/r/Dentistry

Photograph via snooOG

Discussions and links of interest for dental professionals on all things dentistry.

Questions and stories from patients should be redirected to r/askdentists.

RULES

  1. No personal stories, questions, or requests for dental advice. Dental advice and stories should be posted on r/askdentists. Do not solicit dental advice or share anecdotes on this subreddit.
  2. No promotions, advertisements, surveys, or petitions Surveys and polls are not allowed. Promotional posts for websites, blogs, products are not allowed and are grounds for immediate ban.
  3. Protect patient confidentiality. Posting protected health information may result in a ban. Remove patient-identifiable information before posting cases for discussion.
  4. No pre-dental or dental school questions. Questions relating to admissions to dental school, courses, and homework should be asked on r/dentalschool or r/predental.
  5. No throwaway accounts. Posts from user accounts less than one week old or with less than 10 comment karma are not allowed.
  6. No spam. Posts that are repetitive or unrelated to the sub's purpose will be removed.

/r/Dentistry

123,836 Subscribers

1

Making post space using slow speed round bur

A crown prep patient came in with a temp crown that popped off, only for me to realize the core came out with it. The tooth had an endo done on it years ago.

Looking for inputs on an anterior post space prep I have coming up. Our office unfortunately doesnt carry gates glidden or peeso reamer, so I was hoping to make it work with a small round bur slow speed. Is this a plausible idea? Any past experiences would help greatly. Thanks in advance!

3 Comments
2024/05/05
04:06 UTC

1

Charting fused tooth on Dentrix?

Hey all, I have a patient who has fused #25 and #26 - how do I chart this on Dentrix ascend?

0 Comments
2024/05/05
03:19 UTC

5

Implant restorations (crown and bridge)

What courses, YouTube channels, etc would you recommend someone to feel comfortable restoring implants with 0 experience.

5 Comments
2024/05/05
00:30 UTC

5

Exercises videos to help with back and neck pain

Hello dear colleagues.
I have mild to moderate neck and upper back pain from the daily practice and bad posture.

I need some videos on how to perform some exercises/stretches to help manage this pain.

4 Comments
2024/05/04
23:19 UTC

3

Remove gunk off clamps, instruments.

Any way to easily remove cured composite and other gunk off clamps and instruments. Bur brush and scaler isn't working too good.

4 Comments
2024/05/04
22:37 UTC

0

Seeking Advice to be a US dentist

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!

1 Comment
2024/05/04
20:52 UTC

3

Job switch

I signed a contract with a place as a new grad and I plan on starting in July. I found a better job in a city about 2 hours away. I’m kinda regretting my decision. How bad would it look if I stay at the new job for like 6 months to get some experience and leave to the better city?

8 Comments
2024/05/04
20:22 UTC

20

What do I say to a patient before I perform a root canal, so that I cover myself?

I’m fairly new to the workforce in England and here you can get sued easily just like the US. Before I do a root canal what can I say to the patient in case something does go awry and so they don’t get as angry and sue because sometimes the GP may not reach WL..

28 Comments
2024/05/04
19:57 UTC

11

Crown cement

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

33 Comments
2024/05/04
18:15 UTC

3

Best province in Canada for newbie dentists

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.

5 Comments
2024/05/04
17:08 UTC

0

Which tools do you use for in house digital marketing?

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

0 Comments
2024/05/04
17:08 UTC

1

How is it being an orthodontist in SoCal?

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!

2 Comments
2024/05/04
16:56 UTC

2

Any recommendation on good affordable panoramic xrays that have cbct add ons for the future?

Any recs?

4 Comments
2024/05/04
15:56 UTC

3

Is there a second distal canal in this tooth ?

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

7 Comments
2024/05/04
15:30 UTC

72

I perforated a tooth, and i don't want to go back to work

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.

93 Comments
2024/05/04
14:56 UTC

2

Bryant Dental Loupes

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.

8 Comments
2024/05/04
13:58 UTC

1

How do you work with someone who share the same qualities (strength and weakness) as 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.

2 Comments
2024/05/04
13:56 UTC

1

Resources

What are the best resources for a dentist to study?

1 Comment
2024/05/04
13:50 UTC

3

MRSA

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.

6 Comments
2024/05/04
13:16 UTC

1

Thoughts on the oral scanner eighteeth Helios 600?

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

4 Comments
2024/05/04
11:46 UTC

3

Gift (shoes) recommendations

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? (for work) 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?

17 Comments
2024/05/04
08:14 UTC

4

Post and core build up materials

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.

4 Comments
2024/05/04
07:48 UTC

0

Seeking Advice

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!

4 Comments
2024/05/04
06:37 UTC

0

Where i can sell dental product?

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

11 Comments
2024/05/04
06:19 UTC

9

Going back to ortho residency after working as a pediatric dentist

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

18 Comments
2024/05/04
05:27 UTC

20

Be honest- curretting after all EXTs?

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?

15 Comments
2024/05/04
01:37 UTC

3

Improvement advice for recent grad

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!

3 Comments
2024/05/04
01:27 UTC

17

Failed #30 Root Canal.

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

48 Comments
2024/05/04
00:28 UTC

9

What works the best for you for crown impressions?

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?

37 Comments
2024/05/03
23:02 UTC

1

Univet Ergo loupe vs Lumadent Ergo loupe

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

5 Comments
2024/05/03
22:00 UTC

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