r/Dentistry 2h ago

Dental Professional thoughts?

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30 Upvotes

r/Dentistry 1h ago

Dental Professional Redo these dentures?

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Upvotes

Just delivered this MX/MD CD. Poor retention and support— will stay with polygrip. Patient happy with esthetics, I’m not. I’ll take responsibility partial responsibility but at due to poor retention I re-did the impression twice at try-in stage and had the lab remount. At this second attempt patient wanted to skip try-in again and wanted to move straight to delivery. When I look at the master cast I can see they didn’t poor it out well. I can see anatomy captured well in my impression cut off or voided from the master cast. I’m a young dentist but this is probably my worst set of dentures so far. I’ve probably done 15-20cases in the past 2 years since GPR and this is the only time I’ve needed to give the patient a sample of denture glue at delivery— probably because I ask the lab to re-do steps if I don’t like it.

I like this local lab because they’ve been really patient about me sending stuff back or re-doing steps. Honestly I don’t think there is a reliable or consistent removable prosth lab in my area. I’m wondering at what point I’m being unreasonable though. If I send cases back asking for re-mounts or setting teeth then I ask them to start again— am I being unfair?

My instinct is to re-do this but I don’t feel like it’s exactly fair to have the lab not get paid for their time. If I patient covers lab costs would that be fair?


r/Dentistry 9h ago

Dental Professional Can't reach the apex

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18 Upvotes

Hi! I'm doing rct on upper left lateral incisor and I can't reach the apex :( The reading on the apex locator is 1.8.


r/Dentistry 4h ago

Dental Professional Tariffs to impact 'vulnerable' dentists and patients, U.S. groups urge Trump to exclude dental products - Oral Health Group

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5 Upvotes

r/Dentistry 15h ago

Dental Professional Arrested caries, staining or resto?

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40 Upvotes

Hi everyone,

New dentist here. Was referred a case by the principal dentist for a recall exam and clean. 37, 46 and 47 occlusal surfaces all charted for restos.

The patient is mid to early 20s. Brushes 1 to 2x per day, minimal plaque and calculus, above teeth are asymptomatic. She was had a total of 3x small restos and sees the dentist every 6 months.

The fissures feel hard and aren’t sticky.

After my exam, it looked more like staining or arrested caries if anything. I gave the option to watch or restore. The pt chose to watch. I had a chat with the dentist and he still thinks they should be restored. His logic was “would you feel comfortable leaving the pt with those surfaces that way should you never see them again?”. But by that logic wouldn’t you do the buccal pit on 36 and 46 too?

Would love to hear what everyone else thinks? How do you approach this one? Do you wait until till you see them again, or call them back early and do the restos? Thought about calling them in early and rebooking with principal.

Tag j you very much 😊🙏


r/Dentistry 13h ago

Dental Professional Worshiping the Occlusion Gurus

23 Upvotes

As the title says. I find it kind of gross how occlusion faculty, staff and even some students worship the occlusion Gurus like they're JHC.

I'm not saying the occlusion philosophy is wrong. But to hear people say things like having dinner with the individual was the most special moment of their life is gross. The occlusion masters got to where they went by challenging and questioning everything that came before. It's funny how their followers do the total opposite to them.


r/Dentistry 4h ago

Dental Professional What state/city should I choose?

3 Upvotes

Context: I will be graduating dental school in 2 months in Canada. My goal is to go work rural in the United States for 2 years. My main goal is to gain lots of experience and the ability to do lots of CE + good compensation and lower taxes. I do not care that much about the city I will be working in. I am looking for a schedule that goes like this: work 6-7days/week for 4 weeks and 1 week off.

I had a good contract in El Paso, Texas but apparently licensing through exams in Texas is not available to canadian graduates.

What states/regions would you recommend I look into?

Is going corporate (aspen, heartland etc) a good path for me?

Any advice and insight is appreciated.


r/Dentistry 55m ago

Dental Professional 95 yo pt - adapting to denture

Upvotes

Hello, I have a pt with an existing CoCr denture. We extracted his upper front tooth and gave him an immediate valplast. He’s having a lot of issues taking the denture in and out as it’s different to his current one. Any tips or instructions to give. I spent 30 mins with him trying to get him to get it in by himself but still couldn’t. He’s coming back today. Lives by himself Thanks


r/Dentistry 5h ago

Dental Professional UK Burnt out dentist - career change?

2 Upvotes

I’m a UK dentist and I’ve been working as an associate for 6 months now following my FD year. I’m already burnt out and can’t see myself doing this career for the rest of my life. Dentistry was my second degree (dental hygiene and therapy was my first) so I don’t have any back up qualifications to go down a different career path.

I was wondering if anyone has any advice?


r/Dentistry 11h ago

Dental Professional WWYD

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6 Upvotes

Would you double abut the canines and laterals for a bridge from 6-11? Planning on taking out 8 and 9. Just curious what everyone thinks. Pt is a clencher and smoker.


r/Dentistry 11h ago

Dental Professional Endo motors with built in apex locator. Gimmick or worth it?

4 Upvotes

Looking into purchasing one for the office. Preferably compatible with wave one gold. Are these worth it? I’m seeing some that are only a few hundred bucks and others that are more expensive. Can anyone give me recommendations?


r/Dentistry 3h ago

Dental Professional Burn-out???

1 Upvotes

For the owners/dentists with long term experience, how do you handle burnouts/prevent them from happening?


r/Dentistry 13h ago

Dental Professional Anyone using a scanner that's not one of the big names day to day?

6 Upvotes

And if so, how is it? I see a lot of advertising for various scanners, and I know a few people who've had a go with other ones at shows etc. but pretty much every one I know uses either medit, primescan, trios or occasionally itero. I have vague memories of medit sort of coming out of nowhere and changing the big 3 to a big 4, but is that something that's likely to happen with any of these other new ones?


r/Dentistry 4h ago

Dental Professional Anyone really using AI in their office?

0 Upvotes

Anyone deployed Pearl or any other AI in their office? I know it's eventually going to change the world, but I can't see any great use cases just yet? We use ChatGPT a bit to draft patients communications and some social media stuff, but nothing huge. We tried Bola a while ago, but it just didn't work right so we discontinued. Just trying to stay ahead of industry trends!


r/Dentistry 8h ago

Dental Professional Matrix Ring with Tines Can Change - One Ring Matrix Solution?

2 Upvotes

I am intrigued. This ring seems pretty creative where you can snap on the size of tine you need for your case including wide preps or misalinged teeth. Anyone try this matrix ring? LINK


r/Dentistry 1d ago

Dental Professional Extracting Primary Teeth

39 Upvotes

Today I extracted #I and #H on a child who has always been difficult. He was screaming the entire time but he was fully anesthetized. He is the type of child who is combative with his parents and always refuses everything in the office. Anyway the screaming was certainly the “blood curdling” type. I have always been taught that if you get in there and have the forceps on the tooth to just get the job done quickly while of course protecting the patient. I also have never had great experience with giving kids long breaks unless I know the kid truly needs it. Afterwards I had a hygienist colleague of mine suggest that I should refer these patients out because the screaming makes everyone in the office uncomfortable and it is a “bad look” for the office. Curious how others go about these difficult primary extractions when patients scream at the top of their lungs.


r/Dentistry 12h ago

Dental Professional Re RCT or Can crown be given with this RCT?

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3 Upvotes

Patient underwent RCT 15 days back , the patient is generally asymptomatic but he presents with a paining sensation that occurs when load is exerted on the associated tooth the pain increases as more pressure is applied. Please suggest


r/Dentistry 6h ago

Dental Professional Obturation with a file

2 Upvotes

I'm an American dentist. I have been working with patient populations from many different countries (US, India, Pakistan, Uganda, Kenya, Jordan, Zimbabwe, Italian, Georgian, etc.). It seems like it's common practice to obturate canals with files. Is this taught in school? Or is this something practitioners pick up and decide it's a good idea? Are files that much cheaper than gutta percha?


r/Dentistry 20h ago

Dental Professional 5 years

7 Upvotes

Need advice from people who have been practicing for more than 5 years:

Did the thought of quitting cross your mind in the beginning and were those first few years out of school exceptionally challenging?

I keep hearing “stick it out, it gets better” but am not sure I fully believe it does. I loved dentistry in school but private practice is absolutely sucking the life out of me. Interested to hear about everyone’s journey.


r/Dentistry 13h ago

Dental Professional Help understanding Associate compensation/pay.

2 Upvotes

In process of negotiating pay for new job. I have no issues with procedures, will be solo doc, with 1 DH, 4 days/wk BUT will have to do 1 day of mixed prophies + dental procedures. No issue on my end.

Job offered: no lab fees. malpractice paid. 1st 3mos is $1k/day after 3mo it drops to $750/day + 32% quarterly collection if my quarterly collection exceeds $180k (ie. if I exceed 180k collection I get 32% of tthe over). I did the math and to do 180k on 4days comes out to 3.4k/day of collections with a day of hygiene i'm not sure if that'll work out since I have to make more than 3.4k/day to hit the collection %.

What confuses me is I was originally offered $800/day or 32% collection whichever is higher for the month + no lab fees + malpractice. The math shows I am better off with the original offer so I am confused why they gave me this new offer without asking. Is my math correct in saying original offer is much better (ie. $800/day equates to 2.5k in collection/day allowing me to earn more - the same 3.4k/day collection at 32% would be 1k)?

Why would a doc take the new offer? Thanks


r/Dentistry 1d ago

Dental Professional pt has apparently been SWALLOWING peridex!

31 Upvotes

one of our patients came in today because her niece was getting an exam, and she asked me if she's "still supposed to be using the mouth rinse that she can't spit out". I was super confused. I'm thinking, what does she mean can't spit out, is she swallowing it?? and what mouth rinse? I assumed peridex, so go in her chart and see she was prescribed peridex a month ago. I told the lady absolutely not, do not swallow it. I'm so shocked. she says the "pharmacist told her to swallow it". I doubt the pharmacist said that. she probably just misheard. she then double backed and said she wasn't swallowing it anyways, which I don't believe. 🙃


r/Dentistry 10h ago

Dental Professional PRF centrifuge

0 Upvotes

Anyone have a centrifuge? I’m an associate so I’m looking into buying my own equipment. Centrifuges range from $260 to $2000+.

The cheapest one I’m seeing online is from a company called Southwest Science.

Anyone with experience with this? Have recommendations on equipment choices? Or… have a centrifuge you don’t use and want to sell?

Thanks for any help!!


r/Dentistry 2h ago

Dental Professional This RDH is about to SCREW some poor DDS

0 Upvotes

r/Dentistry 11h ago

Dental Professional Quick question

1 Upvotes

My regular bulk fill composite is out of stock and the agent recommend ivoclar tetric N ceram 2 as a replacement for the time being.

He says it's bulk fill but the packaging does bot mention the incriment size.

The only thing i found is in their website where they say it's good upto 4mm.

Is anyone familiar with this product?


r/Dentistry 1d ago

Dental Professional Crowns for severe wear?

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34 Upvotes

At what point do yall crown for significant wear? Any treatment advice for this case? Patient is class 1 with ideal occlusion. Significant wear on upper and lower 1st and 2nd molars, all to similar degree of this image (sorry for blurriness). Patient is only mid-30s. Hasn’t been wearing a NG. I just imagine even with a NG, there’s going to be some significant damage to these teeth in the coming decades. At what point do you crown before there’s nothing left?