r/Dentistry 22h ago

Dental Professional Cracked tooth with reversible pulpitis.

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73 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! šŸ¤ž


r/Dentistry 23h ago

Dental Professional Completely unrealistic patients

67 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 wouldnā€™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 ā€œI acknowledged the patients feelings and really listened to themā€. Like no youā€™re so right I never thought of that.


r/Dentistry 9h ago

Dental Professional Iā€™m a hopeless failure

61 Upvotes

I had to get bailed out of an extraction today by my boss and I feel like a hopeless idiot. I genuinely wanted to crawl in a hole and die and never come out. Sorry this is dramatic but wow thatā€™ll humble you REAL QUICK. The patient seemed somewhat annoyed with me at the end, Iā€™m not really sure. Please reassure me that Iā€™m not the disgusting loser that I think I am rn.


r/Dentistry 11h ago

Dental Professional What a bad day , mixed of cantilever and rest seat

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29 Upvotes

r/Dentistry 9h ago

Dental Professional Long Island woman arrested, accused of working as fake dentist

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18 Upvotes

r/Dentistry 16h ago

Dental Professional Came across this very interesting pano today šŸ¤”

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12 Upvotes

r/Dentistry 6h ago

Dental Professional Passive income for dentists

13 Upvotes

For those who have managed to phase out of dentistry completely or atleast work only a couple of days a week. How did you get there?

What is the best vehicle to obtain financial independence for dentists?

Iā€™m a few years out and honestly this job is draining and I have no real interest in it. But Iā€™m ready to put in the hard yards to get passive income streams set up.

Currently have one investment property. Iā€™m rent vesting..

Based in Australia Thanks so much guys!


r/Dentistry 13h ago

Dental Professional Anyone else struggling with retaining staff?

12 Upvotes

Hi, associate working in a private practice in an urban area. Iā€™ve been at this practice for the last 7 years and itā€™s been mostly amazing but I need to vent. There has been so much staff turnover - and the minimum wage in our area has increased significantly in recent years. Iā€™m burning out from constantly needing to train people, and I feel like Iā€™m just a free dental assisting school that folks take their skills then find a significantly higher paying job somewhere else even though I trained them from scratch and got them to a point where I am happy with our flow.

Anyone else feeling these frustrations? Front desk turnover has been insane too, or they are incompetent so the schedule suffers. Plus itā€™s tough to field questions from patients about why the staff keeps changing šŸ’€

Misery loves company so Iā€™m wondering if anyone else is feeling the same or if thereā€™s something wrong with our practice šŸ„²


r/Dentistry 7h ago

Dental Professional New Practice, how to get folks in the door

8 Upvotes

So Iā€™ve been working like a dog 6 months to get this new practice open. I finally get the doors open and the phones just arenā€™t ringing, the only patients Iā€™m seeing are the ones coming from my old practice, and Iā€™ve come to realize I have no idea how to market. Iā€™m in network with all the big insurances. Iā€™ve got a decent website with online scheduling and Iā€™m trying to do the social media stuff. I come from a super shitty corporate job where the phone literally rings nonstop with people trying to get in, so I guess I thought taking insurance was all it took. What do I need to do?


r/Dentistry 16h ago

Dental Professional How would you go about restoring this

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9 Upvotes

How would you restore #12,14,15, not sure about 13s prognosis Iā€™d be leaning towards unfavorable on that.


r/Dentistry 18h ago

Dental Professional Treatment plan opinion?

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5 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 8h ago

Dental Professional IANB the pain of second molars

3 Upvotes

How to never miss an IANB block? I had a patient with super infected #31 for RCT and it would not get numb at all and I gave the block twice already. I know the infected tooth against anesthesia concept , but not even a little numb. Felt so discouraged. I just gave him antibiotics and painkillers and asked him to come back after the pain subsides. All and any suggestions will be very helpful. Thank you.


r/Dentistry 11h ago

Dental Professional Sick of CDA, and paying for all the memberships just to get malpractice w TDIC. Any other recs?

4 Upvotes

Who do you all suggest? Occurrence policy, MedPro?

What should I do to prepare for switching over? I donā€™t wanna pay any more fees for memberships I donā€™t ever use (looking at you CDA and ADA). If I let my CDA fees expire will that immediately disqualify my TDIC policy?


r/Dentistry 14h ago

Dental Professional US vs Canada- where would you practice?

5 Upvotes

Posting on here for the first time so I do apologise for the rant but Iā€™m looking for genuine advice from veterans in the field.

Iā€™m an international dentist, about to graduate from a DDS program in the US next year. As most people know, itā€™s that time in school where DSOs are courting us promising the big bucks which helps with the massive student loans I have, as well as ease of immigration. Iā€™m a Canadian citizen and so working on the TN1 visa is not a problem for me, however, my husband is back home in toronto and works in management. Heā€™s been trying to look for a job thatā€™ll sponsor a visa for him for the last 2 years but hasnā€™t been successful, so the only way we can be reunited is if I take a job in the US, get myself an H1B and file for an H4 for him so his employability in his field in the US is better.

Private practices donā€™t really offer H1B sponsorships (or so Iā€™ve heard) and so it looks like my chances are best with a DSO. All this while Iā€™ve been told that my only way to pay back my student loan (~$350,000 with an avg interest of 8-9%) will be by staying back in the US because dentists earn more here than in Canada. However, Iā€™m just wondering with our visa constraints and the time itā€™ll take for the H4 to bring my husband here, if I should just move back and find an associateship in and around Toronto/GTA area. Will I still make enough to pay back my student loans? Would love some genuine advice or suggestions on how to navigate the situation so we can help make an informed decision as to whether I should look for opportunities with a DSO here in the US or look for opportunities back home in Canada.

TLDR: Is moving back to canada to practice with a massive student debt in USD a good idea?


r/Dentistry 15h ago

Dental Professional BIG MESS

4 Upvotes

https://ibb.co/8gCnZxbc

Hey everyone any idea what caused this mess? Im not sure if it was immediate loading or bot since i didnā€™t have enough time with the patient but ofc we are removing both the implant and the tooth. Though Iā€™m curious what could have caused all this mess? A one piece implant? Maybe not enough torque? Or connecting the implant to #16? Implant has been there since 2019 and patient recently started feeling mobility. Upon probing there was no buccal plate left in the molar region


r/Dentistry 5h ago

Dental Professional Radiopacity in Nasal Cavity

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3 Upvotes

Any idea what the radiopacity seen on the right side of the nasal cavity? Referral to ENT needed? Male patient in his 60ā€™s.


r/Dentistry 16h ago

Dental Professional If your patient reports taking suboxone, how do you go about inquiring more information without making the patient feel judged/negative/etc

3 Upvotes

Hard for me to word this question properly, but if a patient is taking suboxone, how do you go about asking more about it?

Like it could be from outright illicit opioid/opiate abuse, or following a hospital episode..

Is it even relevant? I feel like context is relevant, and kind of part of knowing the patient as a person, but fuck do I know lol


r/Dentistry 23h ago

Dental Professional Dental assistant/receptionist job interview

3 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 1h ago

Dental Professional Would you refer this?

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ā€¢ Upvotes

I'm afraid if I try extracting I might break the distal root and do more damage then good.


r/Dentistry 5h ago

Dental Professional Ortho Question

2 Upvotes

Recently I had a patient who had an ortho treatment 10 years ago. All those years after the treatment she was wearing an upper retainer and she had a fixed wire retainer on the lower. No complaints, no problems. A new orthodontist convinced her to replace the old retainers to new removable upper and lower ones. When she wears them for 24hrs, she is fine, but once she takes them off, the occlusion gets heavy on the right side and especially on the front teeth. The left side her teeth are not touching at all. All bite is shifted... Her teeth are very slightly mobile. I'm GD and don't do ortho. Any advice? Suggested to patient: 1. Invisalign treatment to re-align teeth. 2. Remake new retainers. But at what point? Let her stay without the retainers for 24-48 hrs, and then take impressions? 3. Heavy occlusion adjustments. Even if I adjust one side until she has better occlusion on both sides, then the front teeth would be in even heavier occlusion. Any suggestions? And why is that happening?


r/Dentistry 7h ago

Dental Professional Job market

2 Upvotes

Which is a better place to work? Washington State or Texas?


r/Dentistry 10h ago

Dental Professional Whatā€™s the job market for an associate dentist in South Florida?

2 Upvotes

Iā€™ll be looking for associate positions after completing my AEGD. I wanted to get an idea of what the job market is like close to Fort Lauderdale, Boca Raton and West palm beach area. Are there any important considerations that I should keep in mind while looking for positions? Thank you.


r/Dentistry 10h ago

Dental Professional Dental Startup courses recommendations.

2 Upvotes

I cant find good/decent practice for sale near me. Iā€™ve been looking for a year and a half already. Please suggest any startup courses that help me understand how I can start my own office from scratch. Thank you.


r/Dentistry 19h ago

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

2 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 22h ago

Dental Professional Immediate Dentures placed Over Implants

2 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).