What’s the best cement for zirconia crowns that you’ve used? I use max cement and I like it, haven’t had any problems but I’m always curious what other dentists use Thank you

As the title states, what is the best province in Canada for a lesser experienced Dentist?

I have heard good things about Alberta and poor things about British Columbia and Ontario.

Looking for somewhere that gives decent pay and good experience.

I’m looking to do marketing in house. Everyone promises an under delivers. What do you use for seo, ads and social media management?

Hi!

I’m a dental student and was looking at possibly doing orthodontics in the future. I’m from SoCal so I would ideally like to stay here in the future.

I was just wondering how orthodontists are doing in SoCal from a financial and patient standpoint. I know SoCal is difficult in general for dentistry and I keep hearing how more and more GPs are doing the more simpler ortho cases. But I’d like to know how difficult it is to find an associateship and if the pay is worth it esp with some residencies costing a pretty penny. Thank you!

Any recs?

So ive done an RCT for this lower 7 and ever since im wondering whether i missed a second distal canal or not here is the final x ray

https://imgur.com/a/9XRi4jV

Hello everyone, yesterday i perforated a mandibular first molar, while negotiating for the 3rd canal.

a little explanation about the procedure: patient came with spontaneous pain from 1 week ago, after clinical checkup and x-ray examination tooth was necrotic and needed an rct, here is the picture.

this molar is lingually tilted, by some good degree, i found the distal canal and then found the MB canal, and i didn't find the ML lingual, so i started searching for it, with a straight diamond with cutting end(sadly) and i started to search in the pulp chamber with the bur at the line angle/junction of pulpal floor and the wall.

until i saw a very very little pin point black dot in the pulp floor thought it was the canal, i inserted the file and boom this is the after picture, i placed Ledermix in the pulp champer and the 2 canals, and closed with cotton and Cavit,

so after i told my patient this case is hard enough and started to fantasize reasons like lingually tilted tooth are harder to treat and the canals of these teeth are hard to find and this may fail the treatment and blabla.. and patient was a bit shocked like why there is a chance to extract this tooth , but not too overwhelmingly shocked.

mistakes were done, and i learned from my mistakes.

mentor sent the case immediately to a specialist who may continue from this point.

i feel ashamed enough, about what have i done and how this tooth arrived to this situation, i have no courage even to look or to talk to the patient nor my mentor.

sitting in my room from yesterday feeling guilty and depressed enough, after my mentor told me i shouldn't have perforated this tooth and was a bit angry at me, i feel no motivation at all to go to my next shift, first time i feel desperate in this field.

Have been looking at ergo loupes and came across bryant.dental

Has anyone tried these? Thoughts/opinions. Currently looking at the site now but wanted to see what others know if they have experience with them.

Thank you.

Ive been working with my coworker for 3 years and we’ve always struggled with our clinic, I can count on my hands the clinics that went smooth, this is something that took me a lot of trial/error and analysis to figure out what the issue was, and it turns out that the problem is because we are fairly similar in many ways.

We both are perfectionists, love to learn and to help people, but we share a lot of negative qualities so there’s no room to compliment one another, we both struggle with communication, our communication is really bad and one always assume that the other knows what’s going on, we both have a lot of irritability, his translate into anger and aggression and mine into anxiety and insecurity, we both really don’t know how to work together.

It’s obvious that we have individual strengths and fleas as well, I’m very serious and most of the times can be very professional but my memory and attention span suck, and he’s very intelligent and has ab excellent memory but is a huge hypocrite who blames me for problems that either he himself could have solved or didn’t mention to me (he knows that my memory is bad), so I really don’t know how to keep up with this.

What are the best resources for a dentist to study?

I have a patient coming in next week who has recently been diagnosed with having MRSA. He is due for extractions. Is there any particular protocol I should follow? Can I perform the extractions in a regular clinical setting? Should I refer him to an oral surgeon? Thanks in advance.

I want to get people's opinion on the Chinese oral scanner eighteeth Helios 600? Is it worth getting?

My fiancé is a dentist and I’m trying to gift the perfect pair of (new) shoes for work.

At her practice she wears business casual 90% of the time. Occasionally she’ll wear scrubs, I’d say less than 3-4x a month.

The clothes she has, the closet she has; fantastic. Shoes? Well not so much. They’re not bad, just overused and time for new ones.

Now of course they make tons of comfy business casual shoes these days, but coming here to ask if anyone has any specific recs, it’d be cool to know!

So if you or know someone who enjoys their shoes that match the following profile I’d love to learn about anything I wasn’t aware of!

1. Women’s business casual (not really going for the gym shoe look)
2. Comfy (duh)
3. Chic design, nothing too loud or eye sore
4. An everyday use
5. Can be worn with scrubs, just nothing that will absolutely require a whole new shoe on a day she wears scrubs (defeats the purpose of this search)

I’m aware that a simple search will yield tons of options so really just seeking if there’s anything specific anyone recommends or has been/still uses daily.

Anything better than Allbirds for this set up?

What materials are you guys using for your post and core build ups?

I've been iLumi post system for the past couple of years and have been trying different cements and build-up materials with varying degrees of success. Interested in hearing what works best for y'all.

Hey everyone, I'm considering dentistry as my career path. I'd appreciate your help in answering the following questions, as they will greatly influence my decision.

1. I'm curious about your passion for dentistry beyond financial incentives and what aspects keep it exciting for you long-term.
2. Additionally, why do some individuals struggle with anxiety in this field?
3. And what do you consider the most challenging aspect of being a dentist in the USA?

Thank you!

We are dental supplier,we have a lot of products,but very few places to sell.How can we sell more?

Hi everyone,

I’m at a crossroads in my career and hoping for some advice.

I’m 32 and I’m a pediatric dentist and I’ve been practicing for about a year. I work in two private offices that have ortho in house and I often work closely with the orthodontists there. I do a lot of ortho screening and refer those patients to our in-house ortho and I do some ortho checks and even cement appliances for them.

Recently, I’ve been thinking about going back to ortho residency. I like working WITH kids but working ON kids by doing injections and fillings has started to wear me down emotionally and mentally. Kids and parents these days are much more high maintenance and many kids are just not well-adapted to handle any discomfort. Parents are now snowplow parents and try to “save” their child from any discomfort and it has been really making my job tough. What I like about orthodontics is that with these kids, they are usually older and better adapted to handle ortho discomfort. Also, most kids and patients want to be there to improve their smile.

Currently I work 4 days a week and make around $230k as an associate. I’m married, have no debt, have no kids, and live in an apartment. However, my wife wants to start a family and buy a house soon in SoCal. So me going back to residency would really put our lives on hold :(. She’s still on the fence but is supportive. I think she knows how unhappy I am and I just don’t know if I can see myself working on crying kids for the next 20-25 years of my life.

I was wondering if you thought it’d be worth it to go back to residency to do ortho? Given my situation, I’d be limited to only SoCal programs and I’d only want stipend or low cost programs. If I do get in, I’d be like 37 after graduating but would be open to working for at least 20 years. TIA

I wanted to get people’s honest opinion on this: I do not aggressively currette after every EXT.

I do- a lot, but I really try to avoid being aggressive with it and can be shy around the root tip area on uppers.

Class III mobile perio teeth I almost wonder the point.

Thoughts? I feel like sometimes I would do more harm by removing all the granulation tissue.

Nerds: How does this actually affect the patient?

Hey all, recent dental grad here coming on almost 10 months out. Just wanted some insight on what your comfort levels were at this point in time. Also were you trying to get good at the basics or were you taking CE’s for implants/endo/botox etc?

I personally, am concentrating on the bread and butter (crowns/fillings/treatment planning/timing) and are now taking a CE for implant placement/reading CBCT and trying to take on more surgical extractions. I want to be the best I can be and would like feedback on how you approached this. Thank you so much!

Hey Everyone.

I am 4 years out and I am trying to get better at doing molar root canals. Here is #30 that I completed back in Feb of this year...The patient returned today with significant pain and a PARL on the distal root. Any ideas what happened, what I could have done better, etc? Thank you.

https://imgur.com/a/vEbuTzn

For a year I prepped modified chamfer, packed a single 1 or 0 (or 00 if the sulcus was too tight) cord, and scanned using an iTero with the cord in.

After that year, there was no scanner available, but I still packed a single cord and used light and heavy body in a tray to take an impression.

Recently, I have moved to a new office that packs a 0 on top of a 00. Scans with the 00/0 in, then takes the 0 out and scans the crown again for high def. I’m finding my last few crowns have open margins (no tight contacts, crowns appear flush on the model, prep looks outlined on the iTero scan. What could be causing this open margin? We discussed it is likely the bottom cord overlying the margin when the first cord gets taken out.

What impression method has worked the best for you? I’m looking for something that works well but isn’t time consuming. I prefer my single cord and scan method, any thoughts if this could be easier?

Hi,

Is univet ergo loupe good ? I couldn’t find what materials they used for their frames on their website.

Also, does the loupe last long and are they supportive when the loupes are broken or have problems ?

Thank you

Dentists of Reddit. If you traveled back in time knowing everything you know about careers, pay, job stability, etc, that you know about jobs in the world. Would you pick dentistry again?

Imagine you’re about to graduate, you’ve taken the DAT. Would you recommend to your 22 year old self to go through with the decision? Why or why not?

I've always been on team "you caused the problem, you should treat it", so want the MD to be taking care of it. Am I in the wrong?

Hello everyone.

I have an issue with my apex locator.

In some cases the apex locator works perfectly without any issues and it is 100% accurate.

But in other cases when I insert the file inside the canal, the apex locator gives continuous beep sound like I passed the apex or like I inserted the file in a perforation (although the file is still in the coronal third of the canal). And sometimes in this situation the apex locator meter keeps going up and down by itself without even moving the file.
I tried to calibrate it many times and made sure that all cords and the file holder is working fine.

I use rubber dam, remove all caries, remove all metallic restorations, extirpate all pulp tissue, make sure there's no bleeding or pus and leave the canal semi wet. I tried everything and there's no solution.

I thought that the device has a defect or something, but I have 3 friends who have the same device and they have the same issue. Some colleagues told me it's a fantastic device and that I'm using it wrong.

In one of the cases that the apex was behaving in this abnormal manner and I couldn't get the working length, I borrowed another apex locator from a colleague (iRoot from META Biomed) and it was working just fine.

Can anyone identify where the problem is ?

Thanks in advance.

An associate accidentally placed GLUMA after bond instead of before. Will their restoration fail or is there a low chance anything is affected?

I’m an associate dentist at an FQHC. I was curious to ask what investments you prefer outside of dentistry (IRAs, real estate, etc.) for those of you who invest and whether you’re an associate or practice owner.

I’d like to maybe get into real estate at some point, but that may be too active a role due to my less flexible schedule as an employee.

Edit: some of these answers scare me…

Back in dental school, they recommended that I use baby powder to fit in smaller sized gloves. I never really considered it until recently when I bought some "medium" sized gloves that were more like small. Does it actually work? Is it worth buying some?

Are Preat parts acceptable to restore a straumann sla implant or considered a third party supplier / better to use all straumann branded parts?

I’m an RDH and have been for 4 years. I administer local anesthesia a few times a week. Even though I’ve done it so many times, I get super nervous I get hot, my heart races, and my hands shake. It is frustrating for me as my brain feels fine, I know what I’m doing, but my body betrays me and has an anxiety attack. I’m on lexapro and buspar, and it has helped so much, I still get symptoms but it’s now a 1 when it used to be a 10. My husband and I are going to try to get pregnant soonish, and I need to ween off of my meds for pregnancy. I’m so worried that if I don’t have my meds I’ll go from a 1 back to a 10 and be unable to perform. Does anyone else have this problem? Any advice?