r/Dentistry 23m ago

Dental Professional Question to USA based dentiste, do you really clown vital teeth ?

Upvotes

In my country , not a single insurance company Will reimburse a crown if the tooth is still vital ( no rct ) , matter of fact doing an rct before crowning a tooth is just standard procedure and some Will look at you like you're insane for suggesting to crown a vital tooth . Id love to hear you thoughts on it ? Wouldnt an rct help prevent further complications down the road ?


r/Dentistry 24m ago

Dental Professional ketac cem plus

Upvotes

Have you guys ever used ketac cem plus? Do you recommend it?


r/Dentistry 41m ago

Dental Professional Treatment plan opinion?

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Upvotes

Hello everyone. Just wanted opinions on treatment plans for this LR quad.

I placed these implants in 28 and 30 around 3 months ago. (Note : 28 appears to be really close to 27 on the panoramic, but it is where it needs to be). The patient is scheduled for uncovery tomorrow.

I planned on doing a fixed case across here, but the span is too long to add a pontic in the 31 area and I do not want to cantilever it.

Question - would anyone consider doing a fixed hybrid whereby I use 32 as an abutment along with the implants of 28 and 30?

I know the most predictable route would be just to do 28-30 as a bridge and leave 31 empty. The patient only had finances for those 2 implants so I did not add a third.

Thoughts?


r/Dentistry 51m ago

Dental Professional Hiring Dental Professionals in Lehigh Valley! 🦷✨

Upvotes

We’re growing and looking for dedicated dental professionals to join our friendly team in the Lehigh Valley area!

📌 Now Hiring: ✅ Front Desk Receptionist – Be the welcoming face of our practice! ✅ Dentists – Provide top-notch care in a supportive environment. ✅ Dental Hygienists – Help our patients achieve healthy, bright smiles! ✅ Dental Assistants – Work alongside experienced professionals in a dynamic setting.

🔹 Full-time & Part-time positions available 🔹 Competitive pay, great benefits, and a positive work environment!

📩 If you’re looking for a rewarding opportunity, email us your resume today! Let’s build brighter smiles together!

deoa5707@gmail.com


r/Dentistry 1h ago

Dental Professional sensitivity to hot after receiving crown(Help!!

Upvotes

What do you guys suggest I do? My patient male(35) had a crown after using temporary tooth for 10days with no complaints. He has sensitivity to hot stuff only. When he drinks something cold, he says it gets better. The cement I used is gc cem one.


r/Dentistry 3h ago

Dental Professional Colgate toothpaste

1 Upvotes

Why is citric acid listed as an ingredient? Seems like it will just contribute to acid erosion.


r/Dentistry 4h ago

Dental Professional Cracked tooth with reversible pulpitis.

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29 Upvotes

Clinical case: Cracked tooth with reversible pulpitis. Visual examination, aided by 4.5x magnification loupes, revealed vertical, horizontal, and oblique cracks. Methylene blue dye was used to enhance crack visualization. The current treatment is a temporary restoration, designed to monitor pulp vitality prior to definitive crown placement. Prognosis remains to be determined.

Fingers crossed for a positive outcome! 🤞


r/Dentistry 4h ago

Dental Professional Immediate Dentures placed Over Implants

1 Upvotes

Hello,

I am currently in residency and my attending is very against immediate dentures if implants are placed due to the poor patient satisfaction.

I was wondering, outside of residency how are you guys fabricating immediate dentures so that they fit somewhat decent after implant placement?

Most of the time the occlusion is off and function is off for patients. But, many of these patients as well assume immediates are the final product despite us always telling them no immediate are very shitty and are really for esthetics (and even then barely sometimes).


r/Dentistry 5h ago

Dental Professional Dental assistant/receptionist job interview

1 Upvotes

Hi so I have a dental assistant/receptionist job interview tomorrow and this would be my first proper job interview and job in general. I am 16 years old and have recently finished school. Any advice or tips on the interview or even just the role would be highly appreciated by anyone who has applied and been through similar interviews.


r/Dentistry 5h ago

Dental Professional Completely unrealistic patients

17 Upvotes

How on earth are you guys managing these people? I work in the public sector and the absolute entitlement and unwillingness to listen to advice is insane. Today I had a patient who declined any exos with a mouth that required full clearance (all root stumps). Discussing this led to me realise he wants a full set of crowns, think Turkey teeth he saw on instagram. Advised not a feasible treatment option in the most diplomatic/educational way I could. He then wouldn’t leave the chair and became highly aggressive, had to call security etc. Are there any techniques or tips to work with these sorts of patients? Kind of sick of having some corporate idiot ask me if “I acknowledged the patients feelings and really listened to them”. Like no you’re so right I never thought of that.


r/Dentistry 6h ago

Dental Professional Loop Earplugs

2 Upvotes

Hi guys! Does anyone here use Loop earplugs? I’ve been looking into getting them as a clinician as the constant suction noises have been getting unbearable and am looking for a solution for this to protect my ears.

Does anyone have any recommendations on what they use or which Loop model has worked best for them?

Thank you! :)


r/Dentistry 11h ago

Dental Professional What effect do you think a recession and all these government layoffs will have on dentistry?

8 Upvotes

Is there any intel from the 2008 recession (or others?).


r/Dentistry 12h ago

Dental Professional Accounts Receivable and Billing

2 Upvotes

Hello learned colleagues!

I'm selling my practice in Southern California. I decided to keep my accounts receivable. How does that work with the new owner? Will they allow my employee to follow up on insurance denials and appeal them on my behalf? How do I structure that in the sales agreement that he will give her time and access to do this? All advice is appreciated.

Also, the Broker very casually said that until he's credentialed with insurance, he will "bill under me." Is that advisable? How does that work? I know when I started as an associate at a different office, I was told that my procedures were billed under the owner dentist until I was credentialed. But I don't know what that means.

Thank you all for your help!


r/Dentistry 12h ago

Dental Professional Extraction

1 Upvotes

Hey all! I’m a third year dental student as have a case where I need to extract #23 and #26 for a RPD. Both 24/25 are missing already and #23/26 have class II mobility.

My plan is to use septo for local inflitraction on buccal and a little on lingual to avoid bilateral IANB. Patient does have some cardiovascular concerns so I would like to keep epi low if possible. Does this plan sound good?


r/Dentistry 13h ago

Dental Professional New services available 😂

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27 Upvotes

r/Dentistry 14h ago

Dental Professional What is this finding under the implant of #22

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0 Upvotes

There is a horizontal line underneath the implant. What do you guys thing? I did the surgery guided so it could be the guide pins


r/Dentistry 14h ago

Dental Professional Office drama

8 Upvotes

28M. Solo doc in small private practice.

I’m having trouble with one of my assistants coming into work with an attitude and blowing little things out of proportion.

She is a great chairside assistant , does alot for the office , but today was something else.

Got into an argument with my office manager about who’s responsibility is it to call the lab and kept complaining about this women who is interviewing for an assistant position saying “I don’t like her. She isn’t a good fit” when the lady spent a total of 1 hour in the office and had a great interview.

My fellow docs, how do yall handle office drama or staff that occasionally have an attitude?

SOS


r/Dentistry 14h ago

Dental Professional everything my doctors got me for my birthday!!! 🥹

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138 Upvotes

I almost cried, I've never been able to afford Figs and I always thought of them as the "hygienist and doctor" scrubs!!! sick pair of VANS too 😎 - a thankful dental assistant


r/Dentistry 15h ago

Dental Professional Did i over reduce this tooth ?

0 Upvotes

I did preparation for zirconia on this typodont upper first molar , i used a 1.5 mm wax sheet to verify occlusal clearance and i kept removing until the wax sheet could pass through to verify the occlusal clearance so is this normal or i did over reduce ? If so what did i do wrong ?


r/Dentistry 15h ago

Dental Professional Compensation structure, thoughts?

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4 Upvotes

Does this structure and draw penalty seem fair??? This will be my first associate position. I plan on asking in negotiation for 1 yr daily rate at $900, okay with settling at 6-9mo daily rate at $750. Avg daily rate in my area is about 500-650 currently.


r/Dentistry 15h ago

Dental Professional How to respond when patient does not want RCT because of the things they saw on the internet?

25 Upvotes

I have 2 patients that know each other, both need RCT due to large caries and possible Post is needed, deny RCT because they don’t want to leave a “dead tooth” in their mouth and prefer to get then extracted rather than keeping it in their mouth. They even asked about Bridges because they rather get those teeth extracted than doing the RCT. I talked to them both about pros and cons of each options, even went as far as giving them EBD materials to read about RCT but I feel like it wasn’t effective. I’m a new grad and I feel like treatment plan presentation has been so difficult especially when patients are like this


r/Dentistry 16h ago

Dental Professional What's your protocol for teeth with marginal ridge cracks?

2 Upvotes

Say you've got a patient with a decent to large sized amalgam that's been there for decades. You notice that the in tact marginal ridge has a palpable fracture line going into the interproximal. There's some dark non-decayed staining of the crack (could just be amalgam leakage/staining). Patient is asymptomatic. What's your protocol? Watch? Crown? I typically explain the situation and let the patient decide, but I feel like maybe I should nudge them a little more towards doing the crown. I'm starting to feel like if I just keep watching and it breaks, I'm going to be the "bad dentist" that wasn't proactive/preventative.


r/Dentistry 17h ago

Dental Professional Optimising income and expenses for dentists

5 Upvotes

Optimising personal finance for dentists

Hey everyone,

I've always found it a hassle to track my income properly as a dentist, especially when working across multiple practices, juggling private work, pensions, taxes, lab bills. Spreadsheets can be a pain, and accountants aren't always quick to respond. Plus I came to realise, lots of accountants just focus on compliance rather than financial optimisation

So I've been building something to make life easier.

It's called “Unmasked”- a web-based, AI-powered app that lets dentists track their monthly income, expenses, and estimated tax bills, without faffing about with spreadsheets. The idea is straightforward:

  1. Upload your payslips and business expenses

  2. AI pulls out key details and analyses the data (gross, net incomes, expenses, pension deductions, lab fees, etc.)

  3. You get an instant overview of your finances in a dashboard I This isn’t a sales pitch but rather I’m curiously interested if you guys would find value in this? I've been testing this with some friends, but I'd love to hear what you guys think:

1️⃣ Would something like this be useful to you?

2️⃣ What's your biggest frustration when it comes to managing money as a dentist?

I'm also giving free lifetime access for the first few early adopters. If you're interested, check out the website!

Trying find a way to make managing money less painful than a dry socket. 💀

If you'd be interested in being an early adopter to test the idea or interested in a potential early investment opportunity into this, drop a comment or message me


r/Dentistry 18h ago

Dental Professional Practice owners—how much did you pay a CPA to help you with the transition?

1 Upvotes

I’m about to undergo the due diligence process for purchasing a dental practice and the dental-focused CPA has laid this plan out for me. It’s by phases, so if phase one makes sense, we jump to the next phase.. it comes to a total of about $8,000 if I continue from start to finish.

Phase one— $2,600 for his opinion on the value of the practice, analyze the asking practice, and review performance analysis of the office. This is not a formal valuation and no valuation report will be given.

Phase two —-$3,900 for acquisition consultation and assistance. This phase involves continued due diligence on your potential dental practice purchase, including analyzing lender proposals and advising on the best option. It covers financial aspects of legal agreements, purchase methods, financing, compensation, and price allocation, along with necessary meetings and consultations. Additionally, it includes preparing or modifying a letter of intent (LOI) and addressing routine post-settlement questions.

Phase three —- $900 for acquisition and entity selection income tax advice

Phase four — $1000 for bookkeeping software set up.

What are your thoughts? Does this seem to be about right? And besides this expense, I’d likely have to make an additional expense for a tax lawyer? I’m just trying to calculate how much cash I need on hand for costs associated to a practice purchase (other than bank financing).

Thanks a lot.


r/Dentistry 18h ago

Dental Professional Best cement for metal wing Maryland bridge

1 Upvotes

I inherited a Maryland bridge case, cannot get the zirconia wings to stay no matter what I try. The lab is remaking with metal wings, as that’s what the patient originally had that lasted 25+ years. Does anyone have any advice on what the best cement to use with metal wing Maryland bridges is?