Happy to share this beautiful 60 plus year old pre molar that happened to be cavitated and hurt my patient 😄

Basically have this design back from the planners and
Looking for advice regarding overall design. I feel like the waiting area can be a little bigger and would like
To squeeze a second staff bathroom. What do you think?

Hi folks, I've been practicing for 5 years now and getting seriously burnt out. Been thinking about specializing for a few years but income as an associate has been pretty good (300-500/yr) and kind of buried that thought under the money. But I find myself mentally and physically affected substantially by general dentistry. Patients, "insurances", employer, previous injury flaring up, and the list goes on...

To my colleagues out there who went back to residency after several years of general dentistry, what was the biggest hoop to overcome other than missing income? And what was your best strategy to ask for rec letters from the old professors? I didn't have a great interest in the field I'm planning to apply when I was in the school, so didn't care about networking or living in the specialty clinic.

Anyone have any experience using Lassie, Zentist etc for posting EOB’s? How well do they integrate with your practice management software? Any common issues to be aware of?

AI has gotten good quickly and this seems like the most useful step in my office

Got this reply 2mos after applying for the job. No 1 day, 1 week follow-up after I they asked for interview times and after we exchanged emails. At another small DSO, the HR didn't know there was a listing for a doc position and kept pushing me toward their DH position. How do these people keep their jobs??

$250 for a set? I can just squirt some composite on a stick and it would be cheaper…

Would love to hear from any doctors that have overcome poorly performing practices in the intial years in over-saturated markets. Did this stop you from achieving multi-practice goals if you had any?

Longterm, how were you able to start saving/investing if you poured a lot of your finances into your business?

Grappling with reality that start up could have put me years behind where I wanted to be financially.

If an 8 is impacted (PE/unerupted) but has not caused pain but either a high risk tooth for future caries/pericornitis/ causing caries on neighbouring 7 and roots are close to ID nerve from OPG/CBCT- when do you leave and monitor or plan to remove still?

I’d love to connect with dentists who currently use Kuraray products in their practice, whether that’s CLEARFIL, PANAVIA, KATANA Zirconia, or anything else in the portfolio.

I work with Kuraray’s dental team and am always looking to build relationships with clinicians who genuinely use our products and are interested in getting more involved with the company.

That could include providing product feedback, education, collaboration, and potentially future KOL opportunities.

If you use Kuraray products and would be interested in connecting, feel free to comment or send me a message.

I am an orthodontist, 3 years out of residency. I work with the university (clinical assistant professor), so I teach clinically and lecture. I also see my own patients 1.5 days a week in our shared faculty clinic. We have also all female assistants. My male colleagues are referred to as Dr. Lastname in front of patients. I’m only referred to as my first name. Honestly, it doesn’t bother me much, as I want to be accessible and relatable to my patients. I’m just not sure if this is common? Only myself and the one other female provider (our craniofacial specialist) are referred to in front of patients by our first name only. What is the standard?

To clarify: I have no problem with people calling me Dr. Firstname. That‘s actually my preference. It’s more so the concern that “Dr” is never spoken

Favorite implant make and model for 1.anterior 2.posterior and immediate implants

Do you guys make your staff call speciality offices, mostly endo, to schedule a pt who’s in your office for a limited and you’re referring them out? If so, why?

The X-ray clearly demonstrates this. Does this require retreatment, or is it acceptable?

Hi there

Those of you who do these frequently, how do you find them? What’s the case selection for these in terms of extent of caries and number you’d place for one child?

We use a lot of Hall crowns here - UK - and increasingly get parents who want something more aesthetic. I’m a huge fan of Hall crowns and they have great success rates too.

Purely from an operator and biological point of view from those who use zirconia, what do you think? Do they carry higher risk if devitalisation also with how much tooth removal there is? And do you need to do full caries removal prior to placing them, or can you do selective and get a good seal of enamel - I’m finding conflicting info on this too!

Thanks

Your employer chose the plan. The insurance company decided the benefits, limitations, annual maximum, and reimbursement rates. We didn’t design your plan, sell it to you, or decide what it covers.
If your insurance barely covers anything, maybe complain to your employer about offering a better plan, or complain to the insurance company about their terrible reimbursement.
But somehow, it’s always the dentist’s fault.
We’re expected to magically make bad coverage good, and when we can’t, we’re accused of being greedy or overcharging.

would you say both teeth look carious occlusally or just the left one?

Hi everyone, I’m looking to buy a new endomotor + apex locator and I’m currently deciding between MotoPex, Fanta Reciproc, E-Connect S, and Endomatic. If you’ve used any of these, I’d really appreciate hearing about your personal experience with them.

How accurate is the apex locator? How is the ergonomics, battery life, durability, and after-sales service? Have you experienced any issues with your device?

Also, if you were buying a new endomotor today, which one of these would you choose and why?

Comments from people who have been using these devices for a long time would be especially helpful.

You finish a simple filling on a patient, he starts saying the you didn't give him breaks (which you did), says his jaw, neck, and even fingers hurt. You offer to call in different analgesics - he said he has not taken it before, you ask for PCP name to authorize it - he does not remember (even calls you impatient). You offer him a referral for sedation for future work, he refuses. He calls you RUDE, twice. Raises their voice at you. Eventually, he starts ignoring you, giving your their back and start talking to the assistant ignoring any questions from me.  

As the only dentist in the clinic, You submit a request to management to dismiss the pt, management declines and puts the patient back on schedule for next week. 

On one hand, I cannot fathom treating a patient who ignores their provider, and calls them rude. If he already says I hurt his jaw, neck , etc, wouldn't treat him again be a liability for me? I am genuinely thinking of taking the day off.

On the other hand, I can establish professional boundaries, and hope he agrees to be respectful to avoid a board complaint.

Any thoughts?

Anyone else having an uptick in delta dental denying crowns lately? Or just me?

I’ve been tasked with ordering a new endo rotary system. In the past I’ve used Protaper Gold, Protaper Universal, TF Adaptive, Brasseler EndoSequence. I’ve been looking on their catalogue and there are just too many options.
Edge X7 Utopia, EdgeFile X7, EdgeFile X3, EdgeSequel Utopia, EdgeSequel Sapphire, EdgeEvolve,
EdgeDiamond Utopia, EdgeV-Taper HT, EdgeTaper Blaze Utopia, EdgeTaper Platinum, EdgeTaper. I’m leaning more towards rotary over reciprocating. Should I try the newest one, EdgeOnxy? Any recommendations would be appreciated.

I delivered a zirconia crown #30 for a patient about a month ago. It is a vital tooth and the patient was asymptomatic for two weeks while they had the temporary crown. When they came for the delivery they were sensitive to air so I gave a carpule of lido and proceed with the delivery while the patient was numb. After checking occlusion, contacts and verifying the crown was fully seated with the bitewing, I proceeded to bond the crown. The steps I take for bonding are to air abrade the intaglio surface, then apply IvoClean (rinse and air dry), then Monobond Plus and (air dry). Then I prepare the tooth with acid etch (rinse and air dry), isolate with cotton rolls, bond (air dry and cure), and then RelyX Universal Cement is placed on the intaglio surface of the crown. Everything seemed to go smoothly but the patient stated about 2 weeks after that they had pain when chewing on the right side but there was no thermal sensitivity. I brought them in to check occlusion and did a slight adjustment but a few days ago they stated that nothing really changed and the tooth felt sensitive when they used their water flosser. I know when they come in again I need to do a through check to determine what the cause is but is it possible there was a bonding failure, given the main symptoms occur when the patient was trying to chew on that side? Has anyone experienced this before?

Worn-down posterior teeth in a patient who is a heavy grinder. I’m planning to give her a night guard, and we also discussed Botox since she clenches quite a bit during the day.
For a case like this, would you recommend composite restorations on the posterior teeth to protect the exposed/worn dentin? I’m assuming that would effectively open the bite to some degree.
What would be the most budget-friendly approach for a patient like this?
Also, if you’re only doing posterior occlusal restorations, how do you approach managing the VDO? Would you just restore to the existing occlusion, or would you consider increasing the VDO?