: practices say numb, but North American practices often say freeze — we'll freeze it first.
Verb plus preposition: where everyone slips
The preposition is part of the meaning, not decoration:
- rinse with water, never rinse by water
- bite down on the gauze
- refer to a specialist
- prescribe for an infection
- floss between your teeth
- brush in circular motions
- fall out happens to a tooth; pull **out is done to one
And the one that catches nearly every learner: English requires a possessive where most languages use a definite article or a reflexive. Brush your teeth, not brush the teeth. Likewise rinse your mouth, open your mouth.
The irregular forms that actually come up
This topic carries a disproportionate number of them, and a patient history needs the past and participle:
| Infinitive | Past | Participle |
|---|---|---|
| bite | bit | bitten |
| break | broke | broken |
| grind | ground | ground |
| bleed | bled | bled |
| wear | wore | worn |
| shed | shed | shed |
| set | set | set |
| hurt | hurt | hurt |
| fall out | fell out | fallen out |
| freeze | froze | frozen |
Spit splits by variety: British past spat, American spit. Swell gives swelled, but the adjective is swollen: a swollen cheek.
Verbs in this set that behave unexpectedly
- Cure means to set or harden a material, not to heal a patient
- Plane is to smooth a root surface — nothing to do with aircraft or woodwork in this context
- Disclose means to stain plaque so it becomes visible, not to reveal information
- Charge is billing, chart is recording — one letter apart and constantly mistyped
- Section as a verb means to cut a tooth into parts
- Wear is intransitive for teeth (the teeth wear) but transitive for appliances (wear a retainer)